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1.
BMC Geriatr ; 24(1): 511, 2024 Jun 12.
Artigo em Inglês | MEDLINE | ID: mdl-38867158

RESUMO

OBJECTIVE: The primary objective of this research was to use qualitative methods to assess the knowledge, attitudes, and confidence of caregivers in their ability to provide oral hygiene assistance to residents. The secondary objective was to assess the knowledge and attitude of administrators on the provision of oral hygiene assistance for residents, and their confidence in caregivers' ability to provide oral hygiene assistance to nursing home residents in San Antonio, Texas. METHODS: A semi-structured interview guide was used to conduct face-to-face interviews with seven caregivers and twelve administrative staff from ten nursing homes in San Antonio, Texas. Employees in nursing homes who are caring for residents are referred to as caregivers and those whom they care for are referred to as nursing home residents. One survey instrument was developed for the caregiver's knowledge, attitude, and confidence toward providing oral health care, and another to assess the administrator's knowledge, attitude, and confidence in caregivers providing oral care for nursing home residents. The interviews were recorded, transcribed, and coded for thematic content. RESULTS: The findings revealed that caregivers and administrators had adequate knowledge of the connection between oral and systemic health. The administrators were confident that caregivers were adequately trained to provide oral hygiene care for residents. Caregivers had a positive attitude toward the importance of good oral health. They regularly assessed the residents' oral health, but due to time constraints, staffing shortages, and other competing tasks providing oral health care to the residents was challenging. Most caregivers were confident in their skills in providing oral care for the residents since 85.6% agreed. On the contrary, almost half of the administrators were confident that caregivers have the necessary skills to provide oral care for residents, while 41.7% were unsure. CONCLUSIONS: The study gave a broader insight into the provision of oral care in nursing home residents from the perspectives of caregivers and administrative staff. Administrators must provide caregivers with adequate training and time so they can provide adequate oral health care for the residents.


Assuntos
Cuidadores , Conhecimentos, Atitudes e Prática em Saúde , Casas de Saúde , Saúde Bucal , Higiene Bucal , Humanos , Cuidadores/psicologia , Texas , Masculino , Feminino , Pessoa de Meia-Idade , Adulto , Idoso , Atitude do Pessoal de Saúde
2.
BMC Oral Health ; 24(1): 682, 2024 Jun 12.
Artigo em Inglês | MEDLINE | ID: mdl-38867216

RESUMO

BACKGROUND: Chlorhexidine mouthwash is a common oral hygiene product used in intensive care units, but it may have some adverse effects. Licorice, a natural herb, could be a potential alternative to chlorhexidine. However, the effect of licorice mouthwash on the oral health of intubated patients has not been studied yet. Therefore, this study aimed to compare the effects of licorice and chlorhexidine mouthwash on the oral health of intubated patients. METHODS: This was a triple-blind clinical trial. The sample included 130 intubated patients admitted to an intensive care unit in Iran. The samples were selected by convenience sampling and randomly assigned to two groups: A and B. In group A, the main researcher applied 15 ml of 0.2% chlorhexidine mouthwash after each brushing (twice a day for 5.5 days) and suctioned it after 30 s. In group B, 20% licorice mouthwash was used instead of chlorhexidine. The demographic information questionnaire and the Beck Oral Assessment Scale (BOAS) were completed by one of the nurses before and on the sixth day of the study. RESULTS: Finally, 60 patients in each group completed the study. There was no significant difference between the groups in terms of demographic variables or oral health before the intervention (P > 0.05). The oral health of patients in both the chlorhexidine and liquorice mouthwash groups improved significantly after the intervention (P < 0.05). However, there was no significant difference in oral health between the two groups at postintervention (P = 0.06). CONCLUSION: The results demonstrated that both mouthwashes exerted a comparable effect on dental and oral health. However, the chlorhexidine mouthwash showed a greater impact on the reduction of dental plaque and the thinning of saliva compared to licorice mouthwash. In essential cases, licorice mouthwash can be employed as an alternative to chlorhexidine.


Assuntos
Clorexidina , Glycyrrhiza , Unidades de Terapia Intensiva , Antissépticos Bucais , Saúde Bucal , Humanos , Clorexidina/uso terapêutico , Antissépticos Bucais/uso terapêutico , Feminino , Masculino , Pessoa de Meia-Idade , Adulto , Anti-Infecciosos Locais/uso terapêutico , Intubação Intratraqueal , Irã (Geográfico) , Higiene Bucal/métodos
3.
J Appl Oral Sci ; 32: e20230291, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38865512

RESUMO

The prevalence of gingivitis is substantial within the general population, necessitating rigorous oral hygiene maintenance. OBJECTIVE: This study assessed a Garcinia indica (GI) fruit extract-based mouthrinse, comparing it to a 0.1% turmeric mouthrinse and a 0.2% Chlorhexidine (CHX) mouthrinse. The evaluation encompassed substantivity, staining potential, antimicrobial efficacy and cytocompatibility. METHODOLOGY: The study employed 182 tooth sections. For antimicrobial analysis, 64 extracted human teeth coated with a polymicrobial biofilm were divided into four groups, each receiving an experimental mouthrinse or serving as a control group with distilled water. Microbial reduction was assessed through colony forming units (CFU). Substantivity was evaluated on 54 human tooth sections using a UV spectrophotometer, while staining potential was examined on 64 tooth sections. Cytocompatibility was tested using colorimetric assay to determine non-toxic levels of 0.2% GI fruit extract, 0.1% Turmeric, and 0.2% CHX. RESULTS: Data were analysed with one-way ANOVA (α=0.05). Cell viability was highly significant (p<0.001) in the 0.2% GI group (64.1±0.29) compared to 0.1% Turmeric (40.2±0.34) and 0.2% CHX (10.95±1.40). For antimicrobial activity, both 0.2% GI (20.18±4.81) and 0.2% CHX (28.22±5.41) exhibited no significant difference (P>0.05) at end of 12 hours. However, 0.1% Turmeric showed minimal CFU reduction (P<0.001). Substantivity results at 360 minutes indicated statistically significant higher mean release rate in 0.1%Turmeric (12.47±5.84 ) when compared to 0.2% GI (5.02±3.04) and 0.2% CHX (4.13±2.25) (p<0.001). The overall discoloration changes (∆E) were more prominent in the 0.2% CHX group (18.65±8.3) compared to 0.2% GI (7.61±2.4) and 0.1% Turmeric (7.32±4.9) (P<0.001). CONCLUSION: This study supports 0.2% GI and 0.1% Turmeric mouth rinses as potential natural alternatives to chemical mouth rinses. These findings highlight viability of these natural supplements in oral healthcare.


Assuntos
Biofilmes , Clorexidina , Curcuma , Frutas , Garcinia , Antissépticos Bucais , Higiene Bucal , Extratos Vegetais , Extratos Vegetais/farmacologia , Humanos , Antissépticos Bucais/farmacologia , Clorexidina/farmacologia , Garcinia/química , Curcuma/química , Biofilmes/efeitos dos fármacos , Higiene Bucal/métodos , Frutas/química , Análise de Variância , Contagem de Colônia Microbiana , Reprodutibilidade dos Testes , Sobrevivência Celular/efeitos dos fármacos , Anti-Infecciosos Locais/farmacologia , Espectrofotometria Ultravioleta , Colorimetria , Teste de Materiais , Fatores de Tempo
4.
Przegl Epidemiol ; 78(1): 90-93, 2024 Jun 07.
Artigo em Inglês | MEDLINE | ID: mdl-38904315

RESUMO

AIM. The aim of this study was to train dentists on the different oral hygiene measures to be followed by COVID-19 patients via Webinar and Information Education Communication (IEC) Materials and compare the effectiveness of both. METHODOLOGY. A total of 100 dental professionals were included by non-probability convenience sampling. Webinar and IEC Materials on oral hygiene measures, oral symptoms, and management strategies during COVID-19 were created and training was conducted for all dental professionals who registered themselves. An online version of the self-administered questionnaire (English) was created on the official Edantseva website and circulated to all the registered participants to obtain the pre and post-training data. RESULTS. Out of the total 80 participants in the Webinar group, 47 were females and 33 were males. Comparing the mean total scores obtained by the participants in the webinar and IEC groups in the pre and post-test showed that there is a significant difference in the scores obtained by the participants in the two groups in the pre and post-test (p<0.01). CONCLUSION. Educating dentists via IEC Materials was effective in improving their knowledge regarding oral health management during the COVID-19 pandemic. IEC materials being handy and referable at any time was found to be more effective.


Assuntos
COVID-19 , Saúde Bucal , Humanos , COVID-19/epidemiologia , COVID-19/prevenção & controle , Masculino , Feminino , Saúde Bucal/educação , Adulto , Odontólogos , Inquéritos e Questionários , SARS-CoV-2 , Higiene Bucal/educação , Polônia , Educação em Odontologia/métodos , Pessoa de Meia-Idade , Pandemias
5.
Acta Odontol Scand ; 83: 404-411, 2024 Jun 19.
Artigo em Inglês | MEDLINE | ID: mdl-38895899

RESUMO

OBJECTIVE: Children with cleft lip and palate (CLP) have a greater risk of dental caries. The parents' knowledge and attitudes may have an impact on their children's oral health and dietary habits. Therefore, the aim of this study was to assess the socio-demographic characteristics, oral health knowledge, oral health behaviours, and habits of the parents in addition to the relationship with the oral health and dietary practices of their children with CLP. MATERIAL AND METHODS: The parents of 343 patients with CLP participated in the study. An online questionnaire with 52 questions regarding sociodemographic characteristics, oral health and oral hygiene practices was presented to them. RESULTS: Parents with higher level of education had better oral health knowledge (p < 0.05). Logistic regression analysis showed that the factors affecting the child's tooth brushing habits were the mother's age (odds ratio [OR] = 1.071, 95% confidence interval [CI]: 1.062-1.153), the father's employment status (OR = 2.089, 95%CI: 1.065-4.097), and the mother's last dental visit (OR = 1.995, 95%CI: 1.119-3.557). The factors affecting the child's toothpaste usage were the mother's age (OR = 1.106, 95%CI: 1.030-1.114), the father's employment status (OR = 2.124, 95%CI: 1.036-4.354), and the mother's last dental visit (OR = 2.076, 95%CI: 1.137-3.79). CONCLUSIONS: Parental factors have a significant influence on the oral health-related behaviours of children with CLP.


Assuntos
Fenda Labial , Fissura Palatina , Conhecimentos, Atitudes e Prática em Saúde , Saúde Bucal , Pais , Humanos , Fenda Labial/psicologia , Fissura Palatina/psicologia , Masculino , Feminino , Pais/psicologia , Criança , Inquéritos e Questionários , Adulto , Higiene Bucal/estatística & dados numéricos , Fatores Sociodemográficos , Pré-Escolar
6.
BMC Med Educ ; 24(1): 645, 2024 Jun 08.
Artigo em Inglês | MEDLINE | ID: mdl-38851725

RESUMO

BACKGROUND: Interprofessional education is vital in oral healthcare education and should be integrated into both theoretical and work-based education. Little research addresses interprofessional education in dental hands-on training in authentic oral healthcare settings. The aim of the study was to examine the readiness and attitudes of dental and oral hygiene students towards interprofessional education during joint paediatric outreach training. METHODS: In the spring of 2022, a cross-sectional study was done involving dental and oral hygiene students using the Readiness for Interprofessional Learning Scale (RIPLS) during joint paediatric outreach training. The 19-item tool was answered on a five-point Likert scale (1 = strongly disagree, 2 = disagree, 3 = neutral, 4 = agree, and 5 = strongly agree). Means, standard deviations, minimums, maximums, and medians were calculated for each subscale and overall score. Students grouped according to their categorical variables were compared for statistically significant differences. The Mann-Whitney U-test was used for groups of two and the Kruskal-Wallis one-way analysis for groups of three or more. The internal consistency of the scale was measured with Cronbach's alpha. Statistical level was set at 0.05. RESULTS: The survey included 111 participants, consisting of 51 oral hygiene students and 60 dental students, with a response rate of 93%. The questionnaire yielded a high overall mean score of 4.2. Both oral hygiene (4.3) and dental students (4.2) displayed strong readiness for interprofessional education measured by the RIPLS. The subscale of teamwork and collaboration achieved the highest score of 4.5. Students lacking prior healthcare education or work experience obtained higher RIPLS scores. Oral hygiene students rated overall items (p = 0.019) and the subscales of positive professional identity (p = < 0.001) and roles and responsibilities (p = 0.038) higher than dental students. The Cronbach's alpha represented high internal consistency for overall RIPLS scores on the scale (0.812). CONCLUSIONS: Both oral hygiene and dental students perceived shared learning as beneficial and showcased high readiness for interprofessional education, as evident in their RIPLS scores. Integrating interprofessional learning into oral hygiene and dental curricula is important. Studying together can form a good basis for future working life collaboration.


Assuntos
Atitude do Pessoal de Saúde , Relações Interprofissionais , Estudantes de Odontologia , Humanos , Estudos Transversais , Masculino , Feminino , Estudantes de Odontologia/psicologia , Educação Interprofissional , Higiene Bucal/educação , Inquéritos e Questionários , Educação em Odontologia/métodos , Pediatria/educação , Higienistas Dentários/educação , Adulto
8.
Br Dent J ; 236(11): 919, 2024 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-38877269
9.
Oral Health Prev Dent ; 22: 211-221, 2024 Jun 12.
Artigo em Inglês | MEDLINE | ID: mdl-38864380

RESUMO

PURPOSE: To evaluate the efficacy of the adjunctive use of tea tree oil (TTO) for dental plaque control and nonsurgical periodontal treatment (NSPT). MATERIALS AND METHODS: Three electronic databases were searched from 2003. The reference lists of the included articles and relevant reviews were also manually searched. Randomised controlled trials reporting the clinical outcomes of the topical use of TTO as an adjunct to daily oral hygiene or scaling and root planing (SRP) were included. Regarding the use of TTO as an adjunctive to daily oral hygiene, the primary outcome was plaque index (PI) reduction. Regarding the use of TTO as an adjunctive to SRP, probing pocket depth (PPD) reduction and clinical attachment level (CAL) gain were the primary outcomes. The secondary outcomes were adverse events. RESULTS: Eleven studies were included for qualitative analysis, 9 studies were included for quantitative analysis, and 6 studies were included to examine the application of TTO mouthwash as an adjunctive to daily oral hygiene. In addition, three studies were included to analyse the subgingival use of TTO adjunctive to SRP at selected sites. The results indicated a nonsignificant improvement in PI reduction in the TTO mouthwash group compared with placebo. The incidence of adverse events was statistically significantly greater in the CHX group than in the TTO group. For subgingival use of TTO adjunctive to SRP, beneficial effects were observed in the TTO group compared with SRP alone in terms of PPD and CAL at both three and six months post-treatment. However, an unpleasant taste was reported in three out of four studies. CONCLUSION: There is a lack of strong evidence to support the beneficial effects of TTO. Studies with larger sample sizes and standardised evaluation criteria are needed to further demonstrate the clinical relevance of TTO.


Assuntos
Placa Dentária , Raspagem Dentária , Antissépticos Bucais , Ensaios Clínicos Controlados Aleatórios como Assunto , Óleo de Melaleuca , Humanos , Óleo de Melaleuca/uso terapêutico , Óleo de Melaleuca/administração & dosagem , Antissépticos Bucais/uso terapêutico , Placa Dentária/prevenção & controle , Higiene Bucal/educação , Aplainamento Radicular , Índice de Placa Dentária , Terapia Combinada , Resultado do Tratamento , Fitoterapia/métodos , Doenças Periodontais/terapia , Doenças Periodontais/tratamento farmacológico
10.
Sante Publique ; 36(2): 91-94, 2024.
Artigo em Francês | MEDLINE | ID: mdl-38834529

RESUMO

At the last congress of the Association Dentaire Française (ADF) (French Dental Association), the minister of health and prevention, François Braun, stressed the importance he attached to oral health prevention. He also emphasized his desire to roll out and extend prevention campaigns, targeting young people in particular. With this in mind, we are working to lay the political foundations for the mass, free distribution of single-use toothbrushes with fluoride toothpaste in schools. This oral health promotion campaign would aim to debunk any myths or misinformation spread by manufacturers and to encourage a profound cultural change in the way children and their parents learn about oral hygiene. The "cavity-score," which is still under development, could help to reinforce the idea, both among the general public and among healthcare professionals, that oral health is not isolated from the rest of the body, and that this health issue cannot be dealt with in isolation, but in conjunction with all healthcare professionals.


Assuntos
Promoção da Saúde , Saúde Bucal , Humanos , Criança , Promoção da Saúde/métodos , França , Higiene Bucal/métodos
11.
Clin Exp Dent Res ; 10(3): e912, 2024 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-38881230

RESUMO

OBJECTIVES: Self-performed oral hygiene is essential for preventing dental caries, periodontal, and peri-implant diseases. Oral irrigators are adjunctive oral home care aids that may benefit oral health. However, the effects of oral irrigation on oral health, its role in oral home care, and its mechanism of action are not fully understood. A comprehensive search of the literature revealed no existing broad scoping reviews on oral irrigators. Therefore, this study aimed to provide a comprehensive systematic review of the literature on oral irrigation devices and identify evidence gaps. METHODS: The Joanna Briggs Institute and Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews guidelines were utilized to prepare the review. Four databases and eight gray literature sources were searched for English publications across any geographical location or setting. RESULTS: Two hundred and seventy-five sources were included, predominantly from scientific journals and academic settings. Most studies originated from North America. Research primarily involved adults, with limited studies in children and adolescents. Oral irrigation was safe and well-accepted when used appropriately. It reduced periodontal inflammation, potentially by modulating the oral microbiota, but further research needs to clarify its mechanism of action. Promising results were reported in populations with dental implants and special needs. Patient acceptance appeared high, but standardized patient-reported outcome measures were rarely used. Anti-inflammatory benefits occurred consistently across populations and irrigant solutions. Plaque reduction findings were mixed, potentially reflecting differences in study designs and devices. CONCLUSIONS: Oral irrigators reduce periodontal inflammation, but their impact on plaque removal remains unclear. Well-designed, sufficiently powered trials of appropriate duration need to assess the clinical, microbiological, and inflammatory responses of the periodontium to oral irrigation, particularly those with periodontitis, dental implants, and special needs. Patient-reported outcome measures, costs, caries prevention, and environmental impact of oral irrigation need to be compared to other oral hygiene aids.


Assuntos
Higiene Bucal , Irrigação Terapêutica , Humanos , Irrigação Terapêutica/métodos , Irrigação Terapêutica/instrumentação , Higiene Bucal/métodos , Saúde Bucal , Cárie Dentária/prevenção & controle , Doenças Periodontais/prevenção & controle
12.
Int Heart J ; 65(3): 386-394, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38825489

RESUMO

Periodontitis is a common chronic infection and is associated with cardiovascular disease. This study evaluated whether basic oral care for periodontal disease could improve endothelial function in patients with acute coronary syndrome (ACS).This study enrolled 54 patients with acute coronary syndrome admitted to Kagoshima City Hospital and who had undergone percutaneous coronary intervention. Flow-mediated endothelium-dependent dilatation (FMD) was measured before discharge (initial FMD) and at 8 months after percutaneous coronary intervention (follow-up FMD). The following periodontal characteristics were measured: periodontal pocket depth (PPD, mm), plaque control record (%), and bleeding on probing (%). All patients received basic oral care instructions from dentists. The oral health condition was generally poor in the participants and there were 24 patients (44.4%) who had severe PPD. Despite the intervention of basic oral care, the periodontal characteristics did not improve during the study period; initial FMD and follow-up FMD did not significantly differ (4.38 ± 2.74% versus 4.56 ± 2.51%, P = 0.562). However, the follow-up FMD was significantly lower in patients with severe PPD (≥ 6.0 mm, n = 24) than in patients without severe PPD (≤ 5.0 mm, n = 30) (FMD: 3.58 ± 1.91% versus 5.37 ± 2.67%, P = 0.007). FMD tended to be worse in patients with severe PPD than in patients without severe PPD (ΔFMD: -0.55 ± 2.12 versus 0.81 ± 2.77 %, P = 0.055). In conclusion, during the use of basic oral care, endothelial function improved in patients without severe PPD, while it worsened in patients with severe PPD.


Assuntos
Síndrome Coronariana Aguda , Endotélio Vascular , Intervenção Coronária Percutânea , Humanos , Síndrome Coronariana Aguda/fisiopatologia , Síndrome Coronariana Aguda/terapia , Síndrome Coronariana Aguda/complicações , Masculino , Feminino , Endotélio Vascular/fisiopatologia , Idoso , Pessoa de Meia-Idade , Intervenção Coronária Percutânea/métodos , Periodontite/terapia , Periodontite/fisiopatologia , Periodontite/complicações , Higiene Bucal , Saúde Bucal
13.
Eur J Paediatr Dent ; 25(2): 89, 2024 Jun 03.
Artigo em Inglês | MEDLINE | ID: mdl-38828768

RESUMO

It has become clear that pregnant women have a high risk of developing oral diseases, both in the supporting tissues and in the teeth. This is precisely why the first meeting between the dentist and the mother-to-be should take place as early as possible, either while she is still planning her pregnancy or as soon as she becomes pregnant. During this appointment it is appropriate to examine the presence of any risk factors for the future mother's oral health such as medication intake, presence of chronic pathologies or bad habits (smoking). The woman must be informed of all the changes that may occur during this period and that may negatively affect the pregnancy itself and the health (not only oral) of the foetus. At the same time, all the most important indications regarding correct oral hygiene, dietary and fluoroprophylaxis practices that all pregnant women should follow to ensure optimal oral health for themselves and their newborn child should be provided. In addition to this counselling phase, it is strictly the dentist's responsibility to proceed with the diagnostic phase, thanks to which he or she will be able to assess the woman's oral condition and, in the presence of pathological pictures, plan all the therapeutic interventions necessary to achieve a healthy condition before the beginning of such a delicate period. And why not, to lay the foundations for a life-long oral health!


Assuntos
Complicações na Gravidez , Humanos , Gravidez , Feminino , Complicações na Gravidez/prevenção & controle , Higiene Bucal , Saúde Bucal , Sorriso , Fatores de Risco , Doenças da Boca/prevenção & controle , Doenças da Boca/terapia
14.
BMC Oral Health ; 24(1): 655, 2024 Jun 04.
Artigo em Inglês | MEDLINE | ID: mdl-38835001

RESUMO

OBJECTIVE: Disturbances in the oral mucosa is a major concern among patients undergoing chemotherapy. One of the most significant barriers in the implementation of oral care is the lack of knowledge. The aim of the study was to assess gingival and periodontal health status of chemotherapy patients before and after the provision of oral hygiene instructions. METHODS: A single group, pre-post test was conducted to assess oral health status of patients at the daycare chemotherapy, Aga Khan University Hospital, Karachi, Pakistan. Oral hygiene instructions were given with study models and leaflets. Patients were followed for 6-weeks. Oral health was assessed by using Simplified-Oral Hygiene Index (OHI-S) and Community Periodontal Index (CPI). Differences in indices were analyzed in STATA version-15.0 using Generalized Estimating Equation (GEE) and Wilcoxon Signed-rank test. RESULTS: Out of 74, 53 (72%) patients completed study follow-up. Improvement in the OHI-S was found in 14 (26%) patients (p-value < 0.001). GEE showed that age [adjusted OR = 1.10; 95% CI: 1.03-1.11], current chemotherapy cycle [adjusted OR = 1.19; 95% CI: 0.98-1.46], highest education level [Adjusted OR = 1.37; 95% CI: 1.08-12.7] and cancer therapy [Adjusted OR = 0.12; 95% CI: 0.24-0.55] were significantly associated with the change in OHI-S. Wilcoxon signed-rank test showed positive changes in the CPI (p-value < 0.001). CONCLUSIONS: Basic oral hygiene instructional intervention can be effective in improving the oral hygiene of chemotherapy patients. Nurses should also play a key role in providing psychological and nutritional support to patients.


Assuntos
Antineoplásicos , Saúde Bucal , Higiene Bucal , Humanos , Feminino , Masculino , Higiene Bucal/educação , Adulto , Pessoa de Meia-Idade , Antineoplásicos/uso terapêutico , Índice Periodontal , Centros de Atenção Terciária , Educação de Pacientes como Assunto/métodos , Índice de Higiene Oral , Fatores Etários , Seguimentos , Paquistão , Adulto Jovem , Neoplasias/tratamento farmacológico , Idoso
15.
Wiad Lek ; 77(4): 646-651, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38865617

RESUMO

OBJECTIVE: Aim: To summarize the experience of providing dental medical care under general anesthesia to children from different regions of Ukraine during the martial law, taking into account the factors affecting the choice of optimal conditions for dental treatment. PATIENTS AND METHODS: Materials and Methods: Dental treatment under general anesthesia of 1,258 children from different regions of Ukraine has been performed since March 2022. The condition of the teeth (df, df+DMF, DMF) and hygienic state of the oral cavity (OHI-S) were determined. The level of awareness of parents regarding the preservation of children's dental health was studied through a questionnaire. RESULTS: Results: An unsatisfactory oral hygiene, a high level of caries were found in the vast majority of children. The highest df was observed in the group of children aged 3 to 6 years (7.14±0.33), which is significantly higher than in the group of children under 3 years of age (4.32±1.04, p≤0.05). The worst oral hygiene was observed in children aged 6-12 years (OHI-S 2.62±0.32). An insufficient level of awareness of parents and children regarding dental health was revealed. A total of 1,712 operations under general anesthesia were performed. The majority of patients could not regularly appear for follow-up examinations due to the forced departure from the country. CONCLUSION: Conclusions: The organization of dental treatment under general anesthesia allows solving a number of problems of dental care for children during the war.


Assuntos
Anestesia Geral , Humanos , Criança , Anestesia Geral/estatística & dados numéricos , Ucrânia , Pré-Escolar , Feminino , Masculino , Cárie Dentária , Higiene Bucal/estatística & dados numéricos , Assistência Odontológica para Crianças/estatística & dados numéricos , Anestesia Dentária/estatística & dados numéricos , Saúde Bucal , Inquéritos e Questionários
16.
P R Health Sci J ; 43(2): 61-67, 2024 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-38860958

RESUMO

OBJECTIVE: To explore the association between hygiene knowledge and habits and gingivitis in Puerto Rican school children. METHODS: Questionnaires on oral health knowledge and hygiene habits were provided to almost half of the 12-year-olds who participated in an island-wide cross-sectional oral health study. The evaluations included gingival examinations in 2 quadrants. Odds ratios (ORs) (with 95% CIs) were computed using logistic regression models and oral health-related knowledge and hygiene habits to gingivitis. RESULTS: Of the 823 participants who completed the questionnaire 53.43% were female, and 81% had gingivitis. Most reported having received instructions on brushing (98%), flossing (89.5%), and using mouthwash (90%). The majority (75%) rated their gums as healthy, and 44.68% agreed that oral health affects general health. Nearly half (44%) reported brushing their teeth at least 2 times a day, and 80.25%, flossing daily. In multivariate analysis, not having been instructed on how to brush was related to greater odds of having gingivitis (OR: 7.32; 95% CI: 1.5-35.67). Flossing more than once a day was associated with half the odds of gingivitis (OR: 0.50; 95% CI: 0.29-0.88). CONCLUSION: The children had knowledge of oral hygiene methods but were mostly unaware that gingival health could affect systemic health. Fewer than half reported brushing 2 or more times a day. Not having been instructed on how to brush was associated with higher odds of gingivitis.


Assuntos
Gengivite , Conhecimentos, Atitudes e Prática em Saúde , Hispânico ou Latino , Saúde Bucal , Higiene Bucal , Humanos , Estudos Transversais , Feminino , Criança , Masculino , Higiene Bucal/estatística & dados numéricos , Gengivite/epidemiologia , Saúde Bucal/estatística & dados numéricos , Inquéritos e Questionários , Hispânico ou Latino/estatística & dados numéricos , Porto Rico , Escovação Dentária/estatística & dados numéricos , Modelos Logísticos
17.
J Dent ; 146: 105062, 2024 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-38762078

RESUMO

OBJECTIVES: With increasing life expectancy and improved preventive measures, teeth are retained longer, leading to a rise in prevalence of root caries lesions (RCL). However, little is known about how dentists manage this condition. The present survey aimed to evaluate the knowledge of Swiss dentists on decision making and management of RCL. METHOD: The survey evaluated dentists' knowledge, clinical routines, and demographics concerning RCL. Dentists were contacted via email and local newsletters, and 383 dentists from 25 (out of 26) cantons responded. Mann-Whitney U test, χ2 test, intraclass correlation coefficients, Spearman correlation and Chi Square were used. RESULTS: The dentists had a mean(SD) working experience of 22.5(12) years. Most dentists correctly classified an inactive (67%) and an active (81%)RCL. Although the inactive lesion did not call for restorative treatments, 61% of the dentist declared they would restore it. From the active lesion,83% would restore it. The invasive treatments leaned toward complete caries excavation with composite resin as preferred restorative material. There were significant correlations between material choice and expected success rates. Among the non-invasive options, oral hygiene instructions and (highly-)fluoridated toothpaste were favored. Most dentists declared having a recall system for such patients, with biannual follow-ups preferred. The dentists' place of education significantly influenced restorative decisions (p < 0.001), while participants' age (≥60years) impacted activity status (p = 0.048) and restorative decisions (p = 0.02). CONCLUSION: Material preferences for non-invasive or invasive management varied greatly and there were minimal differences in the management of inactive or an active RCL. Moreover, diagnosing active lesions appeared easier than diagnosing inactive ones. CLINICAL SIGNIFICANCE: Despite diverse material preferences for (non-)invasive treatments, a strong positive correlation existed between the chosen restorative material and its expected 2-year success rate. Moreover, diagnosing active lesions appeared easier than diagnosing inactive ones. The outcome emphasis the need to align guideline recommendations with their application in private dental practices.


Assuntos
Padrões de Prática Odontológica , Cárie Radicular , Humanos , Cárie Radicular/terapia , Masculino , Padrões de Prática Odontológica/estatística & dados numéricos , Feminino , Pessoa de Meia-Idade , Inquéritos e Questionários , Adulto , Restauração Dentária Permanente , Odontólogos/psicologia , Suíça , Higiene Bucal , Resinas Compostas/uso terapêutico , Resinas Compostas/química , Tomada de Decisões , Tomada de Decisão Clínica , Materiais Dentários , Cariostáticos/uso terapêutico
18.
Clin Oral Investig ; 28(6): 319, 2024 May 16.
Artigo em Inglês | MEDLINE | ID: mdl-38750375

RESUMO

OBJECTIVES: To evaluate, (i) if subjects submitted to a structured oral hygiene training program (OHt) maintain adopted habits over 180 days without professional guidance; and (ii) in perspective whether flossing provides additional benefits to toothbrushing on gingival health. MATERIALS AND METHODS: Seventy-five adult subjects showing approximately 40% proximal gingival bleeding were randomized to receive OHt (1 session weekly over 8 weeks) using toothbrush and dental floss or toothbrush alone. The subjects were then followed over 180 days without professional guidance. Primary outcomes were mean interproximal Gingival Index (GI) and GI = 2 (gingival bleeding). Mixed linear models were used for the comparison between groups (p < 0.05). RESULTS: 68 subjects received OHt, 48 subjects completed the 180-day follow-up. Subjects maintained adequate oral hygiene routines. Besides a reduction in gingival inflammation, no alterations in gingival status were observed among groups, subjects additionally instructed to use dental floss showing a mean interproximal GI = 2 of 12.8 ± 2.5 compared with 19.8 ± 2.2 for subjects limited to tooth brushing alone. CONCLUSIONS: OHt intensive training promotes gingival health and maintenance lasting at least 6 months without professional supervision reinforcing important principles: (i) dental health professionals should dedicate time training and motivating their patients to reach adequate self-performed plaque control; and (ii) the adjunctive use of dental floss appears essential to reduce interproximal gingival inflammation in subjects with intact interdental papillae. CLINICAL RELEVANCE: Dentists need to invest time in training/motivating/engage their patients to achieve adequate OH; adjunct flossing in subjects with papilla filling the interdental space appears essential to reach and maintain gingival health. CLINICALTRIALS: GOV : (53831716.5.0000.5346). TRIAL REGISTRATION: The protocol registration was filed May 9, 2018 (# 538,311,716.5.0000.5346) on ClinicalTrials.gov. An NCT number (NCT04909840) was generated upon completed registration.


Assuntos
Dispositivos para o Cuidado Bucal Domiciliar , Humanos , Feminino , Masculino , Adulto , Seguimentos , Higiene Bucal/educação , Índice Periodontal , Escovação Dentária , Pessoa de Meia-Idade , Gengivite/prevenção & controle , Gengivite/terapia , Resultado do Tratamento
19.
Head Face Med ; 20(1): 32, 2024 May 15.
Artigo em Inglês | MEDLINE | ID: mdl-38750491

RESUMO

BACKGROUND: Chronic kidney disease (CKD) directly affects oral health. Yet data about halitosis in young CKD patients and the impact of dental prophylaxis is limited. Therefore, as part of this randomized clinical trial, halitosis in young CKD patients undergoing intensive or standard oral preventive procedures was to be explored. METHODS: Three volatile sulfur compounds (hydrogen sulfide, methyl mercaptan and dimethyl sulfide) were measured in 30 young patients with CKD (mean age 14.2 years; 16 males, 14 females). Breath samples were taken after 3 and 6 months and analyzed with selective gas chromatography (OralChroma). Tongue coating (Winkel Index) and clinical indices to determine local inflammation or oral hygiene (Papillary Bleeding Index and Quigley-Hein Index) were assessed. Within an extended anamnesis, patients and their mothers and nurses were questioned about the perceived halitosis. Corresponding quotes were noted verbatim. Patients were randomized to either intensive need-related oral health care measures (oral preventative program, OPP) or a one-stage standard prevention (treatment as usual, TAU). RESULTS: While there were no differences in volatile sulfur compound levels between TAU and OPP at the three time points of measurements (p > 0.05), there was a tendency towards a reduction in dimethyl sulfide and hydrogen sulfide of affected patients within the OPP group over time. Looking at potential differences between both groups with regard to tongue coating, significant differences were observed between baseline and 3 months after study start in the OPP group, and between baseline and 6 months after study start in the TAU group (p < 0.05). The burden of halitosis was frequently reported by patients' mothers and nurses. CONCLUSIONS: Young CKD patients regularly suffered from halitosis and dimethyl sulfide was its main source. Preventive measures mainly resulted in a reduction of tongue coating. TRIAL REGISTRATION: The German Clinical Trial Register (# DRKS00010580).


Assuntos
Halitose , Insuficiência Renal Crônica , Humanos , Halitose/etiologia , Halitose/prevenção & controle , Feminino , Masculino , Adolescente , Insuficiência Renal Crônica/complicações , Testes Respiratórios/métodos , Criança , Higiene Bucal , Compostos de Enxofre/análise , Cromatografia Gasosa/métodos , Sulfeto de Hidrogênio
20.
Med Sci Monit ; 30: e944175, 2024 May 22.
Artigo em Inglês | MEDLINE | ID: mdl-38773745

RESUMO

BACKGROUND Effective communication and patient education are important in geriatric dental care. Memory decline complicates patient adherence. This study aimed to compare verbal, audio, and video patient education material (PEM) and adherence to dental prosthetic management in edentulous patients. MATERIAL AND METHODS 90 completely/partially edentulous patients (aged 40 to 70 years), were divided (simple random) into three groups (Gp) of 30 each . A total of 68 instructions were organized into 9 learning categories. For GpVi, a 20 minute video was shot using a Sony camera (PD170), with two actors depicting related PEM information. Patients were recalled after 1 day and 7days, to recall the PEM instructions. A Denture plaque Index (DPI) determined the efficiency of the instructions at both time intervals. Frequencies, means and standard deviations were derived for each group and then compared using Chi square, paired and unpaired t test and a Neuman-Keul post hoc pairwise test. All significant differences were kept at probability t value of ≤0.05. RESULTS PEM instructions related to patient individuality, proper tongue position and miscellaneous showed poor patient recall. At 1 day interval, audio was found to have better recall than video and verbal in 5 PEM instruction categories. At 7 day interval, video showed better recall than other two groups (P≤0.05). Despite improvements in patients recall, DPI revealed better denture hygiene maintenance in patients receiving instructions through video format (P≤0.05). CONCLUSIONS For all categories, no single media was considered to be sufficient, audio produced early better recall while video influenced long term recall and better denture hygiene maintenance.


Assuntos
Dentaduras , Boca Edêntula , Higiene Bucal , Educação de Pacientes como Assunto , Humanos , Pessoa de Meia-Idade , Educação de Pacientes como Assunto/métodos , Feminino , Masculino , Idoso , Higiene Bucal/métodos , Higiene Bucal/educação , Adulto , Cooperação e Adesão ao Tratamento , Cooperação do Paciente
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