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1.
Medicine (Baltimore) ; 100(16): e25540, 2021 Apr 23.
Artigo em Inglês | MEDLINE | ID: mdl-33879699

RESUMO

OBJECTIVES: The purpose of this study is to investigate the effect of the comprehensive oral care program on oral health status and symptoms in head and neck cancer (HNC) patients undergoing radiotherapy. METHODS: This was a quasi-experimental study using a non-equivalent control group in non-synchronized design. All participants including control and experimental group were asked for the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire H&N35 (EORTC QLQ-H&N35) and given an oral health education 4 times at baseline, immediate postradiotherapy, 3 months after radiotherapy, and 6 months after radiotherapy. In each visit except for final, the experimental group was given fluoride varnish application and fluoride mouth rinsing solution for daily use. Oral health examination for dental caries, plaque score (PS), bleeding on probing (BOP), and salivary flow rate was performed in baseline and 6 months after radiotherapy. Statistical analyses were done by paired t-tests and mixed ANCOVA repeated-measures analysis. RESULTS: From November 1, 2013 to October 31, 2015, a total 61 patients undergoing radiotherapy for HNC cancer were enrolled (30 in control and 31 in experimental groups). Decrease in salivary flow rate was comparable between 2 groups. Dental caries increased in control group (P = .006); PS and BOP were decreased in experimental group (P < .001 and .004, respectively). Experimental group showed lower swallowing, speech problems, and less sexuality scores in EORTC QLQ-H&N35 than control group. CONCLUSION: We found improvement in oral health and the quality of life in HNC patients with comprehensive oral care intervention by dental professionals. Communicating and cooperating between the healthcare and dental professionals is needed to raise the quality of health care services for HNC patients receiving radiotherapy.


Assuntos
Assistência Odontológica Integral/métodos , Neoplasias de Cabeça e Pescoço/terapia , Saúde Bucal , Qualidade de Vida , Lesões por Radiação/prevenção & controle , Adulto , Idoso , Idoso de 80 Anos ou mais , Estudos de Casos e Controles , Cárie Dentária/etiologia , Cárie Dentária/prevenção & controle , Feminino , Neoplasias de Cabeça e Pescoço/psicologia , Humanos , Masculino , Pessoa de Meia-Idade , Doenças da Boca/etiologia , Doenças da Boca/prevenção & controle , Ensaios Clínicos Controlados não Aleatórios como Assunto , Projetos de Pesquisa
3.
Dent Med Probl ; 58(1): 123-126, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-33590976

RESUMO

The infection with a new type of virus - severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) - called coronavirus disease 2019 (COVID-19) was first described in December 2019, in Wuhan, China. Due to the gastrointestinal mucosa tropism of the virus, an attempt was made to describe the oral manifestations of the SARS-CoV-2 infection. Angiotensin-converting enzyme 2 (ACE2), which permits the attachment of the virus, is present also in the oral cavity. There are many symptoms in the oral cavity; among them, the most prevalent ones are dysgeusia (taste disorders), oral pain, the exacerbation of autoimmune diseases as well as the herpes simplex virus (HSV) and varicella zoster virus (VZV) infections. Ulcerations and aphthous stomatitis are also often mentioned. The research shows that there are many oral symptoms in COVID-19, but the coexistence with the main disease has not been fully stated and understood. There is still no clearance on whether the oral symptoms are the manifestations of the disease or occur due to the loss of the immune response. Therefore, further studies on this subject should be conducted.


Assuntos
Doenças da Boca , /complicações , Humanos , Doenças da Boca/etiologia
4.
Int. j. odontostomatol. (Print) ; 14(4): 555-560, dic. 2020.
Artigo em Espanhol | LILACS | ID: biblio-1134537

RESUMO

RESUMEN: El 8 de enero de 2020, el Centro Chino para el Control y Prevención de Enfermedades anunció oficialmente la identificación de una nueva cepa de coronavirus (SARS-CoV-2) como el patógeno causante de la pandemia mundial de COVID-19. Las principales manifestaciones clínicas producidas por SARS-CoV-2 se encuentran ampliamente descritas en la literatura, sin embargo, la información acerca de las alteraciones que podrían producirse a nivel oral, es escasa. Se ha sugerido que la cavidad oral es un perfecto hábitat para la invasión por SARS-CoV-2 debido a la especial afinidad que tiene el virus por células con los receptores para la enzima convertidora de angiotensina (ECA2) como son las del tracto respiratorio, mucosa oral, lengua y glándulas salivales, pudiendo afectar, de este modo, el funcionamiento de las glándulas salivales, las sensaciones del gusto, olfato y la integridad de la mucosa oral. El nuevo coronavirus tendría la capacidad de alterar el equilibrio de la microbiota oral, lo que sumado a un sistema inmune deprimido permitiría la colonización por infecciones oportunista. Se ha establecido que un correcto higiene oral podría disminuir la incidencia y gravedad de las principales complicaciones del COVID-19. El objetivo de este estudio es realizar una revisión y análisis de la evidencia disponible en relación a las manifestaciones orales a nivel de las mucosas, trastornos de las glándulas salivales y alteraciones en el sistema olfatorio y gustativo en el contexto de la infección por SARS-CoV-2.


ABSTRACT: On January 8, 2020, the Chinese Center for Disease Control and Prevention officially reported the identification of a new strain of coronavirus (SARS-CoV-2) as the pathogen causing the global COVID-19 pandemic. The main clinical manifestations produced by SARS-CoV-2 are well described in the literature. However, the information about oral manifestations is limited. It has been suggested that the oral cavity is a perfect habitat for SARS-CoV-2 invasion due to the special affinity that the virus has for cells with the receptors for the converted angiotensin enzyme (ACE2), present in the respiratory tract, oral mucosal, tongue and salivary glands, thus being able to affect the functioning of the salivary glands, sensations of taste, smell and integrity of the oral mucosa. The new coronavirus could have the ability to alter the balance of the oral microbiota, which added to a depressed immune system would allow opportunistic infections colonization. It has been established that correct oral hygiene could decrease the incidence and severity of the main complications of COVID-19. The objective of this study is to review and analyze the available evidence in relation to oral manifestations at the mucosa, salivary glands disorders and olfactory and gustatory alterations in the context of SARS-CoV-2 infection.


Assuntos
Humanos , Infecções por Coronavirus/complicações , Doenças da Boca/etiologia , Saúde Bucal/normas , Betacoronavirus
6.
Braz Oral Res ; 34: e120, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-33146316

RESUMO

With the onset of the new coronavirus disease (COVID-19) pandemic, the dental treatment of patients at risk of infection has become quite challenging. In view of this, patients with head and neck cancer may present with oral complications due to anticancer therapy, making dental assistance necessary. Thus, the objective of the study was to review the literature and critically discuss important concerns about the treatment of patients with head and neck cancer during the COVID-19 pandemic. Because dental professionals are in close contact with the main viral transmission routes, this study presents recommendations for management and protection during clinical dental care. The main characteristics and transmission routes of COVID-19 are also discussed. Dental professionals should control pain and the side effects of antineoplastic treatment and use preventive measures for infection control. During this pandemic, patients with head and neck cancer should not undergo elective procedures, even if they do not have symptoms or a history of COVID-19; therefore, in asymptomatic or painless cases, only preventive actions are recommended. In symptomatic or painful cases, precautions for safe interventional treatments must be implemented by following the hygiene measures recommended by health agencies and using personal protective equipment. During health crises, new protocols emerge for cancer treatment, and professionals must act with greater attention toward biosafety and updated knowledge. It is important to offer adequate individualized treatment based on the recommendations of preventative and interventional treatments so that patients can face this difficult period with optimized quality of life.


Assuntos
Betacoronavirus , Infecções por Coronavirus , Neoplasias de Cabeça e Pescoço , Doenças da Boca/terapia , Pandemias , Pneumonia Viral , Neoplasias de Cabeça e Pescoço/terapia , Humanos , Doenças da Boca/etiologia , Qualidade de Vida
7.
Oral Dis ; 26 Suppl 1: 22-27, 2020 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-32862536

RESUMO

The significance of the oral manifestations of HIV has been widely recognised since the start of the epidemic. It is estimated that more than 38 million people are living with HIV currently, with more than a third presenting with oral manifestations. Access to optimum clinical management and effective treatment in resource-rich countries has led to a remarkable decrease in some of the oral manifestations in the HIV population but this is not mirrored in developing countries, where most HIV-positive patients reside. In this paper, a review of the literature since the start of the HIV infection in different parts of the world is presented to highlight the current significance of the oral conditions in this population. Oral candidiasis was repeatedly reported as the most encountered oral manifestation of HIV in different countries, including in studies on groups on anti-retroviral therapy. Over time salivary gland disease was reported less in developed countries but was encountered more in developing countries. There is evidence to show that the prevalence of oral warts increased with the establishment of anti-retroviral therapy. A review of the worldwide prevalence of HIV-related oral conditions indicates that except for oral hairy leucoplakia, the prevalence of all other nine commonly reported oral conditions remained the same or increased over time. Oral opportunistic infections in HIV-infected patients are an ongoing clinical burden mainly in developing countries. Maintaining research in the subject and improving access to HIV treatment will help address the oral health inequalities around the world.


Assuntos
Infecções Oportunistas Relacionadas com a AIDS , Candidíase Bucal , Infecções por HIV , Doenças da Boca , Infecções Oportunistas Relacionadas com a AIDS/epidemiologia , Candidíase Bucal/epidemiologia , Infecções por HIV/complicações , Infecções por HIV/tratamento farmacológico , Infecções por HIV/epidemiologia , Humanos , Leucoplasia Pilosa/epidemiologia , Leucoplasia Pilosa/etiologia , Doenças da Boca/epidemiologia , Doenças da Boca/etiologia , Prevalência
10.
BMC Oral Health ; 20(1): 79, 2020 03 18.
Artigo em Inglês | MEDLINE | ID: mdl-32188452

RESUMO

BACKGROUND: High incidence of treatable oral conditions has been reported among palliative patients. However, a large proportion of palliative patients lose their ability to communicate their sufferings. Therefore, it may lead to under-reporting of oral conditions among these patients. This review systematically synthesized the published evidence on the presence of oral conditions among palliative patients, the impact, management, and challenges in treating these conditions. METHODS: An integrative review was undertaken with defined search strategy from five databases and manual search through key journals and reference list. Studies which focused on oral conditions of palliative patients and published between years 2000 to 2017 were included. RESULTS: Xerostomia, oral candidiasis and dysphagia were the three most common oral conditions among palliative patients, followed by mucositis, orofacial pain, taste change and ulceration. We also found social and functional impact of having certain oral conditions among these patients. In terms of management, complementary therapies such as acupuncture has been used but not well explored. The lack of knowledge among healthcare providers also posed as a challenge in treating oral conditions among palliative patients. CONCLUSIONS: This review is first in its kind to systematically synthesize the published evidence regarding the impact, management and challenges in managing oral conditions among palliative patients. Although there is still lack of study investigating palliative oral care among specific group of patients such as patients with dementia, geriatric or pediatric advanced cancer patients, this review has however provided baseline knowledge that may guide health care professionals in palliative settings.


Assuntos
Saúde Bucal , Úlceras Orais/etiologia , Cuidados Paliativos/métodos , Doente Terminal , Xerostomia/etiologia , Idoso , Criança , Humanos , Doenças da Boca/etiologia
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.
BMC Oral Health ; 20(1): 13, 2020 01 14.
Artigo em Inglês | MEDLINE | ID: mdl-31937291

RESUMO

BACKGROUND: The aim of this study was to evaluate the dentists' knowledge and practice regarding HIV positive individuals' oral care in Rio de Janeiro State. METHODS: Dentists from Rio de Janeiro State (n = 242) answered an electronic questionnaire on biosafety procedures, oral manifestations of AIDS, and knowledge of HIV infection. Collected information was stratified by gender, and data were analyzed using Chi-square and t tests. RESULTS: From the 14 oral manifestations investigated, oral candidiasis, necrotizing ulcerative gingivitis, and hairy leucoplakia were more associated with HIV, with no differences between the responses from men and women. Above 85% of the participants would be concerned about becoming infected with HIV after a needle/ sharp object injury and more than 80% of them were willing to be tested for HIV. However, significantly more women (98.8%), compared to men (91.3%), said they knew that HIV/ AIDS patients can contaminate dental care professionals, p = 0.007. There was a significant difference in the answers for the questions: "Are there special dental clinics for treatment of HIV/AIDS patients in Brazil?" (p = 0.044), and "Do the negative HIV tests surely indicate that the persons are free of viruses?" (p = 0.005). Significant differences between men and women were also observed regarding use of disposable mask (p = 0.01), and cap (p < 0.0001). CONCLUSION: Most dentists who participated in the study presented a good knowledge on the care of HIV/ AIDS individuals, including biosafety protocols and in terms of the oral manifestations commonly associated to AIDS.


Assuntos
Relações Dentista-Paciente , Odontólogos/psicologia , Infecções por HIV/complicações , Infecções por HIV/psicologia , Conhecimentos, Atitudes e Prática em Saúde , Transmissão de Doença Infecciosa do Paciente para o Profissional/prevenção & controle , Saúde Bucal , Infecções Oportunistas Relacionadas com a AIDS/diagnóstico , Adulto , Idoso , Brasil , Criança , Assistência Odontológica para Doentes Crônicos , Feminino , Infecções por HIV/transmissão , Humanos , Controle de Infecções Dentárias , Masculino , Doenças da Boca/diagnóstico , Doenças da Boca/etiologia , Prática Profissional , Inquéritos e Questionários , Precauções Universais
13.
Support Care Cancer ; 28(9): 4263-4273, 2020 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-31900618

RESUMO

OBJECTIVE: To evaluate the occurrence and severity of oral complications, number of radiotherapy (RT) interruptions and quality of life (QoL) in a population of head and neck cancer patients receiving a preventive oral care program (POCP) and photobiomodulation therapy (PBMT). METHODS: Prospective cohort of 61 head and neck cancer patients undergoing radiochemotherapy were monitored and submitted to a POCP that included oral hygiene and plaque control, removal of infection foci, dental restorations, periodontal therapy, fluorotherapy, oral hydration, and denture removal at night, combined with daily PBMT. Outcomes included occurrence of adverse effects such as severity of oral mucositis (OM) and oral symptoms (pain, solid and fluid dysphagia, odynophagia, dysgeusia), quality of life impacts, and interruptions of radiotherapy (RT) due to symptoms. Disease-free and overall survival rates were evaluated. RESULTS: There was a significant improvement in oral health conditions between initial assessment and the two longitudinal assessments (p < 0.05), which indicates that the POCP was effective for plaque control and reduction of gingival inflammation. All participants were free of OM at the beginning of the RT regimen and only 45.9% after the 7th session, and few patients ranked the highest score of OM. For all symptoms related to OM, there was a progressive increase of severity until the 14th RT session, which remained stable until the completion of the RT regimen. The same effect was observed for the quality of life measures. Discontinued RT due to OM occurred in only three patients (5%), and the maximum duration was 10 days. The overall survival rate was 77% and disease-free survival was 73.8%. Lower survival time was observed for patients with no response to RT (p < 0.01). CONCLUSIONS: The findings of this study suggest a positive effect of an oral preventive care program for head and neck cancer patients submitted to RT. The PBMT associated with a rigorous POCP resulted in satisfactory control of oral adverse effects, reduction of quality of life impacts, and interruption of RT regimen due to severe OM.


Assuntos
Neoplasias de Cabeça e Pescoço/tratamento farmacológico , Neoplasias de Cabeça e Pescoço/radioterapia , Terapia com Luz de Baixa Intensidade/métodos , Doenças da Boca/etiologia , Doenças da Boca/prevenção & controle , Adulto , Idoso , Quimiorradioterapia/efeitos adversos , Quimiorradioterapia/métodos , Estudos de Coortes , Feminino , Humanos , Estudos Longitudinais , Masculino , Pessoa de Meia-Idade , Doenças da Boca/induzido quimicamente , Saúde Bucal , Higiene Bucal/métodos , Estudos Prospectivos , Qualidade de Vida , Lesões por Radiação/etiologia , Lesões por Radiação/prevenção & controle
14.
Med. oral patol. oral cir. bucal (Internet) ; 25(1): e137-e143, ene. 2020. tab
Artigo em Inglês | IBECS | ID: ibc-196206

RESUMO

BACKGROUND: To evaluate the presence of oral lesions in a group of patients with primary Sjögren's syndrome (pSS) and compare these results with a matched control group (CG). MATERIAL AND METHODS: An observational cross-sectional study was conducted. 61 pSS patients (60 women, 1 man, mean age 57.64 ± 13.52) diagnosed according to the American European Criteria (2002), and 122 matched control patients (120 women, 2 men, mean age 60.02 ± 13.13) were included. Demographic and medical data, oral lesions and salivary flow rate were collected. RESULTS: Compared with the controls, pSS patients were 3.95 more likely to have oral lesions (OR 3.95; 95% CI 2.06-7.58; p = 0.0001). 57.4% pSS patients presented oral lesions compared to 25.4% in CG. The most common were candidiasis (13.1% vs 2.5%), traumatic lesions (13.1% vs 4.1%), apthae (8.2% vs 0), and fissuration of the tongue (8.2% vs 0.8%). pSS patients with oral lesions had lower salivary flow levels (stimulated and unstimulated), although these differences were not significant. Significant associations were found between the presence of oral lesions and systemic manifestations and history of parotid gland enlargement in pSS patients. CONCLUSION: pSS patients suffer more oral lesions than general population and these lesions may aggravate the pSS disease


No disponible


Assuntos
Humanos , Masculino , Feminino , Adulto , Pessoa de Meia-Idade , Idoso , Síndrome de Sjogren/patologia , Doenças da Boca/patologia , Estudos de Casos e Controles , Fatores de Risco , Estatísticas não Paramétricas , Síndrome de Sjogren/complicações , Doenças da Boca/etiologia , Estudos Transversais
15.
Acta Odontol Scand ; 78(3): 217-222, 2020 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-31718409

RESUMO

Objective: To identify the oral lesions of individuals with kidney disease immediately before and shortly after kidney transplantation, taking into account the immunosuppressive regimen, antiviral prophylaxis and type of transplantation.Methods: A prospective observational cohort study was carried from January 2017 to January 2018. Eighty individuals aged 18 years or older who were admitted for kidney transplantation were eligible to participate. Clinical data regarding medical history, immunosuppressive therapy, antiviral prophylaxis, laboratorial data and oral examination were performed by the same trained researcher, in three different moments: 24 hours before transplantation (1st time point), 15-20 days (2nd time point) and 45-60 days (3rd time point) after transplantation.Results: In the first, second and third time points, it was found that 3.7% (3/80), 23.7% (18/76) and 25.7% (19/74) of the participants showed oral soft tissue lesions. Ulcers and candidiasis were the most frequent oral lesions, and they were associated with the use of everolimus (p = .005) and azathioprine (p = .034), respectively. Less patients reported xerostomia after transplantation than before (p < .001).Conclusions: Oral lesions are common in the short term after renal transplantation and are particularly related to both toxicities of immunosuppressive drugs and immunosuppression.


Assuntos
Hospedeiro Imunocomprometido , Imunossupressores/efeitos adversos , Transplante de Rim/efeitos adversos , Doenças da Boca/epidemiologia , Doenças da Boca/etiologia , Adolescente , Adulto , Aloenxertos , Brasil/epidemiologia , Estudos de Coortes , Humanos , Imunossupressores/administração & dosagem , Pessoa de Meia-Idade , Doenças da Boca/imunologia , Complicações Pós-Operatórias , Estudos Prospectivos , Transplante Homólogo
16.
Mult Scler Relat Disord ; 37: 101484, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-31704547

RESUMO

BACKGROUND: Studies show that dysphagia is a common problem in patients with demyelinating diseases. However, there are no published studies on dysphagia in this group of patients, which would include the individual phases or the safety and effectiveness of the swallowing process. OBJECTIVE: The main objective of this study was to assess the prevalence of swallowing disorders and to characterize them based on subjective assessment by the study subjects with multiple sclerosis and Devic's syndrome. METHOD: The study included 72 patients (47 F, 25 M). Patients at risk of dysphagia were identified using the DYMUS, EAT-10 and SDQ questionnaires. To assess the type of oral- and pharyngeal-stage dysphagia, questions in the questionnaires were classified into groups according to symptoms typical of each stage. RESULTS: The risk of dysphagia and the need for instrumental examination were identified in 37.5% of the study subjects. Pharyngeal-stage dysphagia (repeated swallowing, increased effort of swallowing, cough, a feeling of food sticking in the throat) was reported to occur at a significantly higher frequency. However, no differences were found between difficulty in swallowing liquids and difficulty in swallowing solid food. CONCLUSION: There is a need for further research, which should include a detailed dysphagia-oriented diagnosis, with a view to gaining a detailed insight into the pathophysiology of deglutition in this group of patients.


Assuntos
Transtornos de Deglutição , Autoavaliação Diagnóstica , Doenças da Boca , Esclerose Múltipla , Neuromielite Óptica , Doenças Faríngeas , Adulto , Idoso , Transtornos de Deglutição/diagnóstico , Transtornos de Deglutição/epidemiologia , Transtornos de Deglutição/etiologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Doenças da Boca/diagnóstico , Doenças da Boca/epidemiologia , Doenças da Boca/etiologia , Esclerose Múltipla/complicações , Esclerose Múltipla/epidemiologia , Neuromielite Óptica/complicações , Neuromielite Óptica/epidemiologia , Doenças Faríngeas/diagnóstico , Doenças Faríngeas/epidemiologia , Doenças Faríngeas/etiologia , Polônia/epidemiologia , Prevalência , Adulto Jovem
17.
Obes Surg ; 30(1): 224-232, 2020 01.
Artigo em Inglês | MEDLINE | ID: mdl-31606839

RESUMO

OBJECTIVE: The aim was to examine how individuals treated for obesity with gastric bypass (GBP) surgery perceived their oral health and oral health-related quality of life (OHRQoL). METHOD: All individuals in one Swedish region who had undergone GBP surgery (n = 1182) were sent a postal questionnaire 2 years after surgery. The questionnaire comprised items on sociodemographics, oral symptoms and the Oral Health Impact Profile-49 to assess the OHRQoL. RESULTS: The mean age was 47.6 years with 75% females, response rate 55.3%. The self-perceived oral health was rated low by 45% of the respondents. Gender differences were seen, for instance, regarding hypersensitive teeth (men 18.8%, women 30.8%, p = 0.003). Nine out of ten reported at least one oral impact experienced sometimes, fairly or very often, according to the Oral Health Impact Profile-49 (OHIP-49). The mean additive OHIP-49 score was 30.3 (SD 36.1). The associations between self-reported oral health and OHRQoL were consistent throughout. Tooth hypersensitivity generated an OR of 2.28 (95% CI 2.28-8.46) of having ≥ 2 impacts on OHRQoL. CONCLUSION: A large proportion of individuals having undergone GBP surgery reported problems with their oral health and impacts on their OHRQoL, indicating a need for medical and dental staff-surgeons and general practitioners as well as other health professionals-to offer oral health promotion and prevention measures.


Assuntos
Derivação Gástrica , Doenças da Boca , Obesidade Mórbida/cirurgia , Saúde Bucal , Complicações Pós-Operatórias , Qualidade de Vida , Adulto , Doenças do Esôfago/epidemiologia , Doenças do Esôfago/etiologia , Feminino , Derivação Gástrica/reabilitação , Derivação Gástrica/estatística & dados numéricos , Humanos , Masculino , Pessoa de Meia-Idade , Doenças da Boca/epidemiologia , Doenças da Boca/etiologia , Doenças da Boca/psicologia , Obesidade Mórbida/epidemiologia , Obesidade Mórbida/psicologia , Saúde Bucal/normas , Saúde Bucal/estatística & dados numéricos , Complicações Pós-Operatórias/epidemiologia , Complicações Pós-Operatórias/psicologia , Período Pós-Operatório , Sistema de Registros , Autoimagem , Autorrelato , Inquéritos e Questionários , Suécia/epidemiologia , Adulto Jovem
18.
Curr Diabetes Rev ; 16(2): 156-164, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-31057116

RESUMO

BACKGROUND AND OBJECTIVES: Diabetes mellitus has increased rapidly throughout the world. The objectives of our study were to assess the knowledge and awareness about oral manifestations of diabetes, among type 2 diabetes mellitus patients, their risk for developing oral diseases due to complications associated with diabetes mellitus, and at same time, to perform an oral examination to detect these oral symptoms, if present any, along with the recording of Decayed Missing Filled Teeth Index (DMFT) and Community Periodontal Index (CPI) index. METHODOLOGY: Structured questionnaires consisting of 12 different statements on the knowledge base of oral manifestations of diabetes mellitus were distributed to 447 Type 2 diabetes mellitus patients. Following this oral examination, brushing and dental visit history were noted, and CPI index and DMFT indices were recorded in all the patients. RESULTS: Results showed that the knowledge about oral manifestations of diabetes mellitus was poor with a mean value of 4.92 out of a possible score of 12. Among the study subjects, the average score of men was 4.42 while that of females, was 5.41. These scores, when subjected to statistical analysis, were highly significant. (P value- 0.005) Subjects also showed significantly high DMFT (P value <0.001) and CPI scores (P value- 0.270). CONCLUSION: Our study concluded that there is a significant lack of knowledge about oral manifestations of diabetes mellitus among patients and hence steps have to be taken to increase their awareness through various outreach programs. All health professionals need to work together for promoting better oral health so that oral complications of diabetes can be brought under control.


Assuntos
Diabetes Mellitus Tipo 2/complicações , Doenças da Boca/prevenção & controle , Higiene Bucal , Doenças Dentárias/prevenção & controle , Adulto , Conscientização , Estudos Transversais , Inquéritos de Saúde Bucal , Feminino , Conhecimentos, Atitudes e Prática em Saúde , Nível de Saúde , Humanos , Masculino , Pessoa de Meia-Idade , Doenças da Boca/diagnóstico , Doenças da Boca/etiologia , Saúde Bucal , Fatores de Risco , Doenças Dentárias/diagnóstico , Doenças Dentárias/etiologia
19.
PLoS One ; 14(12): e0225099, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31851665

RESUMO

INTRODUCTION: Haematopoietic stem cell transplantation (HSCT) recipients are at increased risk for severe infections. This study examined the associations of common oral infections with survival and infectious complications in HSCT recipients. MATERIALS AND METHODS: All autologous and allogeneic HSCT recipients transplanted in the University Hospital of Basel, Switzerland, between 2008 and 2016 and referred to oral infection control pre-HSCT were included in this retrospective case-control study. All patients had a clinical and a panoramic radiological dental examination taken immediately prior to HSCT. Presence of acute or chronic oral foci of infections, decayed, missing or filled tooth index (DMFT) and radiological attachment loss (RAL) were examined. Survival and infections of the subjects were followed up for 6 months post-HSCT. RESULTS: Altogether 341 allogeneic and 125 autologous HSCT recipients were included in the study. Within 6 months post-HSCT, 47 (14%) of the allogeneic and 4 (3%) of the autologous recipients died. Oral foci of infections (acute or chronic), DMFT or periodontitis pre-HSCT were not associated with survival 6 months post-HSCT. Oral foci of infections were also not associated with hospital treated infectious diseases or blood culture positive bacteremia during the 6 month follow-up period. Untreated oral foci of infections were not associated with survival or severe infectious complications within 6 months post-HSCT. CONCLUSION: The results of this study suggest that radical dental interventions to chronic oral infections could be postponed until post-HSCT.


Assuntos
Bacteriemia/etiologia , Doenças Transmissíveis/etiologia , Transplante de Células-Tronco Hematopoéticas/efeitos adversos , Doenças da Boca/etiologia , Adulto , Bacteriemia/mortalidade , Estudos de Casos e Controles , Doenças Transmissíveis/mortalidade , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Doenças da Boca/mortalidade , Estudos Retrospectivos , Taxa de Sobrevida
20.
Ned Tijdschr Geneeskd ; 1632019 11 21.
Artigo em Holandês | MEDLINE | ID: mdl-31769631

RESUMO

A 35-year-old woman developed acute swallowing problems caused by a big oral blood blister after eating nuts. The blister ruptured 32 hours later and healed without scarring. 'Angina bullosa haemorrhagica' was diagnosed after ruling out bleeding disorders.


Assuntos
Vesícula/etiologia , Hemorragia Gastrointestinal/etiologia , Doenças da Boca/diagnóstico , Doenças da Boca/etiologia , Hemorragia Bucal/etiologia , Adulto , Vesícula/diagnóstico , Edema/etiologia , Face , Feminino , Hemorragia Gastrointestinal/diagnóstico , Humanos , Mucosa Bucal/patologia
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