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1.
Rev. Odontol. Araçatuba (Impr.) ; 41(3): 22-28, set./dez. 2020. tab
Artigo em Português | LILACS, BBO - Odontologia | ID: biblio-1121727

RESUMO

Objetivo: verificar a eficácia das técnicas de higiene oral, solução de clorexidina com gaze e espátula e da escovação dentária com solução de clorexidina no controle microbiológico oral de pacientes internados em UTI. Metodologia: as bases de dados utilizadas foram PUB MED, MEDLINE, SCIELO e LILACS em março a julho de 2019. Foram incluídos artigos na língua inglesa e portuguesa, disponíveis em livre acesso com o texto completo, com período de publicação entre 2009 a 2019 e que abordassem sobre os métodos de higiene oral na UTI e relacionasse a enfermidades encontradas nesse ambiente. Resultados: foram encontrados 32 artigos, 8 se enquadravam nos critérios de inclusão. Os artigos de revisão evidenciaram a importância da higiene oral em pacientes com ventilação mecânica e relatam o uso da clorexidina como método eficaz na prevenção de PAV. Já nos estudos clínicos randomizados, mostram não haver diferença estatisticamente significativa entre o uso da escova dental e a solução de clorexidina 0,12%. Conclusão: ambos os métodos são eficientes na higienização oral de pacientes internados e que não há diferença significativa nos estudos quando comparam a escova de dentes com o uso da clorexidina com gaze para a higiene oral na UTI. Mas quando se fala em prevenção de PAV, a clorexidina 0,12% é o mais citado(AU)


Objective: to verify the effectiveness of oral hygiene techniques, chlorhexidine solution with gauze and spatula and toothbrushing with chlorhexidine solution in the oral microbiological control of patients admitted to the ICU. Methodology: the databases used were PUB MED, MEDLINE, SCIELO and LILACS in March to July 2019. Articles in English and Portuguese were included, freely available with the full text, with a period of publication between 2009 and 2019 and to address oral hygiene methods in the ICU and relate to diseases found in that environment. Results: 32 articles were found, 8 fit the inclusion criteria. The review articles highlighted the importance of oral hygiene in patients with mechanical ventilation and report the use of chlorhexidine as an effective method in preventing VAP. In randomized clinical studies, however, they show no statistically significant difference between the use of the toothbrush and the 0.12% chlorhexidine solution. Conclusion: both methods are efficient in oral hygiene of hospitalized patients and that there is no significant difference in the studies when comparing the toothbrush with the use of chlorhexidine with gauze for oral hygiene in the ICU. But when talking about VAP prevention, 0.12% chlorhexidine is the most cited(AU)


Assuntos
Higiene Bucal , Pacientes Internados , Unidades de Terapia Intensiva , Escovação Dentária , Clorexidina
2.
J Dent Hyg ; 94(5): 22-29, 2020 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-33008946

RESUMO

Purpose: The growing geriatric population has unique and often complex oral health care needs. The purpose of this study was to explore the perceptions regarding direct access dental hygienists (DH) regarding the geriatric curriculum needed in dental hygiene education programs to prepare DHs to provide direct access care for geriatric populations.Methods: Purposive and network sampling strategies were used to recruit eligible direct access DHs from across the United States for this qualitative study. Semi-structured telephone interviews were conducted until was met. Demographic data were analyzed using descriptive statistics. Open coding techniques were used to identify themes.Results: Ten direct access DHs agreed to participate. Nine themes emerged from the data analysis: combining didactic and hands-on experience, how direct access differs from traditional practice, importance of a standardized course in entry-level programs, need for a specialty course in geriatrics, understanding the geriatric patient, understanding direct access settings, modifications to treatment modalities, process of care, and interprofessional knowledge. Participants indicated that entry-level dental hygiene students should be exposed to hands-on clinical rotations, have a standardized aging and geriatrics course, and potentially incorporate geriatrics as a specialty tract within dental hygiene programs.Conclusion: Geriatrics may not be covered in sufficient depth to prepare entry-level dental hygiene students for work with these populations in direct access settings. Findings from this study may be used to support improvements in geriatric curriculum for entry-level dental hygiene programs. Future research is needed to determine necessary focus and most effective way to disseminate this curricular content.


Assuntos
Higienistas Dentários , Higiene Bucal , Idoso , Currículo , Humanos , Saúde Bucal , Estudantes , Estados Unidos
3.
J Dent Hyg ; 94(5): 30-37, 2020 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-33008947

RESUMO

Purpose: Dental hygiene graduates often experience significant psychological stress while transitioning from the educational setting to clinical practice environments. The purpose of this study was to characterize the duration of dental hygiene activities and tasks and explore efficiency within appointments, by students in educational programs.Methods: Right-handed female dental hygiene students were recruited from two dental hygiene education programs. Each participant was video recorded while providing patient care during 3 sessions, once per term, over 3 consecutive terms. Activities, tasks, and student postures and positions were coded across the patient visit. Descriptive analyses were conducted to characterize overall durations and distributions across each category. Time spent on non-dental hygiene related activities was compared to other durations, as well as across the education/training time points and by patient type.Results: Fifty-three videos were analyzed from nineteen participants. The average patient visit length was 155.06 ± 35.63 minutes; approximately half the visit was dedicated to instrumentation activities. Nearly 20% of the visit was categorized as activities or tasks unrelated to education or patient care. Although most participants completed the patient visit more quickly by the third time point, the percentage of non-dental hygiene activities did not decrease, and there were no associations between patient category type and the duration of the patient visit.Conclusion: Patient visits were roughly three times the length of the typical dental hygiene care appointment, indicating a disconnect between training and practice. In addition to spending more time on hand scaling tasks, participants spent a lot of time on equipment setup and interacting with or waiting for faculty members. These findings have implications for improving efficiency in educational settings, particularly to facilitate a successful transition to clinical practice.


Assuntos
Higienistas Dentários , Higiene Bucal , Agendamento de Consultas , Docentes , Feminino , Humanos , Estudantes
4.
J Dent Hyg ; 94(5): 44-52, 2020 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-33008949

RESUMO

Purpose: Examining the long-term outcomes of education programs delivered online can help assess the impact of the program on graduates and the value of the delivery format. The purpose of this study was to measure the overall outcomes of an online dental hygiene degree completion program and identify key alumni outcomes.Methods: A 35 item electronic survey was delivered via email to all graduates (2009-2017) of an online degree completion program based in Ann Arbor, Michigan, two years following program completion. Survey items included Likert scale, closed and open-ended questions focusing on career characteristics, leadership, scholarly activities, evidence- and community-based practices, professional confidence, and transformative learning. Descriptive and inferential statistics were used to analyze the data.Results: Of the nine alumni cohorts (n=75), 50 graduates participated in the survey for a response rate of 67%. Eighty-two percent of respondents felt they had more career options after graduation and reported post-degree career activities that included dental hygiene instruction (36%), public health (32%), and administration (14%). There was a statistically significant increase in the instructor/educator role of the participants post-graduation (p = 0.000). The majority (94%) indicated the program improved their competency in areas of leadership and evidence-based practice and all (100%) indicated a greater responsibility to use their professional skills to address oral health disparities in their communitiesConclusion: Graduates of the online degree completion program reported ongoing activities in key areas of leadership, evidence- and community-based practice. Future research should focus on ensuring that program goals reflect the evolving dental hygiene profession and program delivery practices meet the needs of the working professional student.


Assuntos
Higienistas Dentários , Higiene Bucal , Humanos , Estudos Longitudinais , Michigan , Inquéritos e Questionários
5.
Medicine (Baltimore) ; 99(41): e22508, 2020 Oct 09.
Artigo em Inglês | MEDLINE | ID: mdl-33031289

RESUMO

RATIONALE: Vitamin D-dependent rickets type I (VDDR-I) is a rare form of rickets, which is an autosomal recessive disease caused by 1α-hydroxylase enzyme deficiency. However, long-term dental management and microscopic morphology of teeth remain largely unclear. PATIENT CONCERNS: We report the case of a 10-year-old Chinese boy complaining of yellowish-brown teeth with extensive caries. DIAGNOSES: Clinical and laboratory examinations were performed, and VDDR-I was confirmed. Scanning electron microscopy confirmed amelogenesis imperfecta. INTERVENTIONS: The patient had been taking drugs intervention for VDDR-I from the age of 3 years. The decayed teeth were treated, and metal-preformed crowns were placed to prevent further impairment. Sequence tooth extraction and remineralization therapy were also performed. OUTCOMES: After 3 years of follow-up, the patient exhibited normal tooth replacement and an acceptable oral hygiene status. However, the new erupted teeth had amelogenesis imperfecta. LESSONS: This case is the first to confirm amelogenesis imperfecta in a patient with VDDR-I that was not prevented by drug intervention. Importantly, it provides evidence that long-term dental intervention in patients with VDDR-I can result in an acceptable oral hygiene status. Therefore, early and long-term dental intervention is necessary in VDDR-I patients.


Assuntos
Amelogênese Imperfeita/terapia , Cárie Dentária/terapia , Raquitismo Hipofosfatêmico Familiar/complicações , Amelogênese Imperfeita/etiologia , Criança , Coroas , Cárie Dentária/etiologia , Restauração Dentária Permanente , Humanos , Masculino , Higiene Bucal , Extração Seriada
6.
Wiad Lek ; 73(8): 1730-1734, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-33055343

RESUMO

OBJECTIVE: The aim: Investigate the factors that influence the tendency of parents to follow the advice of a dentist on the way to improving the dental health of their children and build a prognostic model. PATIENTS AND METHODS: Materials and methods: Materials: we analyzed 406 questionnaires (specially created by the author), which contain the answers of parents of schoolchildren of Poltava. Methods: questionnaires, medical and statistical, modeling. RESULTS: Results: The statistical processing of the questionnaires revealed a number of factors those that affect parents' compliance with the advice of a dentist, increasing or decreasing the chances of it: low sanitary and hygienic awareness of parents; non-observance of hygiene rules by parents; parents do not teach the child to care for the oral cavity;opinion of the parents that only state must take care of children's health; the recommendations of the dentist wasn`t received; child had never visited a dentist for prevention. The operational characteristics of the obtained prognostic model: the area under the curve is 0,762, which indicates a good predictability of the model. Sensitivity is 82,2%, specificity - 79,8%. CONCLUSION: Conclusions: The data obtained as a result of our study and the constructed prognostic model: they indicate low sanitary and hygienic awareness of parents, paternalism of their thinking (shifting responsibility to someone, unwillingness to take responsibility), lack of medical and hygienic knowledge, as a result of which they do not apply them to themselves and, of course, to their children. The solution to this problem is possible only through informational and explanatory activities with the involvement of modern methods of communication and people who have passed appropriate training.


Assuntos
Saúde Bucal , Pais , Criança , Odontólogos , Humanos , Higiene Bucal , Cooperação do Paciente
7.
Rev Bras Epidemiol ; 23: e200094, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32965303

RESUMO

INTRODUCTION: Poor oral hygiene, regular use of mouthwash and absence of visits to the dentist could correspond to potential risk factors for the development of head and neck cancer. OBJECTIVE: The objective of this study was to determine whether oral hygiene is associated with the occurrence of oral cavity and head and neck cancer in a Brazilian sample. METHOD: The variables of oral hygiene condition, such as toothbrushing frequency, dental loss, need and use of prosthesis, and regular visit to the dentist in a case-control study were analyzed in patients from five hospitals in the state of São Paulo, Brazil, paired by gender and age, from the multicenter project Genoma do Câncer de Cabeça e Pescoço (GENCAPO). RESULTS: The most frequent malignancies in the 899 patients included were those of the tongue border (11.41%) and tongue base (10.92%). The multivariable statistical analysis found odds ratio values: Brushing once 0.33 (95%CI 0.25 - 0.44); Brushing twice 0.42 (95%CI 0.35 - 0.52); Flossing always 0.19 (95%CI 0.13 - 0.27); Flossing sometimes 0.19 (95%CI 0.15 - 0.24); Bleeding 2.40 (95%CI 1.40 - 4.09); Prosthesis 1.99 (95%CI 1.54 - 2.56); Visiting the dentist 0.29 (95%CI 0.22 - 0.37); Good hygiene 0.21 (95%CI 0.17 - 0.27); Regular hygiene 0.20 (95%CI 0.15 - 0.25); number of missing teeth (6 or more) 3.30 (95%CI 2.67 - 4.08). CONCLUSION: These data showed that, in the population studied, indicators of good hygiene such as brushing teeth and flossing were protective factors for mouth and head and neck cancer, while bleeding and many missing teeth were risk factors.


Assuntos
Carcinoma de Células Escamosas/epidemiologia , Neoplasias de Cabeça e Pescoço/epidemiologia , Neoplasias Laríngeas/epidemiologia , Neoplasias Bucais/epidemiologia , Higiene Bucal/estatística & dados numéricos , Escovação Dentária , Brasil/epidemiologia , Estudos de Casos e Controles , Neoplasias de Cabeça e Pescoço/patologia , Humanos , Neoplasias Laríngeas/patologia , Neoplasias Bucais/patologia
8.
Rev Assoc Med Bras (1992) ; 66Suppl 2(Suppl 2): 96-101, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32965365

RESUMO

COVID-19, caused by SARS-CoV-2, can present respiratory complications that often lead patients to depend on mechanical ventilation (MV) for several days. It is known that Pneumonia Associated with Mechanical Ventilation (PAMV) is frequent in patients who use this equipment for a long time. As a consequence of COVID-19, its prolonged use can lead to a worse prognosis for the patients. For this reason, in addition to the insufficiency of devices for mechanical ventilation to meet the current demand, it is necessary to adopt measures aimed at preventing complications that may aggravate the patient's clinical condition and, consequently, increase the average hospital stay and the respective hospital care costs. Therefore, the objective of this study was to discuss, in a concise and practical way, and based on the available literature, the importance of adopting adequate oral hygiene protocols for patients on mechanical ventilation. Based on the data obtained, it was identified that the adoption of effective oral hygiene measures, especially under the supervision of dental professionals, can contribute to the reduction of morbidity and mortality associated with MV, resulting in greater availability of mechanical ventilation equipment. Since such equipment is in great demand during the COVID-19 pandemic, the knowledge and implementation of effective oral hygiene measures will undoubtedly have an impact on improving the quality of care offered to patients, therefore benefiting all those in critical health conditions and assisted in ICUs.


Assuntos
Infecções por Coronavirus/terapia , Higiene Bucal , Pandemias , Pneumonia Viral/terapia , Respiração Artificial/efeitos adversos , Betacoronavirus , Infecções por Coronavirus/epidemiologia , Humanos , Unidades de Terapia Intensiva , Antissépticos Bucais/uso terapêutico , Pneumonia Viral/epidemiologia , Qualidade da Assistência à Saúde , Escovação Dentária/métodos
9.
Hu Li Za Zhi ; 67(5): 44-55, 2020 Oct.
Artigo em Chinês | MEDLINE | ID: mdl-32978765

RESUMO

BACKGROUND: Studies have shown that oral health is closely related to systemic diseases. Poor oral hygiene may lead to dental caries and periodontal disease and also increase the risk of cardiovascular disease. Patients with stroke have a possibility of recurrence, and good oral health is expected to benefit their general health. Nevertheless, nursing research exploring the oral health and oral hygiene behaviors of stroke patients has been rare. PURPOSE: To explore the factors significantly associated with oral health status and oral hygiene behaviors in patients with stroke. METHODS: A cross-sectional research design with convenient sampling was used. Information on health promoting behaviors and oral health status was collected in a teaching hospital in southern Taiwan. A multivariate linear regression model was applied to explore the factors associated with oral health status in patients with stroke. RESULTS: One hundred and eight-five patients with stroke were enrolled in this study. The average number of real teeth was 11.3 and the average score for oral health status was 4. The univariate analysis showed that being 65 years of age or older, having an education level below primary school, having a lower Barthel index score, having a higher modified Rankin scale score, not brushing and flossing, not having a regular tooth cleaning, having a lower of health promotion score, and having insufficient water intake levels were all associated with a worse oral health status. The stepwise regression analysis showed that factors affecting oral health status include health promotion behaviors, age, tooth brushing, and water intake, which, together, accounted for 28.5% of the total variance. CONCLUSIONS / IMPLICATIONS FOR PRACTICE: The findings indicate that oral health status, oral hygiene behaviors, and health promoting behaviors are inadequate among patients with stroke. Clinicians should promote health-related behaviors early to their patients with stroke, specifically in terms of implementing proper oral hygiene behaviors in daily routine care.


Assuntos
Saúde Bucal/estatística & dados numéricos , Higiene Bucal/psicologia , Acidente Vascular Cerebral/terapia , Idoso , Estudos Transversais , Hospitais de Ensino , Humanos , Fatores de Risco , Taiwan
10.
Evid Based Dent ; 21(3): 104-105, 2020 09.
Artigo em Inglês | MEDLINE | ID: mdl-32978543

RESUMO

This review examined the oral health interventions that have been developed for elementary school age children and the involvement of children in these intervention studies. Eight randomised controlled trials involving 3,232 children were analysed using deductive content analysis by two authors. Child involvement was categorised using the Typology of Youth Participation and Empowerment TYPE model. In all eight studies, the interventions were designed by the researchers and adult-led without involvement of children. Further studies with participatory research methodology are recommended to better understand the role of involvement of children in oral health education.Data sources The data search was carried out in April 2018 using PubMed, CINAHL, Embase and Scopus databases. The search focused on elementary age school children (6-12 years) who were involved in oral health education intervention studies. Exclusion criteria were studies involving children with mental or physical impairment, undergoing hospital or orthodontic treatment, preventative treatments or solely targeted towards parents/caregivers or teachers.Study selection A systematic review method of randomised controlled trials (RCTs) was selected. Titles and abstracts were included or excluded before full text analysis for eligibility was carried out. Studies were assessed by two authors with a third author to be consulted in cases of disagreement.Data extraction and synthesis Study sample, intervention duration and content, selection, use of educational methods including use of a theoretical framework and outcomes were extracted from the data. Child involvement was categorised using the Typology of Youth Participation and Empowerment (TYPE) pyramid (Wong et al., 2010).1 The quality of studies was assessed using the CONSORT checklist and the Cochrane risk of bias tool. The methodological quality of the studies was relatively low with a score of 14-22 out of 36. Three studies were rated as being fair quality in terms of risk of bias. The remaining five were rated as either unclear or high risk of bias.Results Eight RCTs were selected for review. Sixty-five articles were assessed for eligibility and 57 articles were excluded due to non-RCT design, excluded/unreported ages and full text unavailability. Nine different methods of oral health education were identified: lecture; printed material; demonstration; toothbrushing diary; game; video; workshop; discussion; and oral hygiene training. None of the reported studies demonstrated a rationale for selecting their educational method. Four reports described a theoretical framework for development their intervention: social learning theory (Parcel and Baranowski, 1981) was used by Haleem et al. (2012); Health Belief Model (Becker, 1974) by Yekaninejad et al. (2012), Wolf's health learning capacity (2009) by Freeman et al. (2016) and Ajzen's theory of planned behaviour (1991) by Simpriano and Mialhe (2017). However, the use of these theories was limited and no attempts to introduce children's perspectives into the theoretical framework was identified.Five outcomes to measure effectiveness were found: clinical oral health status; oral health-related behaviour; oral health knowledge; attitudes towards oral health; and oral health related quality of life. Clinical oral health status was the most commonly used outcome (seven of the eight studies). Positive outcomes were found in all eight studies. None of the reports considered the potential for enhancing intervention effects by involving children more actively. The children's role in the interventions was mostly the Vessel type of participation from the TYPE pyramid model. Partially symbolic participation was detected in two studies - Haleem et al. (2012) trained children to conduct oral health education in the role of peer educators and Simpriano and Mialhe (2017) trained children to create their own plans for daily toothbrushing and how to overcome situations preventing that task. There were no reports of consultation or collaboration with children for their perspectives before or after the interventions. Interventions appear to have been created by the researchers alone.Conclusions In all of the included studies, children were only involved during the intervention implementation phase. The interventions were all adult designed and adult led. Lack of detail in the reports meant that reported positive outcomes could not be clearly attributed to the activities carried out by the children. Further studies with participatory research methodology are recommended to better understand the potential role of children in oral health education and research.


Assuntos
Educação em Saúde Bucal , Qualidade de Vida , Adolescente , Adulto , Criança , Humanos , Saúde Bucal , Higiene Bucal , Instituições Acadêmicas
11.
Evid Based Dent ; 21(3): 110-111, 2020 09.
Artigo em Inglês | MEDLINE | ID: mdl-32978546

RESUMO

Aim To investigate the differential preventive effect of motivational interviewing on early childhood caries according to socioeconomic variables in a primary healthcare setting. Trial design Randomised, double-blind trial with two parallel groups, based in a community setting.Study population Selected from an invited subgroup of children born in 2013 and 2014 in the northern area of the city of Porto Alegre, Rio Grande do Sul, BrazilInterventions Primary caregivers of the patients were randomised to receive information about breastfeeding, child nutrition and oral hygiene during an initial dental appointment in the patient's first year of life either by conventional delivery techniques or by motivational interviewing.Outcomes Analysis of dmfs index from clinical examinationResults Nine-hundred and fifteen patients were randomised to the two arms and 414 children were included in the study, with 501 lost to follow up. One-hundred and eighty-six received conventional health education, and 228 received motivational interviewing. The caries rate per 100 surface year was 1.29 for the conventional education group, and 0.46 for the motivational interviewing group. The effect of motivational interviewing was statistically significant in the lower-income category with prevention of 57% of carious lesions. There was no such statistically significant difference in the higher income subjects.Conclusions The outcome showed reduced caries experience by children where their primary caregiver has received preventative advice via a motivational interviewing technique when compared to conventional education methods. This study suggests that motivational interviewing is more effective in more disadvantaged groups.


Assuntos
Cárie Dentária , Entrevista Motivacional , Cuidadores , Criança , Pré-Escolar , Método Duplo-Cego , Humanos , Higiene Bucal
12.
Medicine (Baltimore) ; 99(33): e21566, 2020 Aug 14.
Artigo em Inglês | MEDLINE | ID: mdl-32872008

RESUMO

Metabolic syndrome (MetS) refers to the pathological state of metabolic disorders in the body's proteins, fats, carbohydrates and other substances. MetS is a systemic metabolic disease. Periodontal disease is also a part of systemic inflammatory diseases. Among Chinese patients with middle-aged and elderly MetS, the periodontal morbidity is very high, which is due to the involvement of inflammatory mediators in the pathogenesis of MetS and periodontal disease. The latter may also be a risk factor for the former's morbidity and promotion of disease progression. At present, there are not many investigations and studies on periodontal examination data and periodontal disease prevalence of patients with MetS. Coal mine workers, especially coal mine underground workers, have different work natures and different working environments. See related report.We will collect the clinical diagnosis and treatment information of the enrolled patients. We will focus on checking the incidence of periodontal disease and recording. Establish a database, check every 10 medical records, and make corrections in time to ensure data accuracy. We will popularize oral hygiene knowledge for the included patients and guide them to brush their teeth correctly and how to use dental floss. We will perform periodontal examination on the patients' teeth by site and record the plaque index, gingival sulcus bleeding index, periodontal pocket exploration depth and other indicators. We will repeat the above inspection items and record in the second and fourth weeks of the experiment.This study will explore the correlation between periodontal disease and MetS of coal mine workers. We aim to clarify the role and mechanism of MetS in the occurrence and development of periodontal diseases, guide the prevention of periodontal diseases, and thus reduce the prevalence of periodontal diseases. TRIAL REGISTRATION:: ClinicalTrials.gov, ChiCTR2000034177, Registered on 27 June 2020.


Assuntos
Carvão Mineral , Síndrome Metabólica/epidemiologia , Mineradores/estatística & dados numéricos , Doenças Periodontais/epidemiologia , Adulto , Glicemia , Pressão Sanguínea , Índice de Massa Corporal , China/epidemiologia , Feminino , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Lipídeos/sangue , Masculino , Pessoa de Meia-Idade , Higiene Bucal , Índice Periodontal , Prevalência , Fatores de Risco , Fumar/epidemiologia , Adulto Jovem
13.
Oral Health Prev Dent ; 18(1): 833-842, 2020 Sep 04.
Artigo em Inglês | MEDLINE | ID: mdl-32895668

RESUMO

PURPOSE: To assess the prevalence and associated factors with early childhood caries (ECC) in a Polish population. MATERIALS AND METHODS: A cross-sectional study was carried out involving 656 three-year-old preschool children of both sexes. Data were collected through oral examination of the children and a questionnaire self-reported by their parents. The questionnaire contained information on sociodemographic aspects, feeding and oral hygiene practices, dental care utilisation and dental health knowledge. Associations between ECC and caries-related factors were analysed with use of bivariate and multivariate logistic regression and Mann-Whitney U test. RESULTS: ECC was diagnosed in 64.0% children from the rural area and 46.6% from the urban one, more often in boys (57.7%) compared to girls (49.5%) and S-ECC in 37.1%, 24.2%, 31.5% and 27.5%, respectively. The associations between caries experience and living in a rural area, male sex, education level and oral health-related knowledge of a parent, tooth brushing frequency, nocturnal bottle-feeding and feeding with sweet beverages at the age over 12 months, consumption of sweetened within the first 2 years of age and drinking of sweet beverages once a week at bivariate level were found. In the final model of the logistic multivariate regression analysis, seven variables were associated with ECC experience. They revealed the probability in decreasing order: living in a rural area (odds ratios (OR) = 1.90); feeding the child during the first 2 years with sweetened food (OR = 1.77); nocturnal drinking of sweet beverages by the >12-month-old child (OR = 1.73); education level of parent (OR = 1.53); gender - male (OR = 1.48); nocturnal bottle-feeding of the over-12-month child (OR = 1.44); and frequency of tooth brushing (OR = 1.41). CONCLUSION: The most prominent risk factors for ECC were living in a rural area, consumption of sweetened foods within the first 2 years of age and nocturnal drinking of sweet beverages by the over 12-month-old child.


Assuntos
Cárie Dentária , Alimentação Artificial , Criança , Pré-Escolar , Estudos Transversais , Feminino , Humanos , Lactente , Masculino , Higiene Bucal , Polônia , Prevalência , Fatores de Risco
14.
Hu Li Za Zhi ; 67(4): 14-23, 2020 Aug.
Artigo em Chinês | MEDLINE | ID: mdl-32748375

RESUMO

Persons with dysphagia have difficulties chewing and swallowing food because of functional, structural, or psychological reasons. Dysphagia may cause choking or the inhalation of food into the trachea and lungs. Patients with dysphagia often induce the coughing reflex when drinking water and brushing teeth and tend to suffer from gum bleeding. As a result, their caregivers tend to reduce the frequency of or discontinue teeth brushing, which promotes the spread of periodontal disease, dental caries, and oropharyngeal secretions colonizing in the oral cavity or throat. When a patient suffers a choking attack or aspiration, bacteria is inhaled into the trachea and lungs, causing aspiration pneumonia. Furthermore, patients with choking issues are often be fitted with nasogastric tubes to facilitate the delivery of nutrients and water. Long-term use of nasogastric tubes also significantly increases the risk of aspiration pneumonia. Adjusting eating posture, improving food texture, conducting swallowing rehabilitation, providing training, and practicing proper oral care are an effective approach to preventing the onset of chewing and swallowing disorders and aspiration pneumonia.


Assuntos
Transtornos de Deglutição/enfermagem , Higiene Bucal/enfermagem , Pneumonia Aspirativa/enfermagem , Humanos
15.
J Dent Hyg ; 94(4): 29-38, 2020 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-32753522

RESUMO

Purpose: The purpose of this study was to evaluate the effects of using mobile text messages and a novel floss holder as compared to finger flossing or the novel floss holder alone, on the psychological, behavioral, and clinical parameters of patients with gingivitis.Methods: A total 165 adults were assessed for eligibility and 144 met the criteria for randomization into three groups: Finger Floss (FF, n=43), Novel Floss Holder (NFH, n= 40), and Novel Floss Holder plus Text Messages (NFH+TM, n= 61) following a dental hygiene consultation appointment. Gingival bleeding points were measured on probing (BOMP) at baseline and four months later by a calibrated dental hygienist, blinded to the experimental groups. Participants also self-reported their oral hygiene behaviors, and indicated psychological determinants of behavior change prior to the dental hygiene consultation and at four months. Descriptive statistics and repeated measures analysis of variance (ANOVA) were used to compare groups over time.Results: Two subjects dropped out of the study making the total number of participants 142. At the four month follow-up, the NFH group and the NFH+TM groups demonstrated significantly higher levels of self-reported flossing, action self-efficacy, intention, action planning, and action control. The NFH+TM group showed lower levels of bleeding and higher levels of oral hygiene and recovery self-efficacy than the other groups, in addition to higher levels of maintenance self-efficacy as compared to the FF group.Conclusions: The use of a novel floss holder, NFH, was shown to improve the behavioral and psychological determinants of periodontal health four months after introduction of the device. However the clinical measures of BOMP only improved significantly when used in conjunction with text messages (NFH+TM). The use of a consciousness awareness technique,TMs, in combination with a novel device, may help patients to reach therapeutic objectives and contribute to the management of periodontal pathologies such as gingivitis.


Assuntos
Placa Dentária , Gengivite , Higiene Bucal , Envio de Mensagens de Texto , Adulto , Dispositivos para o Cuidado Bucal Domiciliar , Índice de Placa Dentária , Humanos , Escovação Dentária
16.
Ideggyogy Sz ; 73(7-08): 255-259, 2020 Jul 30.
Artigo em Húngaro | MEDLINE | ID: mdl-32750242

RESUMO

The evaluation of hand dexterity is an important marker for the success of DBS (deep brain stimulation) operation in patients with Parkinson's disease. In this study we applied a simple, semiquantitative optical dental plaque staining technique for the evaluation of the hand dexterity. Ten patient with Parkinson's disease were involved in the study. After dental students aided tooth brushing, bacterial dental deposits (plaque) were stained then photographed, and quantified under standard conditions before and after DBS surgery. Our results showed a significant decrease in dental plaque deposits after DBS operation. This simple technique seems to be a routinely applicable marker for the evaluation of the hand dexterity. Our future plans is repeating the previous experiement on a higher number of cases.


Assuntos
Estimulação Encefálica Profunda/métodos , Doença de Parkinson/fisiopatologia , Escovação Dentária , Transtornos Neurológicos da Marcha/etiologia , Transtornos Neurológicos da Marcha/fisiopatologia , Humanos , Destreza Motora , Higiene Bucal , Resultado do Tratamento
17.
J Dent Hyg ; 94(4): 6-12, 2020 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-32753519

RESUMO

Purpose: Scholarly inquiry and research are core competencies for graduate dental hygiene education as defined by American Dental Education Association (ADEA). The purpose of this study was to examine how graduate dental hygiene programs in the United States (US) are meeting these competencies.Methods: The study sample consisted of the graduate programs in the US that award a terminal degree specific to dental hygiene (n=14). Graduate program directors were invited via email to participate in an electronic survey. The survey questions were developed based on the ADEA graduate dental hygiene education competency for scholarly inquiry and research. Descriptive statistics including frequencies and percentages were used to analyze the data. Exploration of relationships between variables were conducted using correlational analyses and t-tests.Results: A response rate of 71% was achieved (n=10). There was a significant difference in the minimum number of scholarly activity requirements between programs with lower student enrollments (M=4.43, SD=1.61) versus those with higher enrollments (M=2.00, SD=0; t(8)=2.51, p=.036). A negative correlation was found between the submission of a manuscript to a peer reviewed journal and the number of students accepted per year in the graduate program (r (10)= -.655, p <.05), indicating that students graduating from programs with larger enrollments were less likely to submit their scholarly work for publication.Conclusions: All program directors reported requiring students to participate in at least one scholarly activity as defined in the ADEA Core Competencies for Graduate Dental Hygiene Education. Program size was the biggest variable in relationship to the number of scholarly requirements. Schools with smaller enrollments required their students to participate in over twice the number of scholarly activities as compared to programs with larger enrollments. More research is needed to evaluate how graduate level dental hygiene programs are meeting the ADEA competencies.


Assuntos
Higienistas Dentários , Higiene Bucal , Educação de Pós-Graduação , Humanos , Instituições Acadêmicas , Estudantes , Estados Unidos
18.
J Dent Hyg ; 94(4): 39-46, 2020 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-32753523

RESUMO

Purpose: Dental hygienists have the potential for filling critical roles in multidisciplinary victim identification teams. The purpose of this pilot study was to evaluate the accuracy of dental hygiene students utilizing dental charting, bitewings, and skull dentitions for the purpose of making identification matches.Methods: Thirty senior dental hygiene students (n=30) independently viewed an asynchronous online multimedia-based presentation on the procedures used for collecting and recording forensic dental evidence. Following the presentation participants attempted to chart and match three bitewing radiograph sets to three human skull dentitions by correlating matches/exclusions. Immediately following the activity, each student completed a questionnaire rating the difficulty of the exercise, as well as their confidence, and willingness to volunteer as a forensics team member. Descriptive statistics were used to analyze the data.Results: Of the total sample 36.7% (n=11) reported having prior experiences with dental radiography; while the majority (63.33%, n=19) reported no prior experience. Participants' accuracy scores for dental charting ranged from 91.23% (SD=9.42) to 99.06% (SD=3.60), with no statistically significant difference based on prior experience (p>0.05). The average interrater reliability was 86% (p<0.0001), indicating a high level of agreement with charting skulls and radiographs. No statistically significant differences were found for charting time, perceived difficulty, or level of confidence when comparing experience among the participants (p>0.05).Conclusions: Regardless of previous experience, dental hygiene students were able to match postmortem dentitions and radiographs with good interrater reliability and did not differ statistically for charting time, perceived difficulty, or confidence. Results suggest dental hygienists can work as effective victim identification team members when educational programs are implemented.


Assuntos
Higienistas Dentários , Higiene Bucal , Registros Odontológicos , Humanos , Projetos Piloto , Reprodutibilidade dos Testes , Estudantes
19.
Periodontol 2000 ; 84(1): 35-44, 2020 10.
Artigo em Inglês | MEDLINE | ID: mdl-32844413

RESUMO

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


Assuntos
Placa Dentária/prevenção & controle , Gengivite/prevenção & controle , Doenças Periodontais/prevenção & controle , Dispositivos para o Cuidado Bucal Domiciliar , Humanos , Higiene Bucal , Escovação Dentária
20.
Periodontol 2000 ; 84(1): 134-144, 2020 10.
Artigo em Inglês | MEDLINE | ID: mdl-32844423

RESUMO

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


Assuntos
Doenças Periodontais/prevenção & controle , Doenças Periodontais/terapia , Periodontite , Humanos , Controle de Infecções , Higiene Bucal , Escovação Dentária
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