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1.
Stomatologiia (Mosk) ; 99(4): 43-46, 2020.
Artigo em Russo | MEDLINE | ID: mdl-32692518

RESUMO

The objective of the research was to determine odontological (odontometric and odontoscopic) and morpho-aesthetic variations of the upper central and lateral incisors in 14-year-old children residing in Udmurt Republic. 200 adolescent respondents (100 boys and 100 girls) were included in the study. We accessed morphological aspects of the permanent upper right and left central incisors (URCI and ULCI) in 14-year-old children born and permanently residing in conditionally ecologically favorable districts of the Udmurt Republic. Odontological variations of the permanent tooth crown shapes in early adolescent children (14-year-old) are shown; morphological, ethnic, age and gender, aesthetic features are determined. The determined odontoscopic and odontometric features of the permanent tooth crown shapes matter of scientific and practical terms and can be used to clarify ethnicity and possibly gender. The identified patterns can change and multiply the information-statistical interpretation of the ethnic and morpho-aesthetic features of the permanent teeth, and hence have an important impact when restoring damaged teeth crowns, which affect the permanent dentition smile harmony in 14-year-old adolescents born and permanently residing in the Udmurt Republic.


Assuntos
Dentição Permanente , Coroa do Dente , Adolescente , Criança , Coroas , Feminino , Humanos , Incisivo , Masculino , Odontalgia
2.
Acta Odontol Latinoam ; 33(1): 38-44, 2020 Apr 01.
Artigo em Inglês | MEDLINE | ID: mdl-32621598

RESUMO

The aim of this study is to assess the prevalence of odontogenic infection in low-income Brazilian schoolchildren and evaluate its association with the subjective variables of oral health-related quality of life and dental pain. In this cross-sectional study, 230 schoolchildren aged eight to ten years old underwent a clinical oral survey in which the DMFT/dmft and PUFA/pufa indexes were measured. Afterward, children responded individually to the Child Perceptions Questionnaire (CPQ8-10) and self-reports of dental pain were collected. Data were statistically analyzed using MannWhitney or Kruskal-Wallis test with a post-test by Dunn's and Pearson correlation. Of the children evaluated, 42.6% had odontogenic infection and 80% reported experiencing dental pain. Children's age (p = 0.034) and past experience of dental pain (p < 0.002) were associated with odontogenic sepsis, in addition to impairment of their emotional well-being (p = 0.008), social welfare (p = 0.009) and overall impact on quality of life (p = 0.019). Toothache intensity (p < 0.001), frequency (p < 0.001) and duration (p < 0.001) were correlated to the overall impact on children's quality of life. The prevalence of odontogenic infection remains high among low-income Brazilian schoolchildren. Pediatric infection and its related pain induce not only various biological disorders but also impair children's self-perception of quality of life.


Assuntos
Cárie Dentária/psicologia , Infecções/epidemiologia , Qualidade de Vida , Odontalgia/epidemiologia , Brasil/epidemiologia , Criança , Estudos Transversais , Assistência Odontológica para Crianças/estatística & dados numéricos , Cárie Dentária/epidemiologia , Humanos , Infecções/etiologia , Saúde Bucal , Pobreza/estatística & dados numéricos , Prevalência , Fatores Socioeconômicos , Estudantes/psicologia , Estudantes/estatística & dados numéricos , Inquéritos e Questionários , Odontalgia/psicologia
3.
Oral Health Prev Dent ; 18(2): 301-309, 2020 Apr 01.
Artigo em Inglês | MEDLINE | ID: mdl-32618453

RESUMO

PURPOSE: The aim of this study was to evaluate the readability and the quality of toothache-related information found in Brazilian websites. MATERIALS AND METHODS: Fifty-five websites retrieved from Google Search, Baidu, Yahoo! and Bing were evaluated by two independent examiners using the DISCERN questionnaire, the Journal of American Medical Association (JAMA) benchmark criteria and the Flesch Reading Ease adapted to Brazilian Portuguese (FRE-BP). Additionally, the websites were categorised according to their information, adopting four criteria related to: (i) endodontic pain, (ii) toothache relief or treatment, (iii) the self-resolution of pain, and (iv) the promotion of home remedies usage. The statistical analysis was performed using Spearman's rank correlation coefficient, Mann-Whitney U test, hierarchical clustering analysis by Ward's minimum variance method, Kruskal-Wallis test, post-hoc Dunn's test and Chisquare test. P < 0.05 was considered statistically significant. RESULTS: The overall means (± SD) of DISCERN and FRE-BP were, respectively, 31.02 (± 5.56) and 61.20 (± 11.79), without quality-based differences between the websites with health- and non-health-related authors, and distinct clusters. CONCLUSION: Therefore, the quality of toothache-related information found in this sample of Brazilian websites was classified as simple, accessible and of poor quality, which can hamper the personal decision-making process of seeking dental treatment, leading to damages caused by the non-effective self-management of toothache.


Assuntos
Informação de Saúde ao Consumidor , Odontalgia , Brasil , Compreensão , Humanos , Internet , Inquéritos e Questionários
4.
Braz Oral Res ; 34: e036, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32321054

RESUMO

The aim of this study was to evaluate the factors associated with toothache in the adult population of Minas Gerais, Brazil. Individual data from a population sample (age 35 to 44 years) were collected from a secondary database of the SB Minas survey. Sampling was carried out by clusters and with multiple drawing stages. The eligibility criteria were to reside in areas chosen for the research, be within the age group, and accept to participate in the research. The individual variables assessed by a questionnaire and dental exams were sex, income, race/skin color, root caries, periodontal condition, need for dental treatment, and last dental appointment. The contextual variables, assessed by municipal indexes, were Human Development Index (HDI), illiteracy, unemployment, half minimum wage, quarter minimum wage, oral health team coverage, access to individual health care, and supervised tooth brushing average. The dependent variable was toothache in the past six months. A descriptive analysis was made using the Statistical Package for the Social Sciences and Hierarchical Linear and Nonlinear Modeling Software was used to perform the multilevel analyses for individual and contextual levels. An association was found between toothache and low income (OR = 2.00; 95%CI = 1.32-3.13), dental caries (OR = 1.86; 95%CI = 1.22-2.86), periodontal condition, and living on a quarter of the minimum wage or less (OR = 1.03; 95%CI = 1.00-1.08). Clinical and social factors were associated with toothache, reinforcing the need to improve public polices in oral health focused on the adult population.


Assuntos
Odontalgia/epidemiologia , Odontalgia/etiologia , Adulto , Brasil/epidemiologia , Estudos Transversais , Índice CPO , Cárie Dentária/epidemiologia , Feminino , Humanos , Renda/estatística & dados numéricos , Masculino , Análise Multinível , Saúde Bucal/estatística & dados numéricos , Fatores de Risco , Distribuição por Sexo
5.
Braz Oral Res ; 34: e029, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32236318

RESUMO

The aim of this study was to describe and evaluate access to oral health services among adolescents enrolled in public schools of Campina Grande, Paraíba, Brazil, a large-size municipality in the Northeast of Brazil. An observational, descriptive, analytical, quantitative, and cross-sectional study was carried out through a school survey, in which four validated questionnaires were applied to 438 adolescents aged 12 to 19 years. Data were processed using the SPSS statistical software version 20.0, with bivariate analysis and multivariate analysis through Poisson regression. About 90.9% of adolescents reported having visited the dentist at least once; however, when considering the last 6 months, this percentage fell to 48.4%. Adolescents used private services (50.2%) or the public service (49.8%). About 70.6% of interviewees reported dental treatment (61.1%) as the main reason for seeking the service. Through multivariate analysis, it was observed that the demand for the service was higher among female adolescents (60.5%, p <0.001); the other variables did not present statistically significant differences. In conclusion, the access to oral healthcare services reported by adolescents was good, but there is still a considerable part of this population with no access. Variables that presented significant associated with dental services were gender and toothache history, but only gender remained significant in the multivariate model.


Assuntos
Assistência Odontológica/estatística & dados numéricos , Acesso aos Serviços de Saúde/estatística & dados numéricos , Adolescente , Adulto , Brasil/epidemiologia , Criança , Estudos Transversais , Feminino , Necessidades e Demandas de Serviços de Saúde , Humanos , Masculino , Saúde Bucal , Setor Público , Instituições Acadêmicas , Fatores Sexuais , Inquéritos e Questionários , Odontalgia/epidemiologia , Adulto Jovem
6.
Expert Opin Pharmacother ; 21(5): 591-601, 2020 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-32027199

RESUMO

Introduction: Dental pain is primarily treated by dentists and emergency medicine clinicians and may occur because of insult to the tooth or oral surgery. The dental impaction pain model (DIPM) has been widely used in clinical studies of analgesic agents and is generalizable to many other forms of pain.Areas Covered: The authors discuss the DIPM, which has allowed for important head-to-head studies of analgesic agents, such as acetaminophen, nonsteroidal anti-inflammatory drugs (NSAIDs), opioids, and combinations. Postsurgical dental pain follows a predictable trajectory over the course of one to 3 days. Dental pain may have odontic origin or may be referred pain from other areas of the body.Expert opinion: Pain following oral surgery has sometimes been treated with longer-than-necessary courses of opioid therapy. Postsurgical dental pain may be moderate to severe but typically resolves in a day or two after the extraction. Opioid monotherapy, rarely used in dentistry but combination therapy (opioid plus acetaminophen or an NSAID), was sometimes used as well as nonopioid analgesic monotherapy. The dental impaction pain model has been valuable in the study of analgesics but does not address all painful conditions, for example, pain with a neuropathic component.


Assuntos
Dor Aguda/tratamento farmacológico , Analgésicos não Entorpecentes/uso terapêutico , Analgésicos Opioides/uso terapêutico , Anti-Inflamatórios não Esteroides/uso terapêutico , Dor Pós-Operatória/tratamento farmacológico , Odontalgia/tratamento farmacológico , Humanos , Extração Dentária
7.
J Oral Rehabil ; 47(6): 775-781, 2020 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-32061108

RESUMO

Toothache represents the most common example of oro-facial pain. Its origin is mostly odontogenic, but several other conditions may mimic dental pain or present themselves as such. Well-known examples are myofascial pain, trigeminal neuropathies like neuralgia and painful post-traumatic trigeminal neuropathic pain, oro-facial neurovascular pains, cardiac pain and sinus disease. This review first discusses the current knowledge on the underlying pathophysiology of heterotopic tooth pain. Afterwards, several conditions potentially presenting as toothache will be illustrated regarding clinical features, diagnosis and management.


Assuntos
Neuralgia , Neuralgia do Trigêmeo , Diagnóstico Diferencial , Dor Facial , Humanos , Odontalgia
8.
Pediatr Dent ; 42(1): 22-27, 2020 Jan 15.
Artigo em Inglês | MEDLINE | ID: mdl-32075706

RESUMO

Purpose: To assess the prevalence of dental pain in preschool children through the Brazilian Dental Discomfort Questionnaire (DDQ-B) and its association with dental caries, its severity, and socioeconomic factors. Methods: The study included 485 three- to four-year-olds who attended the National Day of Children's Vaccination in São Paulo, Brazil. Parents answered the DDQ-B and questions of socioeconomic conditions. Calibrated dentists assessed dental caries using the decayed, missing, and filled primary teeth (dmft) index and its severity using the pulpal involvement, ulceration of mucosa due to root fragments, fistula, and abscess (PUFA) index. Poisson regression with robust variance was used with a level of significance of five percent. Results: The prevalence of dental pain was 11.8 percent. Dental pain was associated with a prevalence of dental caries (prevalence ratio [PR] equals 2.47; 95 percent confidence interval [95% CI] equals 1.33 to 4.58; P=0.004) and severe caries (PR equals 2.98; 95% CI equals 1.39 to 6.39; P=0.005). Socioeconomic factors were not associated with dental pain. Conclusions: The prevalence of dental pain in preschool children is relevant when assessed through the Brazilian Dental Discomfort Questionnaire. Dental pain is associated with dental caries prevalence and its severity. Socioeconomic factors were not associated with dental pain.


Assuntos
Cárie Dentária , Brasil , Pré-Escolar , Estudos Transversais , Índice CPO , Humanos , Prevalência , Fatores Socioeconômicos , Inquéritos e Questionários , Odontalgia
9.
Eur Arch Paediatr Dent ; 21(1): 137-143, 2020 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-31236833

RESUMO

PURPOSE: To assess children's perception of pain during routine dental procedures and associated factors. METHODS: A cross-sectional study was performed including 192 children aged 6-13 years, who visited a university paediatric dental clinic. Mothers were interviewed to obtain information about demographic and socioeconomic data, and psychosocial characteristics. During dental treatment, children's behaviour was assessed using Frankl's Behaviour Scale. Dental procedures were recorded according to complexity of treatment from dental records. Immediately after the dental procedure, perception of pain was assessed using the Faces Pain Scale-Revised. Poisson regression analysis was used to assess the association between potential predictor variables and perception of pain (P < 0.05 was considered significant). RESULTS: Overall, the mean pain score was 1.5 (SD 2.4). Higher levels of pain were reported by children who demonstrated non-cooperative behaviour during the treatment (RR = 2.39, 95% CI = 1.23-4.64), who were administered local analgesia (RR = 2.36, 95% CI = 1.31-4.27), and who reported dental pain during the previous 4 weeks (RR = 1.60, 95% CI = 1.04-2.47). CONCLUSION: Perception of pain may be influenced by pre-operative pain and use of local analgesia, and is associated with non-cooperative behaviour during treatment.


Assuntos
Ansiedade ao Tratamento Odontológico , Assistência Odontológica , Adolescente , Criança , Comportamento Infantil , Estudos Transversais , Feminino , Humanos , Odontalgia
10.
Eur Arch Paediatr Dent ; 21(1): 43-52, 2020 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-31066016

RESUMO

PURPOSE: This is the first study to adopt a multilevel approach to assess the impact of the order of dental visits on child's behaviour. The aim was to investigate which factors directly interfere with child's behaviour regardless of the order of sequential dental visits. METHODS: In this prospective longitudinal study, children aged 7-12 years were invited to participate. Child behaviour was assessed using the Frankl Scale during four sequential dental visits. Chi-square test was used to analyse the effect of dental fear on children's non-cooperative behaviour according to the presence of dental fear. Multilevel mixed logistic regression model was used to assess the association between predictor variables and the outcome (child behaviour) during the sequential dental visits. RESULTS: Overall, 111 children participated in this study. Maternal dental anxiety, dental pain and complexity of the treatment were associated with the non-cooperative behaviour in children aged 7-12 years. When stratified by dental fear, the complexity of the treatment remained associated with non-cooperative behaviour. CONCLUSIONS: The results provide evidence that, even with the familiarization of child with the dental environment, maternal dental anxiety, dental pain in the last month, and the complexity of dental treatment negatively affect the children's behaviour aged 7-12 years.


Assuntos
Assistência Odontológica para Crianças , Criança , Comportamento Infantil , Ansiedade ao Tratamento Odontológico , Humanos , Estudos Prospectivos , Odontalgia
11.
Acta Odontol Scand ; 78(1): 74-80, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-31512936

RESUMO

Objective: To investigate the relationship between subjective symptoms of orofacial pain and oral health-related quality of life (OHRQoL), as well as psychological distress in population-based middle-aged women.Material and methods: The two study samples comprised 1059 women, 38 and 50 years old, in representative cross-sectional studies. Women with long-lasting, frequent pain or headaches, related to temporomandibular disorders (TMD), with moderate-to-high estimates were analysed in relation to the non-case group. OHRQoL was measured using the Oral Health Impact Profile (OHIP-5). Psychological distress was measured using the Hospital Anxiety and Depression Scale (HADS) and Sense of Coherence (SOC-13).Results: Women with orofacial pain (n = 82, 7.7%) had a significantly higher mean score on the OHIP-5, HADS-A and HADS-D and a lower mean score for SOC-13. In a multivariable logistic regression, orofacial pain was statistically significantly associated with poorer OHRQoL (OR = 1.2) and signs of depression (HADS-D) (OR = 2.0). A higher score for SOC-13 protected from the experience of orofacial pain (OR = 0.95).Conclusion: Orofacial pain was associated with poorer OHRQoL and signs of psychological distress. In interpreting the value of SOC, women with orofacial pain also appear to have a poorer adaptive capacity.


Assuntos
Dor Facial/psicologia , Saúde Bucal , Angústia Psicológica , Qualidade de Vida/psicologia , Transtornos da Articulação Temporomandibular/psicologia , Adulto , Estudos Transversais , Dor Facial/epidemiologia , Feminino , Nível de Saúde , Humanos , Pessoa de Meia-Idade , Transtornos da Articulação Temporomandibular/fisiopatologia , Odontalgia/fisiopatologia
12.
J Oral Facial Pain Headache ; 34(1): 53­60, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-31465031

RESUMO

AIMS: To provide an update of knowledge regarding the clinical presentation and neurophysiologic aspects of orofacial pain of cardiac origin in the form of a literature review. METHODS: The peer-reviewed databases Scopus/Embase, NCBI (PubMed), and Science Direct were searched up to December 2018. RESULTS: Patients with myocardial infarction presenting without chest pain run a higher risk of death due to missed diagnosis and subsequently a significantly greater delay between the onset of symptoms and arrival at the hospital. During myocardial ischemia, orofacial pain is reported by 4 in 10 patients and described as oppressive and/or burning. Up to 4% of myocardial infarction patients experience pain solely in the orofacial structures, women more often than men. Orofacial pain during myocardial ischemia is associated with ischemia within the inferior wall of the heart, suggesting the involvement of the vagal system. CONCLUSION: The clinician's awareness of the full spectrum of clinical characteristics of a myocardial infarction constitutes a key factor in accurate diagnosis. Health care professionals and the general public should be aware of the possibility of myocardial infarction presenting with orofacial pain, toothache, or ear/temporomandibular joint pain as the only symptom.


Assuntos
Infarto do Miocárdio , Isquemia Miocárdica , Erros de Diagnóstico , Dor Facial , Feminino , Humanos , Masculino , Odontalgia
13.
Quintessence Int ; 51(1): 56-62, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-31781688

RESUMO

BACKGROUND: Non-odontogenic toothaches often present as a diagnostic dilemma to clinicians. Myofascial pain with referral from the trigger points in the masticatory muscles are one of the common causes of non-odontogenic toothaches. However, there are limited reports of myofascial pain from the anterior digastric muscle referring pain to the mandibular anterior teeth and mimicking odontogenic pain. CASE PRESENTATION: A case of non-odontogenic toothache in the mandibular anterior teeth due to myofascial pain with referral from trigger points in the anterior digastric muscle is presented. The patient had significant relief with a trigger point injection of the anterior digastric muscle. Amitriptyline 10 mg once daily was prescribed for 1 month. In addition, she was advised home care instructions to control predisposing, perpetuating, and precipitating factors, and given home care exercises, a hard joint stabilization splint, physiotherapy, and postural re-education. CONCLUSION: Non-odontogenic toothaches may be multifactorial. The case presented emphasizes the importance of a comprehensive evaluation to differentiate odontogenic pain from non-odontogenic pain. Irreversible dental procedures should be instituted after an accurate diagnosis and multidisciplinary management may be required in complex cases.


Assuntos
Encaminhamento e Consulta , Odontalgia , Diagnóstico Diferencial , Feminino , Humanos , Músculos
14.
Quintessence Int ; 51(1): 50-55, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-31792469

RESUMO

Diffuse large B-cell lymphoma is an aggressive, fast-growing form of non-Hodgkin disease with rare manifestation in mandible as a primary site. Absence of pathognomonic features in this localization often leads to misdiagnosis as an odontogenic process or its delayed diagnosis. The present case report is of a patient in whom non-odontogenic jaw pain mimicked a toothache prompting multiple dental interventions before persistence of pain and atypical findings led to consideration of a primary malignant etiology.


Assuntos
Linfoma Difuso de Grandes Células B , Odontalgia , Diagnóstico Tardio , Diagnóstico Diferencial , Erros de Diagnóstico , Humanos , Mandíbula
15.
J Am Dent Assoc ; 150(11): 906-921.e12, 2019 11.
Artigo em Inglês | MEDLINE | ID: mdl-31668170

RESUMO

BACKGROUND: An expert panel convened by the American Dental Association Council on Scientific Affairs and the Center for Evidence-Based Dentistry conducted a systematic review and formulated clinical recommendations for the urgent management of symptomatic irreversible pulpitis with or without symptomatic apical periodontitis, pulp necrosis and symptomatic apical periodontitis, or pulp necrosis and localized acute apical abscess using antibiotics, either alone or as adjuncts to definitive, conservative dental treatment (DCDT) in immunocompetent adults. TYPES OF STUDIES REVIEWED: The authors conducted a search of the literature in MEDLINE, Embase, the Cochrane Library, and the Cumulative Index to Nursing and Allied Health Literature to retrieve evidence on benefits and harms associated with antibiotic use. The authors used the Grading of Recommendations Assessment, Development and Evaluation approach to assess the certainty in the evidence and the Evidence-to-Decision framework. RESULTS: The panel formulated 5 clinical recommendations and 2 good practice statements, each specific to the target conditions, for settings in which DCDT is and is not immediately available. With likely negligible benefits and potentially large harms, the panel recommended against using antibiotics in most clinical scenarios, irrespective of DCDT availability. They recommended antibiotics in patients with systemic involvement (for example, malaise or fever) due to the dental conditions or when the risk of experiencing progression to systemic involvement is high. CONCLUSION AND PRACTICAL IMPLICATIONS: Evidence suggests that antibiotics for the target conditions may provide negligible benefits and probably contribute to large harms. The expert panel suggests that antibiotics for target conditions be used only when systemic involvement is present and that immediate DCDT should be prioritized in all cases.


Assuntos
American Dental Association , Abscesso Periapical , Adulto , Antibacterianos , Odontologia Baseada em Evidências , Humanos , Odontalgia
16.
Cien Saude Colet ; 24(11): 4093-4102, 2019.
Artigo em Português | MEDLINE | ID: mdl-31664382

RESUMO

Toothache is a public health problem that causes great inconvenience to psychoactive substances users. The objective was to verify the prevalence of dental pain and its associations among psychoactive substances users from Alcohol and Drug Psychosocial Care Centers (CAPS AD) in Vitoria, Vila Velha and Serra, Espírito Santo, Brazil. A transversal study was conducted with 280 participants between June 2015 and February 2016, using five scripts: one for socio-demographic data and health perception; another for oral health; the Oral Health Impact Profile; the Alcohol Smoking and Substance Involvement Screening Test and the World Health Organization Quality of Life Test. Data were organized in frequency tables and analyzed with the SPSS 20 statistical package. Comparisons were made with Fisher's test and the Odds Ratio (OR) was used to check the strength of the association between the variables. The prevalence of pain in the population studied was 59.3%, and individuals whose quality of life was impacted due to their oral conditions were 2.2 times more likely to report toothache in the last 6 months. The population studied showed a high prevalence of dental pain and the study indicates that dental pain interferes in the quality of life of psychoactive substances users who are treated at CAPS AD services in these three cities.


Assuntos
Saúde Bucal , Qualidade de Vida , Transtornos Relacionados ao Uso de Substâncias/epidemiologia , Odontalgia/epidemiologia , Adulto , Idoso , Idoso de 80 Anos ou mais , Brasil/epidemiologia , Estudos Transversais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Prevalência , Psicotrópicos/administração & dosagem , Adulto Jovem
17.
BMJ Case Rep ; 12(9)2019 Sep 20.
Artigo em Inglês | MEDLINE | ID: mdl-31540922

RESUMO

We report a case that illustrates how chronic migraine headaches and multiple dental pathologies caused severe and long-standing cranial pain that affected the quality of life of a man for more than 35 years. His case was investigated at several settings including the neurology outpatient clinic of the hospital without a definitive diagnosis or resolution. After investigations, multiple oral pathologies including two occult dental abscesses were diagnosed. Once both affected teeth and associated abscesses were surgically removed, with subsequent antibiotic therapy the headaches resolved.


Assuntos
Antibacterianos/uso terapêutico , Cefaleia/diagnóstico , Transtornos de Enxaqueca/diagnóstico , Abscesso Periapical/diagnóstico , Qualidade de Vida/psicologia , Odontalgia/diagnóstico , Cefaleia/etiologia , Cefaleia/fisiopatologia , Cefaleia/psicologia , Humanos , Masculino , Pessoa de Meia-Idade , Transtornos de Enxaqueca/etiologia , Transtornos de Enxaqueca/fisiopatologia , Transtornos de Enxaqueca/psicologia , Saúde Bucal , Abscesso Periapical/complicações , Abscesso Periapical/fisiopatologia , Abscesso Periapical/psicologia , Radiografia Dentária , Fatores de Tempo , Extração Dentária , Odontalgia/complicações , Odontalgia/fisiopatologia , Odontalgia/psicologia , Resultado do Tratamento
18.
J Am Dent Assoc ; 150(9): 812, 2019 09.
Artigo em Inglês | MEDLINE | ID: mdl-31439208

Assuntos
Odontalgia , Humanos
19.
J Acupunct Meridian Stud ; 12(6): 182-191, 2019 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-31404683

RESUMO

The aim of this study was to assess whether the effectiveness of acupuncture is similar to the use of analgesics in the management of toothache. The research included 56 volunteers who were divided into 4 groups: Real Acupuncture group, Placebo Acupuncture group, Real Dipyrone group, and Placebo Dipyrone group. The interventions of the study were performed before the dental care. Inclusion criteria were toothache of pulpal origin with pain scale (Visual Analogue Scale) above 4, absence of medication for the pain, and aged over 18 years. The Real Acupuncture volunteers received a session of acupuncture using piercing needles, while volunteers from the Placebo Acupuncture group received an acupuncture session using non-piercing sham needles. Volunteers from the Real Dipyrone group received a dipyrone tablet and the Placebo Acupuncture group received a tablet with no active ingredient. Before any therapeutic intervention, we collected samples from the volunteers' saliva to analyze the salivary cortisol, the volunteers rated the intensity of their pain using VAS, and we measured their energy level by the Ryodoraku method. After 20 minutes of treatment, all the volunteers' analysis parameters were collected again. The Real Acupuncture group presented a greater reduction of VAS than the reduction obtained by the Real Dipyrone group (p<0.05). There was no statistically significant difference between the groups for the salivary cortisol and energy level variables. It can be concluded that acupuncture was more effective in reducing odontalgia than the dipyrone and that it can be an alternative for odontalgia management.


Assuntos
Analgesia por Acupuntura , Analgésicos/administração & dosagem , Dipirona/administração & dosagem , Manejo da Dor , Odontalgia/terapia , Adolescente , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Agulhas , Escala Visual Analógica , Adulto Jovem
20.
J Clin Orthod ; 53(4): 234-242, 2019 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-31390610
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