Your browser doesn't support javascript.
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 14.844
Filtrar
1.
BMC Oral Health ; 20(1): 21, 2020 01 28.
Artigo em Inglês | MEDLINE | ID: mdl-31992291

RESUMO

BACKGROUND: The current study was performed; to validate the Arabic version of WHO child oral health assessment tool (A-OHAT), to assess the oral health status of Arab school children and finally to identify the important risk factors associated with the poor teeth and gum conditions of school children. METHODS: A cross-sectional study with two-staged simple random sampling technique was implemented. A-OHAT, a self-assessment tool was subjected to psychometric analyses with the respondents being high school children. The Cronbach's alpha and the Intra class correlation values were computed. Paired t-test was performed to identify the differences between the readings after repeated administration, followed by the analysis for convergent validity. This tested Arabic-WHO Child-OHAT was administered to collect the data. Univariate, bivariate and logistic regression analyses were performed to report on the potential risk factors associated with poor teeth and poor gum conditions of school children. RESULTS: Psychometric analyses revealed that the Arabic Child Oral Health Assessment Tool (A-OHAT) was reliable and valid. A total of 478 (N) high school children were subjected to the tested tool, of which 66.5% were male and 33.5% were female with a mean age of 16.28 + 1.04 years. 80.3% of school children had poor teeth condition and 36.2% of school children had often experienced toothache. Children had 1.5 times higher odds of having poor teeth condition if they had increased frequency of sweet and candy consumption. It was also seen that increased frequency of sweets and candy consumption by school children had put them at nearly 20% higher risk of having poor gum condition. Finally, children with the habit of using toothbrush had nearly 50% lower chance of having poor gum condition in contrast to the school children who do not use toothbrush. CONCLUSION: To conclude, the study provides a reliable and valid tool to assess the oral health status of Arab adolescents. Improper oral hygiene habits and diet were identified as the plausible risk factors for poor teeth and gum condition.


Assuntos
Árabes , Inquéritos de Saúde Bucal/normas , Saúde Bucal , Higiene Bucal/estatística & dados numéricos , Psicometria/estatística & dados numéricos , Inquéritos e Questionários/normas , Adolescente , Criança , Estudos Transversais , Feminino , Humanos , Masculino , Doenças da Boca/diagnóstico , Reprodutibilidade dos Testes , Arábia Saudita , Autorrelato , Odontopatias/diagnóstico , Traduções
2.
J Dent Educ ; 84(1): 81-87, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-31977085

RESUMO

The number of international students coming to the U.S. for post-secondary education has been steadily increasing. Prior research has found that international students encounter many barriers to academic success, but this topic has not been previously studied for the discipline of dental hygiene. The aims of this study were to investigate the barriers and challenges to academic success faced by international students in U.S. dental hygiene programs and to explore the students' thoughts on the value they bring to those programs. The overlapping qualitative methods of semi-structured focus groups and one-on-one interviews with 12 students in three U.S. dental hygiene programs were used for this phenomenological study. In the results, six themes emerged: language proficiency, communication challenges with faculty and patients, ability to adapt to a new educational system, adjusting to cultural differences, feelings of belonging, and the value of diversity. The most significant barrier for the participants was comprehension of the English language. Didactically, these students reported that they needed additional time to study and to process examination questions. This study found that these international students studying dental hygiene in the U.S. had academic challenges similar to international students studying in other disciplines. Dental hygiene educators may need to evaluate their didactic and test-taking strategies to ensure the academic success of international students.


Assuntos
Sucesso Acadêmico , Higienistas Dentários , Atitude do Pessoal de Saúde , Humanos , Higiene Bucal , Estudantes
3.
J Dent Educ ; 84(1): 88-93, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-31977100

RESUMO

Human Papilloma Virus (HPV)-related oropharyngeal cancers (OPC) have increased significantly despite availability of the HPV vaccine. HPV-positive oropharyngeal cancer is becoming more prevalent than tobacco-related OPC. Dental professionals screen for OPC and risk factors, but many are not prepared to address HPV immunization and prevention with patients. The aim of this study was to implement and assess a training module on HPV to increase dental providers' knowledge, promote confidence in their ability to provide effective prevention interventions, and instill a positive attitude about recommending HPV immunization to their patients. The study used a pretest-posttest design. Participants were dental hygiene students in one U.S. dental hygiene program in 2017. The students completed the pretest, then viewed the online training module, and completed the posttest one week later. Of the 40 students who participated in the module, 37 completed both pretest and posttest, for a response rate of 93%. From pretest to posttest, the respondents showed a significant increase (CI=0.5, p<0.001) in knowledge of HPV prevention with mean scores increasing from 8.75 to 13.32 on a 15-point scale. The students demonstrated an increase (p<0.05) in confidence and comfort in providing HPV immunization counseling on the posttest, as well as an increase (p<0.05) in positive attitudes about recommending HPV immunization. This study found that the participants' knowledge and confidence regarding HPV, HPV-related OPC, and HPV immunization increased after the module, suggesting that effective education and preparation for HPV counseling can be accomplished through modular-based education. This education would be beneficial in an institutional or professional setting.


Assuntos
Papillomaviridae , Infecções por Papillomavirus , Vacinas contra Papillomavirus , Atitude do Pessoal de Saúde , Higienistas Dentários , Humanos , Imunização , Higiene Bucal
4.
J Clin Pediatr Dent ; 44(1): 1-7, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-31995423

RESUMO

Purpose: To present a meta-analysis whether the risks of caries and periodontal problems in autistic children are higher than those in healthy children. Study design: A literature search that included PubMed, Embase, Web of Science, Cochrane, China National Knowledge Infrastructure (CNKI), Wan fang, and Chinese Scientific and Technological Journal (VIP) databases was conducted. The primary outcomes of interest included the DMFT index, Plaque index (PI), Gingival index (GI), and Salivary pH. Quality assessment was performed in accordance with the Newcastle-Ottawa Scale (NOS). Dichotomous variables are presented as relative risk (RR), and continuous variables are presented as weighted mean difference (WMD). Results: Eight studies were included in this meta-analysis. Among these 8 studies, six studies compared the DMFT index, three studies compared PI, three studies compared GI, and three studies compared salivary pH. Meta-analysis showed that the mean DMFT index in autistic children was higher than that in healthy children, and the difference was statistically significant {MD = 0.50, 95% CI [0.04-0.96], P<0.00001}. Similarly, PI and GI in autistic children were higher than those in healthy children, and the difference between PI was statistically significant {MD = 0.59, 95%CI [0.36-0.82], P=0.02}, while the difference between GI was not statistically significant {MD = 0.52, 95%CI [0.30-0.75], P=0.08}. But the salivary pH in autistic children was lower than that in healthy children {MD = -0.28, 95%CI [-0.54--0.02], P = 0.02}, and the difference was statistically significant. Conclusion: The present analysis suggests that children with autism have poorer oral hygiene, higher risk of caries, and a lower salivary pH than healthy children.


Assuntos
Transtorno Autístico , Cárie Dentária , Criança , Índice de Placa Dentária , Humanos , Saúde Bucal , Higiene Bucal
5.
J Oral Sci ; 62(1): 89-92, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-31996531

RESUMO

The oral hygiene and oral status of children with severe disabilities with both nutritional and respiratory complications who were institutionalized at Karugamonoie (KNI), a facility for children with disabilities, were investigated in this study. Their oral hygiene management was solely dependent on caregivers and nurses at the institution. Thirty children (13 females, 17 males; average age, 7.6 years) who had a tracheotomy and feeding tube (gastrostomy, nasogastric, or jejunostomy feeding tube) were included in the study. As for oral characteristics, poor control of tongue movement, anterior open-bite, abnormal strain of facial muscles, dry mouth, and swallowing dysfunction were found in 63.3%, 63.3%, 13.3%, 20.0%, and 100.0%, of the children, respectively. The mean ± standard deviation Decayed, Missing, Filled Teeth score was 0.13 ± 0.57. The Gingival Index (GI) showed that the children had mild (53.3%) to moderate (46.7%) gingivitis. The Simplified Oral Hygiene Index was excellent in 50.0% of the children, good in 23.3%, fair in 20.0%, and poor in 6.7% of the children. These indices were satisfactory in general except for GI management, which may have been hampered by abnormal oral functions and anterior open-bite. In conclusion, oral hygiene management of children with nutritional and respiratory complications at KNI was shown to be of high quality even without on-site intervention by dental specialists.


Assuntos
Cárie Dentária , Deficiência Intelectual , Criança , Criança Institucionalizada , Índice CPO , Feminino , Humanos , Masculino , Saúde Bucal , Higiene Bucal , Índice de Higiene Oral
6.
Acta Odontol Scand ; 78(1): 20-25, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-31661343

RESUMO

Objective: The aim of this study was to compare the periodontal status and dental behaviour of heart transplant recipients with systemically healthy controls.Material and Methods: Forty heart transplant recipients and 40 systemically healthy patients were included. A questionnaire was used to record demographic, systemic health and dental behaviour data, and the following clinical parameters were recorded: plaque index, bleeding on probing, probing depth, gingival recession, and clinical attachment level.Results: Mean probing depth (p = .045), mean gingival recession (p = .016), mean clinical attachment level (p = .021) and mean plaque index scores (p = .001) were higher in heart transplant recipients than the systemically healthy group. However, bleeding on probing was similar in both groups (p > .05). Tooth brushing frequency and number of participants who used dental floss/interdental brush was lower in the heart transplant group.Conclusion: Considering the poor oral hygiene and high clinical periodontal parameters of heart transplant recipients, periodontal evaluation should be done regularly before and after transplantation. The patient's daily oral hygiene regimens should be evaluated carefully in this evaluation session and modified based on their gingival health, manual skill and motivational levels. The importance of oral health and its effects on systemic health should also be explained to the transplant recipients in detail.


Assuntos
Placa Dentária , Transplante de Coração , Saúde Bucal , Higiene Bucal , Doenças Periodontais/epidemiologia , Adolescente , Adulto , Estudos de Casos e Controles , Placa Dentária/epidemiologia , Placa Dentária/etiologia , Índice de Placa Dentária , Feminino , Transplante de Coração/efeitos adversos , Humanos , Masculino , Pessoa de Meia-Idade , Doenças Periodontais/etiologia , Índice Periodontal , Adulto Jovem
7.
Int J Dent Hyg ; 18(1): 99-106, 2020 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-31627259

RESUMO

OBJECTIVES: To examine whether there is an association between periodontal disease and each of root caries and coronal caries among adults (aged 35 and over), using a nationally representative sample of adults in England, Northern Ireland and Wales. MATERIAL AND METHODS: In this cross-sectional study, data from the Adult Dental Health Survey 2009 were used. Adults aged 35 years or older who had periodontal and caries assessment were included. Two sets of negative binomial regression were conducted for each of coronal caries and root caries adjusting for periodontal diseases, dental visits, country, sex, age, education, job classification, oral hygiene and smoking. RESULTS: Overall, 4738 were included in the analysis. Periodontal disease was significantly associated with each of coronal and root caries. In the fully adjusted model, those with PD/ LoA ≥ 4 mm had 1.03 rate ratio (RR) for coronal caries (95% CI: 1.01-1.05). In the model pertaining to root caries, the RR for those with periodontitis was 1.23 (95% CI: 1.16-1.30). Smoking, sex, age and oral hygiene were the variables that showed a consistent and significant association with coronal and root caries. CONCLUSION: Individuals with periodontal diseases appeared to be at higher risk of coronal and root caries. While root exposure could be a plausible explanation for the relationship between periodontitis and root caries, the association with coronal caries could be attributed to the irritation of carious cavities, or common risk factors such as poor oral hygiene, or co-occurrence of different health risk behaviours related to both caries and periodontitis and socioeconomic conditions.


Assuntos
Cárie Dentária , Doenças Periodontais , Cárie Radicular , Adulto , Estudos Transversais , Humanos , Higiene Bucal
8.
Spec Care Dentist ; 40(1): 26-34, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-31697453

RESUMO

AIM: To evaluate the impact of an oral health program for institutionalized individuals with cerebral palsy (CP) and their caregivers, after 2 and 6 months. METHODS: Sixty-two CP individuals in four homes were selected for intervention group (n = 31) and control group (n = 31). An oral hygiene practices questionnaire was applied to all caregivers at the baseline. Both groups received awareness sessions, practical demonstration of toothbrushing and adaptive techniques with role-play. In the study group, individual oral hygiene monitoring was also performed in the first 2 months. A gingival and an oral hygiene indexes were performed at the beginning, after 2 and 6 months of intervention. RESULTS: There was a significant reduction of gingival (p < 0.001) and oral hygiene (p < 0.001) indexes at 2 and 6 months in the intervention group with the most significant reductions at 2 months. Caregivers reported opening the mouth (84.6%) and swallowing toothpaste (61.5%) as the most important difficulties in performing toothbrushing. CONCLUSION: It was found that frequent and individualized monitoring of plaque control was essential to reduce dental plaque and gingivitis levels and that awareness sessions were not enough to produce clinically significant result.


Assuntos
Paralisia Cerebral , Gengivite , Adulto , Índice de Placa Dentária , Humanos , Saúde Bucal , Higiene Bucal , Escovação Dentária
9.
Spec Care Dentist ; 40(1): 41-48, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-31691985

RESUMO

OBJECTIVE: To improve knowledge of oral health among the hearing impaired in Saudi Arabia using videos with detailed oral hygiene instructions in Arabic sign language. METHODS: Videos of oral hygiene instructions in Arabic sign language were produced under the supervision of a periodontist. Fifty male subjects above 18 years of age were chosen randomly from different deaf schools in Jazan, Saudi Arabia and divided into two groups as follows: Group 1 received printed booklets with oral hygiene instructions, and Group 2 received videos of the same instructions in Arabic sign language. Knowledge regarding oral health and hygiene practice was evaluated with the aid of a questionnaire before and after 4 weeks. RESULTS: The estimated marginal mean of the knowledge regarding oral hygiene in Group 1 was 3.37, which was slightly increased to 4.40 after 4 weeks of general instructions. The estimated marginal mean in Group 2 was 3.70 before the distribution of the videos, which was significantly increased to 11 after 4 weeks (P < .001). CONCLUSION: Videos of oral hygiene instructions in Arabic sign language had immensely improved knowledge regarding oral health and hygiene practices in the deaf/hearing impaired patients in this study.


Assuntos
Higiene Bucal , Línguas de Sinais , Adolescente , Adulto , Assistência Odontológica , Humanos , Masculino , Saúde Bucal , Arábia Saudita
10.
Oral Dis ; 26(1): 234-237, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-31621985

RESUMO

OBJECTIVE: To investigate associated risk factors for oral candidiasis in elderly patients hospitalized in a community-based acute-care hospital with no dental units. METHODS: Two hundred and twenty-eight elderly patients (male: 105, female: 123), who were hospitalized with several systemic diseases in a community-based acute-care hospital from May 2014 to October 2016, were retrospectively analysed by multiple logistic regression. RESULTS: Multiple logistic regression analysis shows that bacterial pneumonia has a statistically strong relationship with oral candidiasis (p = 0.000, OR: 5.173, 95% CI: 2.368-11.298). The order followed is poor oral hygiene (p = 0.001, OR: 6.095, 95% CI: 2.003-18.545) and severe dry mouth (p = 0.043, OR: 2.507, 95% CI: 1.031-6.098). Other correlated factors including diabetes mellitus, denture wearer, dysphagia, malnutrition, requiring care and use of inhalation steroids, were not statistically significant in this study. CONCLUSIONS: Bacterial pneumonia correlates with oral candidiasis.


Assuntos
Candidíase Bucal/complicações , Pneumonia Bacteriana/complicações , Idoso , Idoso de 80 Anos ou mais , Transtornos de Deglutição , Dentaduras , Diabetes Mellitus , Feminino , Hospitalização , Hospitais Comunitários , Humanos , Masculino , Desnutrição , Higiene Bucal , Estudos Retrospectivos , Fatores de Risco , Esteroides/administração & dosagem , Xerostomia/complicações
11.
Eur J Dent Educ ; 24(1): 26-35, 2020 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-31518467

RESUMO

INTRODUCTION: Electives have been shown to contribute to both the professional and personal development of students in specific areas of interest outside the standard curriculum. The School of Oral Health Sciences at the University of the Witwatersrand introduced electives as a pedagogy in the Bachelor of Dental Sciences (BDS) and Bachelor of Oral Health Sciences (BOHSc) curricula in 2010 and 2014, respectively. However, since its introduction, the relevance of these electives in the BDS and BOHSc curricula has not been investigated. METHODS: This research was designed as an evaluation study that used a questionnaire survey administered to 76 dental and oral hygiene graduates (BDS and BOHSc). RESULTS: Of the initial 76 questionnaires that were distributed, 55 (BDS = 38, BOHSc = 17) were returned, giving a response rate of 72.4%. Almost all the participants (92.7%) agreed that the electives enabled them to develop better interpersonal skills; 80.0% and 82.7% agreed that their clinical skills, and knowledge of key concepts in dental practice, respectively, had improved upon completion of the elective. In appraising the elective programme, 87.0% of the graduates agreed that the content and outcome of the elective programme should be reviewed and changed. CONCLUSION: Obtaining empirical data on the impact of electives on clinical knowledge, skill and behaviour of dental graduates will enhance the relevance of electives in dental education. Findings by this study reveal that the actual impact of the electives on dental graduates was desirable and corresponded with the intended impact. The problematic areas that were identified will inform future planning.


Assuntos
Educação em Odontologia , Higiene Bucal , Competência Clínica , Currículo , Humanos , Inquéritos e Questionários
12.
Eur J Dent Educ ; 24(1): 63-70, 2020 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-31518479

RESUMO

PURPOSE: The purpose of this study was to determine the longitudinal effects of feedback involving photography and self-assessment on the accuracy of ergonomic self-assessments and ergonomic scores amongst dental hygiene students. MATERIALS AND METHODS: The study involved an experimental design. Data collection took place over 4 months, divided into weeks 1-4 and after 3 months. At weeks 1 through 4 and 3 months, all participants completed ergonomic self-evaluations, using a Modified-Dental Operator Posture Assessment Instrument. At week 1, week 4 and 3 months, all participants were photographed, and in weeks 2 and 3, only participants in the training group were photographed and used those photographs to complete ergonomic self-assessments. All participants' photographs were evaluated by three faculty raters. RESULTS: A mixed-design ANOVA of Kappa coefficient values between student and rater scores measured the effects of the feedback with photography on the accuracy of student self-assessments. A main effect for group was not found to be significant (F(1,30) = 2.90, P = .101). A mixed-design ANOVA measured the effects of the feedback with photography on the ergonomic scores. No significant main effects were found (F(1,120) = 1.55, P = .216). CONCLUSION: Although self-assessment utilising photographs resulted in initial improvements in the accuracy of ergonomic self-assessments and ergonomic scores after 4 weeks, both ergonomic accuracy and scores significantly decreased after 3 months. Improvement in ergonomic accuracy and scores may be sustained by the continual facilitated use of photographs and self-assessment by dental and dental hygiene educators.


Assuntos
Higiene Bucal , Autoavaliação , Ergonomia , Humanos , Fotografação , Estudantes de Odontologia
13.
Int J Dent Hyg ; 18(1): 3-16, 2020 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-30941877

RESUMO

AIM: To synthesize the literature on the influence of family/parents characteristics on periodontal diseases in children and adolescents. METHODS: An electronic search for relevant literature published between 2007 and 2017 was undertaken in PubMed, Embase, Cinahl and Cochrane databases; the search was updated in April 2018. Two reviewers independently reviewed the abstracts of these; of which, 43 articles were reviewed in full. RESULTS: Of the 746 retrieved titles, 649 remained after removing duplicates. Thirty articles met the inclusion criteria, and 13 were excluded. Also, two were included from the updated search. Data from the reviewed articles indicate that all three indicators of parent's socioeconomic status (income, education and occupation) are significantly associated with periodontal diseases in children. Better periodontal status was observed in children of parents with higher SES than those whose parents were of lower SES. Although the association between parent's smoking practices, level of periodontal diseases and children's periodontal status was explored only in few studies, findings indicate that children exposed to passive smoking and having parents with periodontal diseases are more likely to present with periodontal diseases as well. CONCLUSIONS: Most of the studies considered socioeconomic factors and had not attempted to explore the impact of parental psychosocial variables on periodontal diseases in children. The literature indicates that these variables significantly influence health practices, including oral hygiene practices, which could ultimately affect periodontal health. More studies are required to explore the association of these variables with periodontal outcomes in children.


Assuntos
Características da Família , Doenças Periodontais , Adolescente , Criança , Humanos , Higiene Bucal , Pais , Fatores Socioeconômicos
14.
Int J Dent Hyg ; 18(1): 107-115, 2020 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-31618518

RESUMO

OBJECTIVES: This study examines the feasibility of an oral health coaching programme involving practical support on individual level to staff in a nursing home in Sweden, aiming to improve oral health care-related beliefs of nursing staff and the oral health of residents. METHODS: This intervention study consisted of three wards from one nursing home, and both staff (n = 48) and residents (n = 58) were invited. In the control ward, 9 staff and 16 residents participated; in test ward 1, 10 staff and 13 residents participated; and at test ward 2, 14 staff and 17 residents participated. An oral health coaching programme was performed 4 h/wk for 3 months. The staff completed the nursing Dental Coping Beliefs Scale at baseline and after 9 months. Oral health of the residents was assessed using the Revised Oral Assessment Guide and mucosal-plaque score at baseline and after 3, 6 and 9 months. RESULTS: At baseline, 33 staff participated and 22 at 9 months follow-up. For the residents, the figures were 48 and 32, respectively. After the intervention, the nursing DCBS revealed changes related to usage of fluoride, oral health support, gum disease and approximal cleaning. The most frequently reported oral health problems among the residents pertained to teeth and gums. The residents' relatively high level of oral health was stable during the study period. CONCLUSIONS: Despite limitations in the programme, an oral health coaching programme can support nursing staff in maintaining a high level of oral health in residents. The programme was shown feasible, although design improvements are needed.


Assuntos
Tutoria , Saúde Bucal , Idoso , Estudos de Viabilidade , Humanos , Casas de Saúde , Higiene Bucal , Suécia
15.
Int J Dent Hyg ; 18(1): 73-83, 2020 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-31291683

RESUMO

OBJECTIVE: To evaluate the effectiveness of the WhiteTeeth mobile app, a theory-based mobile health (mHealth) program for promoting oral hygiene in adolescent orthodontic patients. METHODS: In this parallel randomized controlled trial, the data of 132 adolescents were collected during three orthodontic check-ups: at baseline (T0), at 6-week follow-up (T1) and at 12-week follow-up (T2). The intervention group was given access to the WhiteTeeth app in addition to usual care (n = 67). The control group received usual care only (n = 65). The oral hygiene outcomes were the presence and the amount of dental plaque (Al-Anezi and Harradine plaque index), and the total number of sites with gingival bleeding (Bleeding on Marginal Probing Index). Oral health behaviour and its psychosocial factors were measured through a digital questionnaire. We performed linear mixed-model analyses to determine the intervention effects. RESULTS: At 6-week follow-up, the intervention led to a significant decrease in gingival bleeding (B = -3.74; 95% CI -6.84 to -0.65) and an increase in the use of fluoride mouth rinse (B = 1.93; 95% CI 0.36 to 3.50). At 12-week follow-up, dental plaque accumulation (B = -11.32; 95% CI -20.57 to -2.07) and the number of sites covered with plaque (B = -6.77; 95% CI -11.67 to -1.87) had been reduced significantly more in the intervention group than in the control group. CONCLUSIONS: The results show that adolescents with fixed orthodontic appliances can be helped to improve their oral hygiene when usual care is combined with a mobile app that provides oral health education and automatic coaching. Netherlands Trial Registry Identifier: NTR6206: 20 February 2017.


Assuntos
Placa Dentária , Aplicativos Móveis , Adolescente , Índice de Placa Dentária , Humanos , Países Baixos , Higiene Bucal
16.
Oral Health Prev Dent ; 17(6): 533-539, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31825025

RESUMO

PURPOSE: To compare adhesive flash-free (FF) and adhesive pre-coated (APC) brackets in terms of plaque retention and constituents, gingival biomarkers and enamel demineralisation. MATERIALS AND METHODS: Fifty adolescents (mean age ± SD; 14.23 ± 0.15 years, age range: 13-18 years) were randomly distributed to receive FF or APC ceramic brackets in the maxillary right or left quadrant. Plaque and gingival indices, quantitative light-induced fluorescence (QLF) imaging, gingival crevicular fluid (GCF) and plaque sampling were performed at baseline and at 1, 2 and 3 months (T0, T1, T2, T3) after bracket placement. QLF was repeated following debonding. GCF samples were analysed for biomarkers by immunoassay and plaque by real-time PCR for bacterial content. Data were analysed using the Wilcoxon test on dependent samples and 2-tailed ANOVA. RESULTS: Plaque index, gingival index and fluorescence changes were similar for the two adhesive-bracket systems. GCF volumes and interleukin (IL)-1ß levels increased compared to baseline (p < 0.05). IL-17A levels and RANKL:OPG ratios were similar in both groups. In dental plaque, Aggregatibacter actinomycetemcomitans numbers were higher in the APC group at T3. Fusobacterium nucleatum (Fn) counts statistically significantly decreased at T1 and T3 as compared to T0 in the FF group (p < 0.05 and p < 0.01, respectively), whereas Fn counts increased in the APC group at T3 (p < 0.01). Porphyromonas gingivalis, Streptococcus oralis and total bacterial counts were significantly higher in the APC group than in the FF group at T3 (p < 0.01). CONCLUSION: In orthodontic patients with good oral hygiene, the quantity of plaque on adhesive flash-free brackets and conventional brackets did not differ, but the constituents of plaque differed, with less pathogenic bacteria detected around adhesive flash-free brackets. Further studies also including a group of individuals with poor oral hygiene and longer follow-up periods may better clarify the issue.


Assuntos
Braquetes Ortodônticos , Adolescente , Cerâmica , Cimentos Dentários , Índice de Placa Dentária , Humanos , Higiene Bucal
17.
Rev Fac Cien Med Univ Nac Cordoba ; 76(4): 222-226, 2019 11 27.
Artigo em Espanhol | MEDLINE | ID: mdl-31833745

RESUMO

Introduction: Asthma is related to caries but the risk factors are not completely determined. Therefore, the objective of the study was to determine the risk of dental caries in pediatric asthmatic patients in inhalation treatment with salbutamol and budesonide who went to the National Hospital Arzobispo Loayza. Methods: Case-control study that consisted of 184 pediatric patients, between 5 and 12 years old, who attended the pneumology and pediatric dentistry service of the National Hospital Arzobispo Loayza during the years 2016-2017. The group of cases (n = 92) was composed of patients with moderate asthma medicated with inhaled salbutamol and budesonide, while the control group (n = 92) was composed of healthy patients. The risk of dental caries was evaluated with the dietary record, oral hygiene index and number of carious lesions. Results: The risk according to the type of cariogenic diet was moderate in both groups (p = 0.768). The oral hygiene index in the control group was regular in 63% (n = 58) and in the case group, bad in 60.9% (n = 56); p=0.001. The number of carious lesions in the control group was moderate in 50% (n = 46) and in the case group, high in 47.8% (n = 44); p = 0.001. Therefore, the risk of dental caries in the case group was high in 50% (n = 46) and in the control group it was moderate in 72.8% (n = 67); p = 0.001. Conclusion: The risk of dental caries in asthmatic patients on inhaled therapy with salbutamol and budesonide is significantly higher than that of healthy patients.


Assuntos
Albuterol/efeitos adversos , Antiasmáticos/efeitos adversos , Asma/tratamento farmacológico , Budesonida/efeitos adversos , Cárie Dentária/induzido quimicamente , Administração por Inalação , Albuterol/administração & dosagem , Antiasmáticos/administração & dosagem , Budesonida/administração & dosagem , Estudos de Casos e Controles , Criança , Pré-Escolar , Cárie Dentária/epidemiologia , Feminino , Humanos , Incidência , Masculino , Higiene Bucal , Peru/epidemiologia , Projetos Piloto , Fatores de Risco
18.
Braz Oral Res ; 33: e062, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31859706

RESUMO

Laboratory evidence has demonstrated the antimicrobial effect of Melaleuca alternifolia (MEL) against oral microorganisms. This randomized, double-blind, crossover clinical trial, compared the anti-biofilm and anti-inflammatory effects of MEL nanoparticles with 0.12% chlorhexidine gluconate (CHX) on biofilm-free (BF) and biofilm-covered (BC) surfaces. Before each experimental period, the participants refrained from all oral hygiene practices for 72 hours. The 60 participants were randomly assigned to professional prophylaxis in two quadrants (Q1-Q3 or Q2-Q4), and rinsed with MEL or CHX for four days. The Quigley & Hein plaque index (QHPI), gingival crevicular fluid (GCF) volume, and participants' perceptions were assessed. CHX showed significantly lower mean QHPI on BF (2.65 ± 0.34 vs. 3.34 ± 0.33, p < 0.05) and BC surfaces (2.84 ± 0.37 vs. 3.37 ± 0.33, p < 0.05). Intragroup comparisons indicated reductions in GCF in all the groups, with significant differences only for CHX on BF surfaces (p < 0.05). Intergroup comparisons revealed no significant differences (p > 0.05). Based on individual perceptions, CHX had better taste and biofilm control, but resulted in a greater change in taste. Nevertheless, MEL demonstrated anti-inflammatory effects similar to those of CHX. Further clinical trials testing different protocols, concentrations and follow-up periods are required to establish its clinical application.


Assuntos
Anti-Inflamatórios/farmacologia , Biofilmes/efeitos dos fármacos , Clorexidina/análogos & derivados , Placa Dentária/tratamento farmacológico , Melaleuca/química , Antissépticos Bucais/farmacologia , Nanopartículas/química , Adolescente , Adulto , Clorexidina/farmacologia , Estudos Cross-Over , Índice de Placa Dentária , Método Duplo-Cego , Feminino , Líquido do Sulco Gengival/efeitos dos fármacos , Humanos , Masculino , Higiene Bucal/métodos , Doenças Periodontais/microbiologia , Doenças Periodontais/prevenção & controle , Estatísticas não Paramétricas , Propriedades de Superfície/efeitos dos fármacos , Inquéritos e Questionários , Escala Visual Analógica , Adulto Jovem
19.
Rev. cient. odontol ; 7(2): 52-63, jul.-dic. 2019.
Artigo em Espanhol | LILACS | ID: biblio-1046650

RESUMO

Terminado el tratamiento de ortodoncia, el objetivo principal es mantener la estabilidad oclusal a largo plazo evitando la recidiva, y esto es posible utilizando una contención fija posortodoncia. El propósito de esta investigación fue evaluar los diferentes métodos que existen para el control de placa bacteriana en los pacientes con contención fija posortodoncia y como podrían afectar el estado de salud periodontal. Existen muchos estudios a corto y largo plazo sobre este tema, pero no hay uno que realmente indique que existen efectos negativos. Sin embargo, se conoce que estos pacientes tienen tendencia a acumular una mayor cantidad de placa bacteriana, lo que conlleva a que haya un mayor riesgo de formación de cálculo, inflamación gingival, recesión gingival, caries lingual e interproximal, y enfermedad periodontal. Por eso, la mayoría de estudios resaltan como factor determinante la buena higiene oral para garantizar la salud periodontal y acudir a las citas control con el ortodoncista para evaluar el estado físico de la aparatología, a fin de evitar posibles fracturas o fallas en el sistema de adhesión de la contención fija y darle un tratamiento inmediato si esto ya hubiera ocurrido. La literatura no indica una técnica oral específica para los pacientes con contención fija posortodoncia, pero sí señala que se puede lograr una buena salud periodontal si el paciente mantiene una higiene oral adecuada y cómo el ortodoncista juega un rol importante motivando al paciente para lograrla.(AU)


The main objective following orthodontic treatment is to maintain long-term occlusal stability to avoid recurrence, and this is possible using post orthodontic fixed containment. The purpose of this study was to evaluate the different methods used for the control of bacterial plaque in patients with post orthodontic fixed containment and how these methods affect periodontal health status. There are many short- and long-term studies in this regard, but none have described negative effects. However, it is known that these patients tend to accumulate a greater amount of bacterial plaque, leading to a greater risk of calculus formation, gingival inflammation, gingival recession, lingual and interproximal caries, and periodontal disease. The refore, most studies have described good oral hygiene as the determinant factor for ensuring adequate periodontal health. They also report the need for patients to attend control appointments with their orthodontist to evaluate the state of the aprotology, avoiding possible fractures or failures in the adhesion system of the fixed retainer and receiving immediate treatment when this occurs. While the literature does not indicate a specific oral hygiene technique for patients with post orthodontic fixed containment, it does indicate that good periodontal health can be achieved if adequate oral hygiene is maintained and the important role orthodontists play in motivating the patients to achieve this. (AU)


Assuntos
Humanos , Masculino , Feminino , Higiene Bucal , Ortodontia , Escovação Dentária , Placa Dentária/prevenção & controle
20.
Hua Xi Kou Qiang Yi Xue Za Zhi ; 37(6): 608-614, 2019 Dec 01.
Artigo em Chinês | MEDLINE | ID: mdl-31875438

RESUMO

OBJECTIVE: To investigate the caries status of the first permanent molars in urban and rural children aged 10-12 in Chongqing and analyze the related factors in order to provide a theoretical basis for the prevention and treatment of children's caries and targeted suggestions for oral health education. METHODS: A multi-stage, stratified, cluster, and random sampling method was used to extract 5 057 children from 18 schools in three districts and three counties in Chongqing for oral health examination and questionnaire survey from March to May 2018. RESULTS: The total caries rate of the first permanent molar was 39.2%. The decayed-missing-filled tooth was 0.84±1.20. The rate of filling teeth was 3.4%. The rate of pit and fissure sealing was 6.1%. The prevalence of the first permanent molars was significantly different between men and women, between urban and rural areas, between only children and non-only children, and between ethnic minorities and Han nationality (P<0.001). The gap between the pit and fissure sealing was significantly different between urban and rural areas (P<0.001). Multiple logistic regression analysis showed that many independent factors influence the occurrence of caries, including the frequency of brushing teeth every day, the frequency of eating desserts, the habit of eating dessert/drinking milk before going to bed, whether only-children or not, and parents' education background, among others. CONCLUSIONS: The first permanent molars of children aged 10-12 in Chongqing have a high rate of caries but low rates of pit and fissure sealing and dental caries filling. The difference between urban and rural areas is large, children's oral health knowledge is scarce, and children have bad oral hygiene behaviors and eating habits. Children's oral health education must be strengthened, oral health preaching must be implemented in schools, the oral health knowledge of children in school must be improved, and urban-rural differences must be minimized.


Assuntos
Cárie Dentária , Criança , Índice CPO , Feminino , Humanos , Masculino , Saúde Bucal , Higiene Bucal , Prevalência , Estudantes
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA