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1.
Braz. j. oral sci ; 20: e213400, jan.-dez. 2021. tab
Artigo em Inglês | LILACS, BBO - Odontologia | ID: biblio-1254527

RESUMO

Aim: In this cross-sectional study, we evaluated the oral hygiene habits, oral health conditions, and the perception about the influence of oral health conditions on the physical performance of youth and professional volleyball and soccer athletes. Methods: A total of 96 male athletes participated: 48 volleyball players (25 youth and 23 professional players); and 48 soccer players, of whom 22 were youth, and 26 were professional players. We analyzed the oral hygiene and oral health condition (daily toothbrush, flossing, mouthwash, dental plaque, orthodontic treatment, dental/facial trauma, temporomandibular dysfunction, malocclusion, and the athletes' perception about the influence of oral health conditions on the physical performance (yes or no)). Comparisons were made between the youth and professional athletes for each sport (volleyball and soccer). According to each variable, we applied the Chi-square, Fisher's Exact, and Mann-Whitney tests. Results: For soccer athletes, we found significant differences between youth and professionals for: flossing (p=0.014), orthodontic treatment (p=0.028), dental/facial trauma (p=0.041), and the athletes' perception about oral health and physical performance (p<0.001). Considering the category (youth and professional) regardless of the type of sport, we found significant differences for dental plaque (p=0.024) and dental/facial trauma (p=0.005). According to the sport (volleyball and soccer), independent of the category, we found significant differences for daily brushing, dental/facial trauma (p=0.005), and the athletes' perception about oral health and physical performance (p=0.006). Conclusion: We concluded that the surveyed athletes had good oral health and believed that oral health can influence sports performance


Assuntos
Humanos , Masculino , Higiene Bucal , Esportes , Saúde Bucal , Desempenho Atlético
2.
Braz. j. oral sci ; 20: e219280, jan.-dez. 2021. ilus
Artigo em Inglês | LILACS, BBO - Odontologia | ID: biblio-1254266

RESUMO

Aim: To evaluate the effect of manual (M), electric (E) and ultrasonic (US) toothbrushes on the removal of oral biofilm and control of gingivitis. Also, the roughness and tooth wear production were evaluated in vitro. Methods: For the in vitro analyses, thirty bovine dentin specimens were submitted to a 3-month brushing simulation (9 minutes) with the three types of toothbrushes (n = 10). Subsequently, a randomized controlled clinical trial was performed with 36 patients divided into 3 groups according to the toothbrushes used (n = 12). Gingival index, visible plaque index and the volume of crevicular fluid were evaluated at baseline and 3 months after the beginning of the toothbrush use. Furthermore, the performance of the biofilm removal per brushing cycle of 1 and 3 minutes with each toothbrush was made monthly until the end of the experiment. Results: The US group had the highest dentin wear. Clinically, the US group had a lower plaque index at 3 months than the M group. The M group also showed less biofilm removal efficiency from the second month of follow-up and more worn bristles at the end of the 3 month period than the E and US groups. Conclusion: The ultrasonic, electric and manual toothbrushes showed no differences in gingivitis control in the present study. The ultrasonic and electric toothbrushes had a more significant effect on biofilm removal than a manual toothbrush, but the ultrasonic toothbrush promoted greater dentin tissue wear


Assuntos
Humanos , Masculino , Feminino , Higiene Bucal , Escovação Dentária , Gengivite
3.
Shanghai Kou Qiang Yi Xue ; 30(3): 288-291, 2021 Jun.
Artigo em Chinês | MEDLINE | ID: mdl-34476447

RESUMO

PURPOSE: To investigate the effect of continuous oral health education on patients with fixation after traumatic dislocation of teeth. METHODS: Sixty patients with fixation after traumatic dislocation of teeth from the Dental Emergency Department of Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine were randomly divided into control group and experimental group, thirty cases in each group. Patients in the control group were given clinical education at the time of treatments, while patients in the experimental group were given continuous oral health education after treatments. Pulp vitality, plaque index and oral hygiene behavior of the two groups were compared using SPSS 21.0 software package. RESULTS: The pulp activity of the experimental group was significantly higher than that of the control group 3 and 6 months after operation(P<0.05). The plaque index of the experimental group was significantly lower than that of the control group at 1st, 3rd, and 6th month after operation(P<0.05). The proportion of correct brushing, regular oral examination and good oral habits of the experimental group was significantly higher than those of the control group(P<0.05). CONCLUSIONS: Application of continuous oral health education in patients with fixation after traumatic dislocation of teeth can raise the living ratio of dental pulp, reduce plaque index and improve oral hygiene, which is worthy of clinical promotion and application.


Assuntos
Educação em Saúde Bucal , Higiene Bucal , China , Índice de Placa Dentária , Humanos , Saúde Bucal , Escovação Dentária
4.
Compend Contin Educ Dent ; 42(4): e1-e4, 2021 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-34469177

RESUMO

The wear of dentures carries with it the possibility of an inflammatory response by the denture-bearing tissues. Lack of or improper hygiene has been shown to contribute to denture stomatitis (DS). Although essential, denture hygiene is often overlooked by patients or performed improperly. As professional caregivers dentists must instruct patients and ensure that they understand the relevance and importance of denture hygiene. In light of this, the authors conducted a critical review of the literature on protocols and procedures to highlight the importance of denture hygiene and clinically show the effects of lack of denture care. A literature search was done through Google, PubMed, and Google Scholar that focused on publications published in English that dealt with denture hygiene and the disinfection process and on the protocols used. Relevant articles for protocols for denture disinfections were reviewed, and the results of different disinfection techniques were assessed, including manual, chemical, microwave, and a combination of techniques. The authors conclude that dentists must take time to instruct patients on proper denture disinfection procedures and the importance of cleaning the dentures well at least once daily. Denture hygiene and removal prior to sleeping is beneficial in preventing DS and allowing the tissue to achieve a state of homeostasis.


Assuntos
Estomatite sob Prótese , Dentaduras , Desinfecção , Humanos , Higiene , Higiene Bucal , Estomatite sob Prótese/etiologia
5.
Braz Oral Res ; 35: e071, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34495135

RESUMO

This study investigated the factors associated with new carious lesions in one-to five-year-old children with developmental disabilities. This was a retrospective cohort that evaluated 64 dental charts of individuals with caries or fillings in their first dental appointment. The dependent variable was the occurrence of a new carious lesion or restoration. Gender, age, mother's education, sugar consumption, oral hygiene, mouth breathing, reports of xerostomia, gingival status, use of psychotropic drugs, use of asthma drugs, history of asthma, bronchitis, reflux or seizures and having at least one sibling were covariates. Cox proportional hazards regression model was used to estimate the raw and adjusted hazard ratios with their respective 95% confidence interval. The average time that individuals remained free of dental caries/restoration was 79.49 months (95%CI: 64.37 to 92.61). Increase in sucrose consumption increased the rate of caries recurrence (HR = 1.16; 95%CI: 1.04 to 1.30). Individuals who had poor oral hygiene had higher rate of new dental caries (HR = 3.88; 95%CI: 1.22 to 12.37) compared to those with good oral hygiene. The presence of mouth breathing decreased the rate of recurrence of the disease when compared to the nasal breathing (HR = 0.32; 95%CI: 0.15 to 0.70). Oral health-related behaviors and nasal respiration influenced the rate of dental caries recurrence in individuals with developmental disabilities.


Assuntos
Cárie Dentária , Criança , Pré-Escolar , Cárie Dentária/epidemiologia , Deficiências do Desenvolvimento/epidemiologia , Humanos , Lactente , Estudos Longitudinais , Higiene Bucal , Estudos Retrospectivos
6.
Oral Health Prev Dent ; 19(1): 425-431, 2021 Jan 07.
Artigo em Inglês | MEDLINE | ID: mdl-34505496

RESUMO

PURPOSE: To assess the impact of participation in a group oral health education course on oral hygiene in Romanian military students compared to a non-participant control group. MATERIALS AND METHODS: A sample of 318 participants was enrolled from 805 recruited students. Baseline and 6-month post-intervention Simplified Oral Hygiene Index (OHI-S) scores were compared between an oral health education intervention (OHE) group (N = 159) and a control group (N = 159) using Student's t-test. All participants received individualised instruction; only those in the OHE group participated in interactive group oral-health training. RESULTS: Post-intervention OHI-S scores improved statistically significantly (p< 0.05) in both groups compared to baseline scores. The OHE group's post-intervention OHI-S scores were statistically significantly better (p< 0.05) than the control group's intervention scores. Women had better OHI-S scores than men at both time points. CONCLUSIONS: An interactive educational module produced favorable oral health results. It would be appropriate to provide an oral health course to military students aimed at supporting the maintenance of good oral health.


Assuntos
Militares , Feminino , Educação em Saúde Bucal , Humanos , Masculino , Saúde Bucal , Higiene Bucal , Índice de Higiene Oral , Estudantes
7.
Ned Tijdschr Tandheelkd ; 128(9): 451-455, 2021 09.
Artigo em Holandês | MEDLINE | ID: mdl-34490770

RESUMO

Autism spectrum disorder is a developmental disorder with a prevalence of about 1% of the population. This disorder, characterised by limitations in the domain of social communication, interaction, flexibility and processing stimuli, often requires additional attention in the dental practice. The disorder can have an effect on both general health and oral health as a result of unusual eating habits, problems with oral hygiene, the use of psychotropic medications or a vitamin D deficiency. The treatment of patients with an autism spectrum disorder generally also requires more time and patience due to the non-typical communication and interaction. Analysing the sensitivities and fears of a specific patient with autism spectrum disorder, if necessary in consultation with parents of carers, is also recommended.


Assuntos
Transtorno do Espectro Autista , Transtornos Mentais , Transtorno do Espectro Autista/epidemiologia , Humanos , Saúde Bucal , Higiene Bucal , Pais
8.
Zhongguo Yi Xue Ke Xue Yuan Xue Bao ; 43(4): 590-594, 2021 Aug.
Artigo em Chinês | MEDLINE | ID: mdl-34494531

RESUMO

Objective To investigate the oral health status and awareness of urban children in Lhasa,aiming to provide a data basis for the prevention and treatment of children's caries and the promotion of oral health education. Methods A total of 504 Tibetan students were selected by cluster sampling from 2 primary schools in Chengguan District of Lhasa.All the participants were required to take oral health examination and complete a questionnaire about oral health awareness and behavior. Results The caries prevalence rate and mean decayed-missing-filled tooth(DMFT)of permanent teeth were 75.00% and 2.18±1.91,respectively.The rates of pit and fissure sealant and filling of permanent teeth were 3.77% and 6.81%,respectively.The caries prevalence rate of first permanent molars was 47.62%.The mean DMFT of permanent teeth and caries prevalence rate of first permanent molar were significantly higher in female group(P=0.001 and P=0.007,respectively).The prevalence rate of dental fluorosis was 61.51%,and the detection rate of dental calculus was 71.83%.Multivariate logistic regression analysis showed that prevalence of caries was influenced by many independent factors including gender,oral health awareness,intention of dental intervention,and dental experience. Conclusion High caries prevalence rate,low filling rate,and poor oral hygiene and health awareness were found among the primary school students in Lhasa,which require continuous dentistry investment and oral health education for the local students and their parents.


Assuntos
Cárie Dentária , Saúde Bucal , Criança , Índice CPO , Cárie Dentária/epidemiologia , Feminino , Humanos , Higiene Bucal , Prevalência , Instituições Acadêmicas , Estudantes , Inquéritos e Questionários
9.
BMC Oral Health ; 21(1): 435, 2021 09 07.
Artigo em Inglês | MEDLINE | ID: mdl-34493255

RESUMO

BACKGROUND: Remote digital monitoring during orthodontic treatment can help patients in improving their oral hygiene performance and reducing the number of appointments due to emergency reasons, especially in time of COVID-19 pandemic where non-urgent appointments might be discouraged. METHODS: Thirty patients scheduled to start an orthodontic treatment were divided into two groups of fifteen. Compared to controls, study group patients were provided with scan box and cheek retractor (Dental Monitoring®) and were instructed to take monthly intra-oral scans. Plaque Index (PI), Gingival Index (GI), and White Spot Lesions (WSL) were recorded for both groups at baseline (t0), every month for the first 3 months (t1, t2, t3), and at 6 months (t4). Carious Lesions Onset (CLO) and Emergency Appointments (EA) were also recorded during the observation period. Inter-group differences were assessed with Student's t test and Chi-square test, intra-group differences were assessed with Cochran's Q-test (significance α = 0.05). RESULTS: Study group patients showed a significant improvement in plaque control at t3 (p = 0.010) and t4 (p = 0.039), compared to control group. No significant difference was observed in the number of WSL between the two groups. No cavities were detected in the study group, while five CLO were diagnosed in the control group (p = 0.049). A decreased number of EA was observed in the study group, but the difference was not significant. CONCLUSIONS: Integration of a remote monitoring system during orthodontic treatment was effective in improving plaque control and reducing carious lesions onset. The present findings encourage orthodontists to consider this technology to help maintaining optimal oral health of patients, especially in times of health emergency crisis.


Assuntos
COVID-19 , Higiene Bucal , Índice de Placa Dentária , Humanos , Pandemias , Estudos Prospectivos , SARS-CoV-2
10.
J Indian Soc Pedod Prev Dent ; 39(2): 147-153, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34341233

RESUMO

Background and Aim: Tooth decay as a significant but preventable public health priority continues to be a common disease in developing countries, including Iran, which is particularly prevalent among children. The present study aims to determine dental caries prevalence among elementary school students and its relationship with body mass index and oral hygiene in Ardabil, Iran in 2019. Materials and Methods: This cross-sectional study was conducted on 581 elementary school students selected through cluster random sampling method in Ardabil city in 2019. Demographic data was collected using questionnaire and anthropometric indices (height, weight) were measured using the weighing scale and stadiometer, and dental caries was evaluated using the decayed, missing, or filled teeth index (dmft for primary teeth and DMFT for permanent). Results: The mean age of students was 9.61 ± 1.76 years, and 50.8% of them were female. 20.7% (n = 120) were obese, and 19.1% (n = 111) were overweight. The overall prevalence of caries was 74.9% (n = 435) in primary teeth, 72.8% (n = 423) in permanent teeth, and 96.6% (n = 561) in all teeth. The average dmft and DMFT scores were 4.16 ± 3.72 and 1.96 ± 1.76, respectively. There was a significant inverse relationship between body mass index and dmft (r = -0.146, P < 0.0001) and DMFT (r = -0.111, P = 0.004). Conclusion: The findings showed that prevalence of dental caries in elementary school children in Ardabil city is higher than global standards, obese and over-weight children experience fewer caries compared to normal-weight children, and there is a significant relation between not brushing the teeth and dental caries.


Assuntos
Cárie Dentária , Higiene Bucal , Índice de Massa Corporal , Criança , Estudos Transversais , Índice CPO , Cárie Dentária/epidemiologia , Feminino , Humanos , Irã (Geográfico)/epidemiologia , Prevalência , Instituições Acadêmicas , Estudantes
11.
J Indian Soc Pedod Prev Dent ; 39(2): 221-224, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34341245

RESUMO

Fibrodysplasia ossificans progressiva (FOP) is an exceptionally atypical genetic disorder characterized by heterotopic bone formation within skeletal muscles, ligaments, tendons, and other connective tissues that affects one in 2 million people. A 4-year-old girl with FOP was referred to our practice with complaints of pain and discomfort in both sides of the lower jaw. Clinical examination revealed deep multiple caries and buccal gingival abscess in relation to multiple teeth. Endodontic care and conservative dental procedures were planned and performed chairside after a detailed discussion with FOP medical and dental experts. Very brief dental appointments were conducted with breaks to prevent muscle fatigue. No usage of regional anesthesia or dental dam clamps was done. The patient and her parents were counseled for oral hygiene maintenance, and periodic topical fluoride treatments were performed during successive follow-up appointments. The child is followed for 34 months post-treatment. The dental treatment modifications implemented for the present case were enough to institute good oral health and to prevent the creation of heterotopic ossifications in the maxillofacial region.


Assuntos
Cárie Dentária , Miosite Ossificante , Criança , Pré-Escolar , Feminino , Fluoretos Tópicos , Humanos , Mandíbula , Miosite Ossificante/terapia , Higiene Bucal
12.
Braz Oral Res ; 35: e089, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34378671

RESUMO

The generalist training planned by Brazilian National Curriculum Guidelines for Dentistry undergraduate courses should provide actions for the development of health promotion in the field of public health, as well as disease prevention, diagnosis, planning, and dental treatment in the clinical field. Considering this complexity, the aim of the present study was to validate dimensions and sub-dimensions in dentistry training, allowing the identification of the main necessary competences and clinical skills for the generalist practice. For this, an evaluation study was carried out through the Delph's Method with the participation of 19 professors of Dentistry courses in Brazil working in the clinical area, considered "experts" in this theme. It was possible to identify clinical competences and skills in four dimensions and respective sub-dimensions: Transversal skills (biosafety, patient-team communication, humanization, ethical principles, dental documentation); Diagnosis and planning (diagnosis of dental caries, pulp and periapical changes, and periodontal diseases, clinical and imaging exam, and single treatment planning); Preventive activities (oral hygiene guidance and oral cancer prevention); and Dental care (anesthesia, basic oral surgery, drug prescription, subgingival scaling and root planing, dental restoration, minimally and non-invasive restoration treatment, and dental urgencies). The developed model represents a differentiated alternative for the construction of an innovative curriculum in Dentistry, aimed at the training of general practitioners to provide humanized, highly effective, and resolving care. The importance of clinical tutoring by professors on the essential clinical skills and abilities is highlighted in this study.


Assuntos
Cárie Dentária , Competência Clínica , Currículo , Educação em Odontologia , Humanos , Higiene Bucal
13.
Nutrients ; 13(7)2021 Jul 14.
Artigo em Inglês | MEDLINE | ID: mdl-34371923

RESUMO

BACKGROUND: Special needs schools (SNS) educate children and young people with major neurological disabilities who are at high risk of oropharyngeal dysphagia (OD) and malnutrition (MN). We aimed to assess the prevalence of OD, MN, dehydration (DH), and oral health (OH) in students at an SNS. METHODS: A cross-sectional observational study was conducted at SNS L'Arboç, Catalonia, Spain. We assessed (a) demographics, health status, comorbidities, and gross motor function classification system (GMFCS), (b) swallowing function, oral-motor evaluation, masticatory capacity, and EDACS classification for eating and drinking abilities, (c) nutritional and DH status (anthropometry, bioimpedance and dietary records), and (d) OH (Oral Hygiene Index Simplified). RESULTS: A total of 33 students (mean age 13.3 years; 39.4% level V of GMFCS) were included. Main diagnosis was cerebral palsy at 57.6%. All students presented OD, 90.6% had impaired safety, 68.7% were at levels II-III of EDACS, and 31.3% required PEG; furthermore, 89.3% had chronic MN, 21.4% had acute MN, 70% presented intracellular DH, and 83.9% presented impaired OH. CONCLUSION: MN, DH, OD, and poor OH are highly prevalent conditions in students with cerebral palsy and other neurological disabilities and must be specifically managed through nutritional and educational strategies. The multidisciplinary team at SNS should include healthcare professionals specifically trained in these conditions.


Assuntos
Paralisia Cerebral/diagnóstico , Transtornos de Deglutição/diagnóstico , Deglutição , Crianças com Deficiência , Desnutrição/diagnóstico , Estado Nutricional , Higiene Bucal , Estado de Hidratação do Organismo , Adolescente , Desenvolvimento do Adolescente , Fenômenos Fisiológicos da Nutrição do Adolescente , Fatores Etários , Paralisia Cerebral/epidemiologia , Paralisia Cerebral/fisiopatologia , Paralisia Cerebral/terapia , Criança , Desenvolvimento Infantil , Estudos Transversais , Transtornos de Deglutição/epidemiologia , Transtornos de Deglutição/fisiopatologia , Transtornos de Deglutição/terapia , Comportamento Alimentar , Feminino , Humanos , Masculino , Desnutrição/epidemiologia , Desnutrição/fisiopatologia , Desnutrição/terapia , Destreza Motora , Prevalência , Prognóstico , Medição de Risco , Fatores de Risco , Espanha/epidemiologia
15.
Health Qual Life Outcomes ; 19(1): 201, 2021 Aug 23.
Artigo em Inglês | MEDLINE | ID: mdl-34425825

RESUMO

BACKGROUND: There is limited evidence regarding oral health related quality of life of HIV positive populations in sub-Saharan Africa. Focusing HIV positive- and HIV negative Ugandan mothers, this study assessed the influence of HIV status on oral health related quality of life in terms of oral impacts on daily performances, whilst adjusting for clinical- and socio-behavioural factors. We also examined whether any association of clinical and socio-behavioural factors with oral impacts on daily performances vary according to mothers' HIV status. METHODS: This cross-sectional study used data from a trial (n = 164) and a comparison group (n = 181). The trial comprised of mothers with HIV-1 participating in the ANRS 121741-PROMISE-PEP-trial (NCT00640263) conducted between 2009 and 2013 and from the ANRS 12341-PROMISE-PEP-M&S follow-up study conducted in 2017. The comparison group comprised of HIV negative mothers recruited in 2017. Interviews and clinical oral examinations were performed. The oral health related quality of life was assessed using the oral impacts on daily performances frequency scale. Caries experience and gingival bleeding were assessed using the World Health Organization's Decayed, Missed and Filled teeth indices and community periodontal index. Logistic and negative binomial regression analyses were performed. RESULTS: 29% of HIV-1 positive and 32% among the comparison reported any oral impact on daily performance. In adjusted logistic regression analysis, HIV status was not significantly associated with oral impacts on daily performances. Mother's self-reported oral health, caries experience, gingival bleeding and oral health related quality of life of their children were independently associated with oral impacts on daily performances. Corresponding prevalence ratios and 95% confidence intervals were: 0.3 (0.2-0.6), 1.8 (1.0-3.2), 1.1 (1.0-1.1), and 2.1 (1.1-4.3). No significant interaction between HIV status and covariates were observed. CONCLUSIONS: Oral health related quality of life was substantially impaired in Ugandan mothers but did not discriminate between HIV positive and negative participants. Mothers with impaired oral health related quality of life were more likely to have dental caries and children with impaired oral health related quality of life. HIV positive and negative mothers in Uganda deserve special attention regarding their oral disease and quality of life status.


Assuntos
Cárie Dentária/psicologia , Infecções por HIV/psicologia , Mães/psicologia , Saúde Bucal , Qualidade de Vida/psicologia , Criança , Estudos Transversais , Assistência Odontológica/estatística & dados numéricos , Cárie Dentária/epidemiologia , Feminino , Seguimentos , HIV-1 , Humanos , Mães/estatística & dados numéricos , Higiene Bucal/estatística & dados numéricos , Prevalência , Uganda/epidemiologia
16.
J Dent Hyg ; 95(4): 70-78, 2021 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-34376546

RESUMO

Purpose: Although repetitive movements may lead to musculoskeletal pain, static and sedentary postures may be primary contributors to musculoskeletal disorders. The purpose of this pilot study was to determine whether an alternating seated-standing protocol would improve postures, decrease ergonomic risks, and reduce perceived pain scores among dental hygiene students.Methods: Thirty undergraduate dental hygiene students enrolled during the summer term were recruited to participate in the randomized control design pilot study. Participants were randomly assigned to the training (n=15) and control (n=15) groups. The training group alternated between sitting and standing every 30 minutes while providing dental hygiene care. The Modified-Dental Operator Posture Assessment Instrument (M-DOPAI) was used to evaluate ergonomic scores, the Rapid Upper Limb Assessment (RULA) was used to evaluate ergonomic risk, and the Modified-Standardized Nordic Musculoskeletal Questionnaire (M-SNMQ) was used to assess self-reported pain. Photographs were captured and levels of perceived pain were assessed at baseline, week-4, and week-8. Three raters independently evaluated the photographs using the M-DOPAI and RULA. Participants completed a survey about their experiences in the study at the end of week-8. Descriptive statistics and repeated measures ANOVAs were used to analyze the quantitative data; thematic analysis was used to analyze the qualitative data.Results: Although all participants perceived a reduction of pain over the duration of the eight-week study (p<.05), the training group demonstrated no significant differences in ergonomic scores, ergonomic risks, or pain scores at the three time points (p>.05). Qualitatively, participants in the training group perceived that the seated-standing protocol clinically improved their postures and reduced their pain.Conclusion: The results suggest there were minimal impacts of the alternating seated standing protocol on ergonomic scores, ergonomic risks, or perceived pain. More research is needed to determine whether there are objective benefits to an alternating seated-standing protocol.


Assuntos
Doenças Musculoesqueléticas , Dor Musculoesquelética , Doenças Profissionais , Ergonomia , Humanos , Doenças Musculoesqueléticas/prevenção & controle , Higiene Bucal , Projetos Piloto , Postura , Ensaios Clínicos Controlados Aleatórios como Assunto , Postura Sentada , Estudantes
17.
Medicine (Baltimore) ; 100(32): e26880, 2021 Aug 13.
Artigo em Inglês | MEDLINE | ID: mdl-34397904

RESUMO

ABSTRACT: Poor oral hygiene can be potentially life-threatening in inpatients. However, no basic protocol on oral hygiene customized for inpatients exists, and lack of oral care related knowledge, attitude, and skills among caregivers could be detrimental to the general health of patients. This study sought to identify the oral care practices and oral health status of inpatients with varying physical activity limitations in a rehabilitation ward.Sixty-one inpatients in a rehabilitation ward were evaluated for their medical and physical conditions and oral health status. These were assessed using the bedside oral exam, decayed, missing, filled teeth index, plaque index, gingival index, and caries activity test.In total, 40 men and 21 women (mean age, 56.6 years) were included in this study. Among them, 50.8% of the patients could brush their teeth unassisted, whereas 49.2% required assistance from an assistant for oral care. The proportion of patients receiving nasogastric tube feeding was higher in the group that could not provide oral self-care; 36.7% and 33.3% of these patients showed moderate and severe dysfunction, respectively, based on bedside oral exam. Scores for the swallowing, tongue, and total domains of bedside oral exam were poorer for patients who could not provide oral self-care (P < .01). The caries activity test indicated a moderate risk for both groups.Our findings suggest that an oral care protocol that considers the physical activity limitations in inpatients in rehabilitation wards is necessary to minimize negative influences on the systemic health of these patients.


Assuntos
Atividades Cotidianas , Cárie Dentária , Saúde Bucal/normas , Higiene Bucal , Autocuidado , Cuidadores/educação , Cárie Dentária/diagnóstico , Cárie Dentária/prevenção & controle , Feminino , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Pacientes Internados/estatística & dados numéricos , Masculino , Pessoa de Meia-Idade , Determinação de Necessidades de Cuidados de Saúde , Higiene Bucal/educação , Higiene Bucal/métodos , Índice Periodontal , Desempenho Físico Funcional , Centros de Reabilitação/estatística & dados numéricos , República da Coreia/epidemiologia , Autocuidado/métodos , Autocuidado/estatística & dados numéricos
18.
J Can Dent Assoc ; 87: l1, 2021 01.
Artigo em Inglês | MEDLINE | ID: mdl-34343064

RESUMO

OBJECTIVE: To investigate pedagogical approaches and perceived barriers to teaching about caries-control medications, particularly silver diamine fluoride (SDF), in Canadian undergraduate dental and dental hygiene programs. METHODS: In summer 2018, a 9-item questionnaire was distributed to all 10 dental schools and 32 dental hygiene programs in Canada. It enquired about the types of caries-control medications used, teaching methods and perceived barriers to instruction on managing active caries with SDF. METHODS: In summer 2018, a 9-item questionnaire was distributed to all 10 dental schools and 32 dental hygiene programs in Canada. It enquired about the types of caries-control medications used, teaching methods and perceived barriers to instruction on managing active caries with SDF. RESULTS: The response rate was 80% (n = 8) from dental schools and 72% (n = 23) from dental hygiene programs. All curricula included information about conventional caries-control medications: fluoride, silver nitrate and povidone iodine. In all programs, instruction regarding SDF was predominantly didactic: 93% of programs presented lectures on SDF and 30% of programs included clinical teaching and use of SDF in primary dentition only. The lack of consensus on clinical protocols outlining the number and frequency of SDF applications to arrest caries was cited by 43% of the programs as a barrier to clinical teaching. CONCLUSION: There is some variation across Canada in pedagogical approaches to caries-control medications and the inclusion of SDF in curricula. Poorly defined clinical protocols were reported as the main barrier to didactic and clinical use of SDF in undergraduate dental education programs.


Assuntos
Cárie Dentária , Higiene Bucal , Canadá , Cárie Dentária/tratamento farmacológico , Cárie Dentária/prevenção & controle , Suscetibilidade à Cárie Dentária , Fluoretos Tópicos , Humanos , Nitrato de Prata
19.
Work ; 69(3): 1041-1052, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34219697

RESUMO

BACKGROUND: Work-related musculoskeletal disorders are prevalent in dental hygienists. Although engineering controls and ergonomic training is available, it is unclear why this intransigent problem continues. One possible barrier is that a comprehensive, standardized protocol for evaluating dental hygiene work does not exist. OBJECTIVE: This study aimed to generate a valid and reliable observational protocol for the assessment of dental hygiene work. METHODS: An iterative process was used to establish and refine an ecologically valid video acquisition and observation protocol to assess key activities, tasks, and performance components of dental hygiene work. RESULTS: Good inter-rater reliability was achieved across all variables when the final coding scheme was completed by three independent raters. CONCLUSIONS: This work provides an exemplar of the process required to generate a comprehensive protocol for evaluating the work components of a particular job, and provides standardized nomenclature for use by scientists and practitioners interested in understanding and addressing the pervasive issue of work-related disorders in dental hygienists.


Assuntos
Doenças Musculoesqueléticas , Doenças Profissionais , Higienistas Dentários , Ergonomia , Humanos , Doenças Musculoesqueléticas/prevenção & controle , Estudos Observacionais como Assunto , Doenças Profissionais/prevenção & controle , Higiene Bucal , Reprodutibilidade dos Testes
20.
Artigo em Inglês | MEDLINE | ID: mdl-34281081

RESUMO

We aimed to assess the impact of malocclusion on oral health-related quality of life (OHRQoL) in a sample composed of adolescents, younger adults and adults seeking orthodontic treatment. Participants were consecutively enrolled from January 2019 to March 2020. The oral health impact profile (OHIP-14) was used to measure the OHRQoL. The index of complexity, outcome and need (ICON) was used to assess malocclusion. Sociodemographic, medical, and clinical questionnaires were recorded. Statistical analyses were performed according as a function of sex and age range (15-30 or >30 years old). Linear and logistic regression models were applied to assess the association between OHIP-14 total score, malocclusion, and other relevant confounding variables. In a final sample of 93 participants (60 females and 33 males, aged 15 to 60 years), men reported significantly better OHRQoL (p = 0.005). Participants aged 30 years or older reported significantly worse OHRQoL (p = 0.042). OHIP-14 was significantly correlated with age (ρ = 0.259, p < 0.05) and the number of missing teeth (ρ = 0.369, p < 0.001). Multivariable regression showed OHIP-14 being associated with the number of missing teeth (B = 1.48, SE = 0.57, p < 0.05) and the presence of missing teeth (B = 1.38, SE = 0.65, p < 0.05). Malocclusion showed no association with OHRQoL. Age and the number of missing teeth may be key factors on self-perceived OHRQoL in adult patients seeking orthodontic treatment.


Assuntos
Má Oclusão , Perda de Dente , Adolescente , Adulto , Estudos Transversais , Feminino , Hábitos , Humanos , Masculino , Saúde Bucal , Higiene Bucal , Qualidade de Vida , Inquéritos e Questionários , Adulto Jovem
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