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2.
Artigo em Inglês | MEDLINE | ID: mdl-32878203

RESUMO

OBJECTIVE: It is believed that oral infections can increase the risk of systematic diseases, such as atherosclerosis and coronary heart disease, stroke, chronic obstructive pulmonary disease, diabetes, cancer, rheumatoid arthritis, etc. It seems that oral invasive pathogens induce a systemic inflammatory response via mediators released by the cardiovascular system and liver, which increases the risk to the patient of these systematic infections, such as hypertension. On the basis of previous studies of the stomatognathic system, investigating the coexistence of systemic diseases and inflammation in the oral cavity, it can be expected that there is a connection between inflammation of the denture-bearing area in patients using acrylic removable dentures and the presence of systemic diseases, and that patients with inflammation in oral mucosa are more likely to have systemic diseases. MATERIAL AND METHOD: A retrospective study was carried out on a group of patients seeking prosthetic treatment at the Prosthetic Department of the University Dental Clinic (UKS) from March 2012 to February 2013. All data were collected using a UKS electronic database with KS-SOMED. The minimum period of use for removable prostheses was five years. RESULTS: According to anamnesis, the most common systemic diseases in our study group were hypertension disease. In total, 58% of patients with hypertension disease had no inflammation in the oral cavity. CONCLUSIONS: The occurrence of systemic diseases in edentulous people using removable prosthetic restorations, and the subsequent use of medications for these diseases, may result in a lack of clinical symptoms of concomitant fungal infection of the oral mucosa.


Assuntos
Prótese Dentária , Inflamação , Doenças da Boca , Micoses , Humanos , Doenças da Boca/complicações , Doenças da Boca/imunologia , Mucosa Bucal , Boca Edêntula , Estudos Retrospectivos
4.
Med Hypotheses ; 143: 110124, 2020 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-32721813

RESUMO

Utilising biomarkers for COVID-19 diagnosis, prediction of treatment response and overall prognostication have been investigated recently. However, these ventures have only considered the use of blood-based molecular markers. Saliva is another biofluid that warrants being applied in similar fashion with major advantages that centres on its non-invasive and repeatable collection as well as cost-efficiency. To this end, this article presents a hypothesis for the sources of biomarkers useful clinically for COVID-19 disease outcome estimation and identify the likely implications of their detection in saliva.


Assuntos
Betacoronavirus , Biomarcadores/análise , Infecções por Coronavirus/metabolismo , Modelos Imunológicos , Pandemias , Pneumonia Viral/metabolismo , Saliva/química , Biomarcadores/sangue , Infecções por Coronavirus/diagnóstico , Infecções por Coronavirus/imunologia , Infecções por Coronavirus/terapia , Citocinas/análise , Testes Diagnósticos de Rotina , Vesículas Extracelulares , Líquido do Sulco Gengival/química , Humanos , MicroRNAs/análise , Doenças da Boca/complicações , Doenças da Boca/metabolismo , Pneumonia Viral/diagnóstico , Pneumonia Viral/imunologia , Pneumonia Viral/terapia , Saliva/imunologia , Saliva/virologia , Glândulas Salivares/metabolismo , Glândulas Salivares/virologia , Proteínas e Peptídeos Salivares/análise
5.
Clin Oral Investig ; 24(6): 2137-2138, 2020 Jun.
Artigo em Inglês | MEDLINE | ID: covidwho-197618

RESUMO

OBJECTIVES: Explore how to manage oral healthcare during the COVID-19 outbreak. MATERIALS AND METHODS: In order to solve oral healthcare during the COVID-19 outbreak, our hospital has taken effective measures: build a team of experts, which provide a 24-h hotline, online video consultation, and online training and push popular science articles on WeChat. For the treatment of emergency patients aside from routine epidemic prevention measures, some special measures for oral treatment need to be added. RESULTS: From January 23, 2020, to March 2, 2020, a total of 3035 patients received oral therapy during the COVID-19 epidemic in our hospital. To our knowledge, no oral health worker or patient has been infected with COVID-19 due to oral treatment, and no patients have complained about the suspension of treatment by complaints hotline. CONCLUSION: COVID-19 is a novel challenge for oral healthcare. Attention should be paid to oral healthcare during the outbreak of COVID-19. CLINICAL RELEVANCE: These experiences of oral healthcare can be used as a reference by stomatological hospitals and oral clinics during public health emergencies.


Assuntos
Infecções por Coronavirus , Doenças da Boca/terapia , Saúde Bucal , Pandemias , Pneumonia Viral , Betacoronavirus , China , Serviços Médicos de Emergência , Humanos , Doenças da Boca/complicações
6.
Clin Oral Investig ; 24(6): 2137-2138, 2020 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-32382932

RESUMO

OBJECTIVES: Explore how to manage oral healthcare during the COVID-19 outbreak. MATERIALS AND METHODS: In order to solve oral healthcare during the COVID-19 outbreak, our hospital has taken effective measures: build a team of experts, which provide a 24-h hotline, online video consultation, and online training and push popular science articles on WeChat. For the treatment of emergency patients aside from routine epidemic prevention measures, some special measures for oral treatment need to be added. RESULTS: From January 23, 2020, to March 2, 2020, a total of 3035 patients received oral therapy during the COVID-19 epidemic in our hospital. To our knowledge, no oral health worker or patient has been infected with COVID-19 due to oral treatment, and no patients have complained about the suspension of treatment by complaints hotline. CONCLUSION: COVID-19 is a novel challenge for oral healthcare. Attention should be paid to oral healthcare during the outbreak of COVID-19. CLINICAL RELEVANCE: These experiences of oral healthcare can be used as a reference by stomatological hospitals and oral clinics during public health emergencies.


Assuntos
Infecções por Coronavirus , Doenças da Boca/terapia , Saúde Bucal , Pandemias , Pneumonia Viral , Betacoronavirus , China , Serviços Médicos de Emergência , Humanos , Doenças da Boca/complicações
7.
Zhonghua Kou Qiang Yi Xue Za Zhi ; 55(4): 235-240, 2020 Apr 09.
Artigo em Chinês | MEDLINE | ID: covidwho-324706

RESUMO

Public health emergencies have an impact on the public mental health. The outbreak of the novel coronavirus has affected the normal diagnosis and treatment services in stomatological institutions across the country. Delay of non-emergency dental service will have a potential impact on the experience, cognition, treatment and rehabilitation of patients with oral diseases. Through literature retrieving, this article reviewed the oral psychosomatic diseases closely related to a patient's psychological status, such as oral mucosal disease, temporomandibular joint disease, bruxism, periodontal disease and so on. It was believed that the patients with these disorders might be more susceptible to the impact of stress events, and need be paid more attention by dental specialists. At the same time, this article analyzes the possible psychological stress symptoms of patients with various oral diseases, and puts forward suggestions for remote consultation and emergency treatment of dentists. From the perspective of social role, dentist plays not only the role of expert for professional guidance in dentistry, but also the role of helper in psychological counseling for patients.


Assuntos
Infecções por Coronavirus/psicologia , Doenças da Boca/complicações , Doenças da Boca/psicologia , Pneumonia Viral/psicologia , Betacoronavirus , Humanos , Pandemias , Estresse Psicológico
8.
Zhonghua Kou Qiang Yi Xue Za Zhi ; 55(4): 235-240, 2020 Apr 09.
Artigo em Chinês | MEDLINE | ID: covidwho-1514

RESUMO

Public health emergencies have an impact on the public mental health. The outbreak of the novel coronavirus has affected the normal diagnosis and treatment services in stomatological institutions across the country. Delay of non-emergency dental service will have a potential impact on the experience, cognition, treatment and rehabilitation of patients with oral diseases. Through literature retrieving, this article reviewed the oral psychosomatic diseases closely related to a patient's psychological status, such as oral mucosal disease, temporomandibular joint disease, bruxism, periodontal disease and so on. It was believed that the patients with these disorders might be more susceptible to the impact of stress events, and need be paid more attention by dental specialists. At the same time, this article analyzes the possible psychological stress symptoms of patients with various oral diseases, and puts forward suggestions for remote consultation and emergency treatment of dentists. From the perspective of social role, dentist plays not only the role of expert for professional guidance in dentistry, but also the role of helper in psychological counseling for patients.


Assuntos
Infecções por Coronavirus/psicologia , Doenças da Boca/complicações , Doenças da Boca/psicologia , Pneumonia Viral/psicologia , Betacoronavirus , Humanos , Pandemias , Estresse Psicológico
9.
J Craniofac Surg ; 31(2): e184-e185, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32028359

RESUMO

Congenital bifid tongue is a rare malformation, which is usually present in association with other oral findings such as cleft palate and tongue mass. The authors present a rare case of congenital bifid tongue together with cleft palate, labial-buccal frenulum deformity, absence of lingual frenulum, and 3 hamartomas in the oral cavity. The authors excised oral hamartomas and repaired the palate and tongue with satisfactory results.


Assuntos
Fissura Palatina/cirurgia , Hamartoma/cirurgia , Doenças da Boca/cirurgia , Língua/cirurgia , Fissura Palatina/complicações , Feminino , Hamartoma/complicações , Humanos , Lactente , Freio Lingual , Doenças da Boca/complicações
10.
Zhonghua Kou Qiang Yi Xue Za Zhi ; 55(4): 235-240, 2020 Apr 09.
Artigo em Chinês | MEDLINE | ID: mdl-32086886

RESUMO

Public health emergencies have an impact on the public mental health. The outbreak of the novel coronavirus has affected the normal diagnosis and treatment services in stomatological institutions across the country. Delay of non-emergency dental service will have a potential impact on the experience, cognition, treatment and rehabilitation of patients with oral diseases. Through literature retrieving, this article reviewed the oral psychosomatic diseases closely related to a patient's psychological status, such as oral mucosal disease, temporomandibular joint disease, bruxism, periodontal disease and so on. It was believed that the patients with these disorders might be more susceptible to the impact of stress events, and need be paid more attention by dental specialists. At the same time, this article analyzes the possible psychological stress symptoms of patients with various oral diseases, and puts forward suggestions for remote consultation and emergency treatment of dentists. From the perspective of social role, dentist plays not only the role of expert for professional guidance in dentistry, but also the role of helper in psychological counseling for patients.


Assuntos
Infecções por Coronavirus/psicologia , Doenças da Boca/complicações , Doenças da Boca/psicologia , Pneumonia Viral/psicologia , Betacoronavirus , Humanos , Pandemias , Estresse Psicológico
11.
Oral Dis ; 26(5): 1045-1052, 2020 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-32026534

RESUMO

OBJECTIVES: Association was investigated between oral health before dialysis and the incidence of systemic infections during dialysis. We hypothesized that low-grade systemic inflammation caused by poor oral health associates with infectious episodes in patients on dialysis, despite earlier eradication of oral infection foci. SUBJECTS AND METHODS: A total of 117 patients (46 with peritoneal and 71 with hemodialysis) were examined and treated at predialysis stage and followed up during dialysis. Number of infection episodes and microorganisms cultured from blood and peritoneal fluid were analyzed. Number of teeth, periodontal inflammatory burden, and total dental index scores were assessed, and salivary matrix metalloproteinase 8, triggering receptor on myeloid cells 1, peptidoglycan recognition protein 1 (PGLYRP1), and interleukin-1ß were measured. RESULTS: In hemodialysis, 134 infection episodes were recorded, while peritoneal dialysis group had 77 peritonitis episodes. Culture-negative samples were 69% in hemodialysis and 23% in peritoneal dialysis group. Staphylococci were the most frequently associated microorganisms. Infections during dialysis did neither associate with oral health parameters nor associate with salivary inflammatory biomarkers, except for PGLYRP1, which associated with number of infection episodes during hemodialysis (p = .046). CONCLUSIONS: A number of infection episodes during hemodialysis were associated with salivary PGLYRP1 but not the other salivary markers or oral infection markers.


Assuntos
Doenças da Boca , Saúde Bucal , Diálise Renal , Biomarcadores , Humanos , Infecções/complicações , Inflamação , Doenças da Boca/complicações , Doenças da Boca/epidemiologia , Doenças da Boca/etiologia , Diálise Renal/efeitos adversos
12.
Clin Oral Investig ; 24(9): 3085-3091, 2020 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-31897707

RESUMO

OBJECTIVE: This study aimed to examine saliva flow rates and prevalence of dental and periodontal diseases of patients with newly diagnosed severe haematological diseases and compare these findings with age-matched controls of normal population. METHODS: A total of 149 patients diagnosed with haematological diseases aimed to be treated with haematological stem cell transplantation between 2008 and 2018 and 154 controls were included in the study. A dental examination was performed for patients within a maximum of 6 months after diagnosis. Differences were compared in terms of the stimulated salivary flow rate (SSFR); decayed, missing and filled teeth (DMFT) index; number of teeth; caries prevalence; presence of periodontitis and acute infections. RESULTS: The mean SSFR of the patient group was significantly lower (1.1 ml/min ± 0.7 ml/min) than the mean SSFR of the controls (1.3 ml/min ± 0.5 ml/min; p = 0.004). The number of caries lesions was significantly higher in the patient group (mean ± SD, 1.1 ± 1.9) than in the control group (mean ± SD, 0.4 ± 1.2; p < 0.001). There were fewer teeth and a higher DMFT index in the patient group compared to the control group, but the differences were not significant. Acute symptomatic infections were observed in eight (5.4%) patients and in none of the controls (p < 0.01). CONCLUSIONS AND CLINICAL RELEVANCE: Oral examinations in patients with newly diagnosed severe haematological disease demonstrated a higher prevalence of caries, acute infections and lower mean SSFR compared with the controls. These findings support the recommendations for early dental examination at the time of diagnosis.


Assuntos
Cárie Dentária , Doenças Hematológicas , Doenças da Boca , Doenças Periodontais , Índice CPO , Cárie Dentária/complicações , Doenças Hematológicas/complicações , Humanos , Doenças da Boca/complicações , Doenças da Boca/diagnóstico , Doenças Periodontais/complicações , Doenças Periodontais/diagnóstico , Prevalência
13.
Acta Med Port ; 32(12): 776-781, 2019 Dec 02.
Artigo em Inglês | MEDLINE | ID: mdl-31851887

RESUMO

Over the last few decades, behavioral changes in sexual practices have made oral transmission of traditional sexually transmissible infections increasingly recognized. Patients harboring a sexually transmissible infection may first present lesions on the oral cavity, as these may be visible and interfere with basic functions such as speech or swallowing. Moreover, the oral cavity may function as a reservoir for future spread of these infections. In order to successfully control this problem, a greater focus on oral sex should be persued, along with promotion of the use of condom and education on safe oral sex practices. Furthermore, examination of the oral cavity should is essential when evaluating any patient suspected of harboring a sexually transmissible infection. In this article, oral transmission of several viral and bacterial infections is reviewed, including human papillomavirus infection, genital herpes, syphilis and gonorrhea, among others.


Assuntos
Doenças da Boca/complicações , Sexo Seguro , Comportamento Sexual , Doenças Sexualmente Transmissíveis/transmissão , Infecções por Chlamydia/diagnóstico , Infecções por Chlamydia/transmissão , Chlamydia trachomatis , Gonorreia/diagnóstico , Gonorreia/transmissão , Infecções por HIV/diagnóstico , Infecções por HIV/patologia , Infecções por HIV/transmissão , Herpes Simples/diagnóstico , Herpes Simples/transmissão , Humanos , Doenças da Boca/diagnóstico , Doenças da Boca/patologia , Infecções por Papillomavirus/diagnóstico , Infecções por Papillomavirus/patologia , Infecções por Papillomavirus/transmissão , Doenças Sexualmente Transmissíveis/diagnóstico , Doenças Sexualmente Transmissíveis/patologia , Sífilis/diagnóstico , Sífilis/patologia , Sífilis/transmissão
14.
Rev Med Suisse ; 15(672): 2131-2136, 2019 Nov 20.
Artigo em Francês | MEDLINE | ID: mdl-31746569

RESUMO

Many diseases affect the oral cavity. Therefore, the mouth is an organ that internists should observe carefully. Hereafter we present five illustrations of oral semiology that reflect a systemic condition: a strawberry tongue, an ulceration, a labial lesion, a gingival hyperplasia and a gingival hyperpigmentation. Each time, a differential diagnosis is to be considered, potentially allowing the identification of severe diseases.


Assuntos
Medicina Interna/métodos , Doenças da Boca/complicações , Doenças da Boca/diagnóstico , Boca/patologia , Diagnóstico Diferencial , Humanos , Doenças da Boca/patologia , Mucosa Bucal/patologia
15.
Medicina (Kaunas) ; 55(10)2019 Oct 07.
Artigo em Inglês | MEDLINE | ID: mdl-31591341

RESUMO

Scientific research in the medical field shows this constantly: health starts from the mouth. Having good oral health nowadays is not only aimed at tooth health, but as amply demonstrated in the literature, it is a starting point for the general health and well-being of our body. Retracing the latest scientific findings that demonstrate an interpolation between oral health, oral diseases, and systemic complications, literature support was brought to this manuscript. Oral health, as demonstrated, has potentially multi-organ systemic implications, and as the results of the recent literature demonstrate, these implications range from an insulin resistance, due to a periodontal disease, up to far more complex multi-organ systemic complications involving the cardiovascular system or even neurodegenerative pathology. Therefore, being able to improve oral health could have great systemic implications for the organism, for the prevention of pathologies, and therefore for society and for the quality of life in individuals.


Assuntos
Doenças da Boca/complicações , Saúde Bucal/normas , História do Século XVI , História Antiga , História Medieval , Humanos , Higiene , Doenças da Boca/fisiopatologia , Saúde Bucal/história , Qualidade de Vida
16.
Stomatologiia (Mosk) ; 98(4): 48-50, 2019.
Artigo em Russo | MEDLINE | ID: mdl-31513149

RESUMO

The aim of the study was to study hemodynamic parameters in patients with a local form of odontogenic infection (LFOI) in the presence of diseases of the cardiovascular system and without background pathology. 5 groups were formed: group 1 - patients with LFOI without background diseases (49 patients, mean age 29 [25; 37] years); group 2 - healthy individuals (25 people, mean age 24.7±0.76 years); group 3 - patients with LFOI and diseases of the cardiovascular system (34 patients, mean age 51.2±2.37 years); group 4 - patients without LFOI with diseases of the cardiovascular system (25 patients, mean age - 46 [43; 50] years); group of patients with LFOI without background pathology, comparable in age and sex composition with group 3 (group 5, 28 patients, mean age 48.9±2.30 years). The presence of LFOI in the patient in the absence of background pathology determines the heart rate (78 [72; 82] in 1 min) in comparison with the control group of healthy individuals (68.0±0.85 in 1 min), the values of minute volume of blood circulation (5.25±0.14 l/min) and systolic index (2.87 [2.56; 3.35]) l·m-2·min-1. The development of LFOI in patient with hypertension/ischemic heart disease was not associated with increased blood circulation features, such as the increase in resting heart rate values, the values of minute volume of blood circulation and systolic index.


Assuntos
Sistema Cardiovascular , Hemodinâmica , Hipertensão , Doenças da Boca , Adulto , Sistema Cardiovascular/fisiopatologia , Doença Crônica , Frequência Cardíaca , Humanos , Hipertensão/complicações , Infecções , Pessoa de Meia-Idade , Doenças da Boca/complicações , Doenças da Boca/microbiologia , Adulto Jovem
17.
Adv Emerg Nurs J ; 41(3): 229-233, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31356248

RESUMO

The opioid public health crisis necessitates that health care providers seek alternatives to opioid pain control. For patients presenting with dental pain, a dental nerve block provides effective, long-lasting pain relief without the use of opioid pain medications. This article presents the techniques required to safely and effectively administer 3 types of dental nerve blocks, allowing the emergency nurse practitioner to provide effective pain control to patients with dental pain.


Assuntos
Doenças da Boca/complicações , Bloqueio Nervoso/métodos , Manejo da Dor/métodos , Dor/etiologia , Dor/prevenção & controle , Analgésicos Opioides/uso terapêutico , Serviço Hospitalar de Emergência , Humanos , Doenças da Boca/enfermagem , Bloqueio Nervoso/enfermagem , Dor/enfermagem , Manejo da Dor/enfermagem
18.
Lancet ; 394(10194): 249-260, 2019 Jul 20.
Artigo em Inglês | MEDLINE | ID: mdl-31327369

RESUMO

Oral diseases are among the most prevalent diseases globally and have serious health and economic burdens, greatly reducing quality of life for those affected. The most prevalent and consequential oral diseases globally are dental caries (tooth decay), periodontal disease, tooth loss, and cancers of the lips and oral cavity. In this first of two papers in a Series on oral health, we describe the scope of the global oral disease epidemic, its origins in terms of social and commercial determinants, and its costs in terms of population wellbeing and societal impact. Although oral diseases are largely preventable, they persist with high prevalence, reflecting widespread social and economic inequalities and inadequate funding for prevention and treatment, particularly in low-income and middle-income countries (LMICs). As with most non-communicable diseases (NCDs), oral conditions are chronic and strongly socially patterned. Children living in poverty, socially marginalised groups, and older people are the most affected by oral diseases, and have poor access to dental care. In many LMICs, oral diseases remain largely untreated because the treatment costs exceed available resources. The personal consequences of chronic untreated oral diseases are often severe and can include unremitting pain, sepsis, reduced quality of life, lost school days, disruption to family life, and decreased work productivity. The costs of treating oral diseases impose large economic burdens to families and health-care systems. Oral diseases are undoubtedly a global public health problem, with particular concern over their rising prevalence in many LMICs linked to wider social, economic, and commercial changes. By describing the extent and consequences of oral diseases, their social and commercial determinants, and their ongoing neglect in global health policy, we aim to highlight the urgent need to address oral diseases among other NCDs as a global health priority.


Assuntos
Saúde Global , Doenças da Boca/epidemiologia , Saúde Pública , Efeitos Psicossociais da Doença , Cárie Dentária/epidemiologia , Pessoas com Deficiência/estatística & dados numéricos , Disparidades nos Níveis de Saúde , Humanos , Doenças da Boca/complicações , Doenças da Boca/economia , Doenças da Boca/terapia , Neoplasias Bucais/epidemiologia , Doenças Periodontais/epidemiologia , Prevalência , Fatores Socioeconômicos
19.
PLoS One ; 14(6): e0218684, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31226151

RESUMO

BACKGROUND: Chronic kidney disease is a risk factor for oral diseases, which may be associated with premature death. We evaluated the risk of all-cause and cardiovascular mortality associated with oral mucosal lesions in adults with kidney failure treated with long-term haemodialysis. METHODS: Oral mucosal lesions (herpes, ulceration, neoformation, white lesion, red lesion, oral candidiasis, geographical tongue, petechial lesions, and fissured tongue) were evaluated within the Oral Diseases in Haemodialysis (ORAL-D) study, a multinational cohort study of 4726 haemodialysis adults. We conducted cox regression analyses adjusted for demographic and clinical variables to evaluate the association with all-cause and cardiovascular mortality. RESULTS: Overall, 4205 adults (mean age 61.6 ± 15.6 years) underwent oral mucosal examination with 40% affected by at least one lesion. The prevalence of oral lesions was (in order of frequency): oral herpes 0.5%, mucosal ulceration 1.7%, neoformation 2.0%, white lesion 3.5%, red lesion 4.0%, oral candidiasis 4.6%, geographical tongue 4.9%, petechial lesions 7.9%, and fissured tongue 10.7%. During median follow-up of 3.5 years, 2114 patients died (1013 due to cardiovascular disease). No association was observed between any individual oral lesion and all-cause or cardiovascular mortality when adjusted for comorbidities, except for oral candidiasis, which was associated with all-cause mortality (adjusted hazard ratio 1.37, 95% CI 1.00 to 1.86) and cardiovascular mortality (adjusted hazard ratio 1.64, 95% CI 1.09 to 2.46). CONCLUSION: Oral mucosal lesions are prevalent in haemodialysis patients. Oral candidiasis appears to be a risk factor for death due to cardiovascular diseases.


Assuntos
Doenças Cardiovasculares/etiologia , Doenças Cardiovasculares/mortalidade , Doenças da Boca/epidemiologia , Diálise Renal , Insuficiência Renal Crônica/mortalidade , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Doenças Cardiovasculares/epidemiologia , Causas de Morte , Estudos de Coortes , Feminino , Humanos , Internacionalidade , Masculino , Pessoa de Meia-Idade , Doenças da Boca/complicações , Doenças da Boca/mortalidade , Prevalência , Diálise Renal/efeitos adversos , Diálise Renal/mortalidade , Diálise Renal/estatística & dados numéricos , Insuficiência Renal Crônica/complicações , Insuficiência Renal Crônica/epidemiologia , Insuficiência Renal Crônica/terapia , Fatores de Risco , Adulto Jovem
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