Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 839
Filtrar
1.
Aerosp Med Hum Perform ; 93(5): 539, 2022 May 01.
Artigo em Inglês | MEDLINE | ID: mdl-35551726

RESUMO

INTRODUCTION: Barometric pressure variation during dives may induce barodontalgia and barotrauma. Barodontalgia refers to oral pain resulting from a change in ambient pressure. The aim of this study was to investigate the occurrence of barodontalgia and dental barotrauma among French civilian scuba divers.METHODS: A nationwide cross-sectional internet-based survey was conducted among French scuba divers over 18 yr of age registered by the French Federation of Underwater Sports (FFESSM). The online questionnaire was distributed from October to December 2020. It contained questions regarding general characteristics of participants, barodontalgia and dental barotrauma occurrences, and relationship of the diver with his/her dentist.RESULTS: There were 684 scuba divers (65.4% men; aged 48 ± 12 yr) who participated in the study. Barodontalgia was reported by 18.7%, with some respondents reporting more than one episode. Most barodontalgia affected posterior (81.2%) and upper teeth (55.2%) with dental filling (50.0%). At least one dental barotrauma was reported by 10.1% of respondents, including mainly loss or fracture of a dental filling (4.2%). The occurrence of dental barotrauma was significantly higher among men (12.3%) than women (5.9%) and increased significantly with the age, the years of diving and the diving qualification.CONCLUSION: Information should be provided to divers on the importance of routine dental checkups.Kougeon K, Yasukawa K, Baudet A. Barodontalgia and dental barotrauma among scuba divers. Aerosp Med Hum Perform. 2022; 93(5):421-425.


Assuntos
Barotrauma , Mergulho , Pressão Atmosférica , Barotrauma/epidemiologia , Estudos Transversais , Mergulho/efeitos adversos , Feminino , Humanos , Masculino , Odontalgia/epidemiologia , Odontalgia/etiologia
2.
Odontology ; 110(4): 814-823, 2022 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-35637398

RESUMO

Self-contained underwater breathing apparatus (SCUBA) diving is becoming widely democratized among hobbyist practitioners. It can cause orofacial problems, mostly linked to pressure changes. The aim of this study was to assess the prevalence of these problems and to analyze civilian divers' behavior about their dental prevention in France, via a cross-sectional study. Data from 1015 French civilian divers were collected via a nationwide online questionnaire in which participants indicated information concerning orofacial experienced problems during their diving activity, and their medical preventive habits. As results, oral manifestations were experienced by 25.2% of the divers, including barodontalgia (10.8%), mouth syndrome (13.4%), gum pain (2.8%) and dental fractures caused by barotrauma (3.7%) or shocks (1.9%). Mouth syndrome was more frequent among women (18.6%) and divers aged between 18 and 34 years (18.9%). The prevalence of dental fractures increased significantly with age. High diving level was associated with more frequent barodontalgia (17.5%), gum pain (7%) and barotrauma (7.6%). Among respondents, 43.5% completed a dental examination before a diving season and showed fewer oral problems during their scuba diving practice than those who did not. In conclusion, oral problems in scuba diving represent frequent events that can compromise the safety of divers. Despite awareness rising, there is a lack of recourse to the dentist. This leads to incomplete information, especially concerning the preventive means available to divers.


Assuntos
Barotrauma , Mergulho , Adolescente , Adulto , Barotrauma/epidemiologia , Barotrauma/etiologia , Barotrauma/prevenção & controle , Estudos Transversais , Mergulho/efeitos adversos , Mergulho/lesões , Feminino , Humanos , Prevalência , Inquéritos e Questionários , Odontalgia/epidemiologia , Odontalgia/etiologia , Adulto Jovem
3.
Diving Hyperb Med ; 52(1): 63-65, 2022 Mar 31.
Artigo em Inglês | MEDLINE | ID: mdl-35313376

RESUMO

Previous cases of dental barotrauma have been reported in pilots and divers. We report a case of dental barotrauma and barodontalgia in a diving physician accompanying patients during hyperbaric oxygen treatment, and due to pressure changes in the hyperbaric chamber. The physician developed sharp pain localised to the right maxillary molars but radiating to the face, ear and head during decompression from 243 kPa (2.4 atmospheres absolute). The pain intensified following completion of decompression and was consistent with irreversible pulpitis. Clinical examination and panoramic radiography suggested fracture of a heavily restored tooth due to barotrauma. This was managed by tooth extraction. The physician subsequently discontinued accompanying the patients during their hyperbaric oxygen treatment sessions. Dentists and maxillofacial surgery specialists suggest waiting for a minimum of four weeks or until the tooth socket and/or oral tissue has healed sufficiently to minimise the risk of infection or further trauma before exposure to further pressure change. Although seemingly rare, and despite the comparatively slow pressure changes, dental barotrauma can occur in hyperbaric chamber occupants.


Assuntos
Barotrauma , Mergulho , Oxigenoterapia Hiperbárica , Médicos , Barotrauma/complicações , Mergulho/efeitos adversos , Mergulho/lesões , Humanos , Oxigenoterapia Hiperbárica/efeitos adversos , Odontalgia/etiologia
5.
Int Endod J ; 55(3): 231-239, 2022 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-34792207

RESUMO

AIM: To assess whether persistent idiopathic dentoalveolar pain (PIDAP), a diagnosis of exclusion, exhibits common features that can facilitate its diagnosis. PIDAP is defined by the International Classification of Orofacial Pain (ICOP 6.3.) as 'Persistent unilateral intraoral dentoalveolar pain, rarely occurring in multiple sites, with variable features but recurring daily for more than 2 h per day for more than 3 months, in the absence of any preceding causative event'. METHODOLOGY: In this observational study, participants fulfilling the new ICOP diagnostic criteria of PIDAP were included, covering 16 years of consecutive data. A systematic, retrospective assessment of patients utilizing the new PIDAP criteria on complaints of chronic tooth pain in a referral-based endodontic practice was undertaken. Non-idiopathic cases were excluded on the basis of clinical and radiologic findings. A modified neuropathic pain questionnaire was used to describe the painful sensations. Furthermore, allodynia in the periodontal space and sensory changes in the oral mucosa were assessed using a periodontal probe. RESULTS: Amongst the 160 patients assessed, 78 (63 women) fulfilled the strict PIDAP criteria. Pain history of PIDAP included no nocturnal awakening (85%) and a 'pulling/dragging' pain quality (59%). In 69% of the patients with PIDAP, pain was associated with a root filled tooth at the same site. In 14% of the cases, no endodontic treatment was performed in the affected quadrant. Mechanical allodynia in the gingival sulcus was observed in 91% of patients with painful teeth or implants. CONCLUSIONS: In this observational study, PIDAP mainly affected females and was associated with undisturbed sleep and periodontal allodynia.


Assuntos
Dente , Odontalgia , Dor Facial/etiologia , Feminino , Gengiva , Humanos , Estudos Retrospectivos , Odontalgia/etiologia
6.
Br Dent J ; 231(12): 748, 2021 12.
Artigo em Inglês | MEDLINE | ID: mdl-34921267
7.
Medicine (Baltimore) ; 100(25): e26405, 2021 Jun 25.
Artigo em Inglês | MEDLINE | ID: mdl-34160426

RESUMO

BACKGROUND: When a person feels dental pain, it brings great discomfort and damages the quality of life. Symptomatic apical periodontitis is identified as the most frequent cause that triggers dental pain. Symptomatic apical periodontitis arises from an infection or inflammation in the pulpless root canal structure. According to clinical guidelines, the primary form of therapy for such teeth entails removing the inflammation or infection source through local surgical procedures. Presently, systemic antibiotics are recommended only for cases where there is clear indication of an infectious spread or a systemic involvement. Therefore, this study aims to assess the efficacy and level of safety of using antibiotics to treat adult symptomatic apical periodontitis patients. METHODS: The present protocol study will conduct a search on electronic databases to look for randomized controlled trials (RCTs) that have evaluated the effectiveness and safety of antibiotics when used to treat adult patients with symptomatic apical periodontitis. The databases will be search from their beginning to April 2021. The search is not bound by publication status or language restrictions. The following databases will be searched: Web of Science, PubMed, the Cochrane Library, Chinese National Knowledge Infrastructure, and EMBASE. This study will employ ZETOC Conference Proceedings and OpenGrey to identify potential grey literature. Afterwards, 2 independent authors will select the studies, extract data from the studies, and conduct a risk assessment to check for bias. All discrepancies between the authors will be resolute via discussion involving a third independent author. The data synthesis and statistical analysis of this study will be done with the RevMan software (Version: 5.3). RESULTS: The present protocol report will provide high-quality evidence related to the efficacy and level of safety when using antibiotics to treat mature symptomatic apical periodontitis patients. CONCLUSION: The outcomes of the present study will update the evidence available for assessing the efficacy and safeness of using antibiotics to treat mature symptomatic apical periodontitis patients. ETHICS AND DISSEMINATION: This study does not require an ethical approval since individual patient data is not included in any form. REGISTRATION NUMBER: DOI 10.17605/OSF.IO/CVP8 M (https://osf.io/cvp8m/).


Assuntos
Antibacterianos/administração & dosagem , Periodontite Crônica/tratamento farmacológico , Periodontite Periapical/tratamento farmacológico , Odontalgia/tratamento farmacológico , Adulto , Antibacterianos/efeitos adversos , Periodontite Crônica/complicações , Periodontite Crônica/diagnóstico , Periodontite Crônica/psicologia , Humanos , Metanálise como Assunto , Periodontite Periapical/complicações , Periodontite Periapical/diagnóstico , Periodontite Periapical/psicologia , Qualidade de Vida , Ensaios Clínicos Controlados Aleatórios como Assunto , Revisões Sistemáticas como Assunto , Odontalgia/etiologia , Odontalgia/psicologia , Resultado do Tratamento
8.
Pain Res Manag ; 2021: 6624723, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34035871

RESUMO

Objective: Low-intensity pulsed ultrasound (LIPUS) is a noninvasive modality to stimulate bone remodeling (BR) and the healing of hard and soft tissues. This research evaluates the biostimulatory effect of LIPUS on the rate of orthodontic tooth movement (OTM) and associated pain, when applied at 3-week intervals. Methods: Twenty-two patients (11 males and 11 females; mean age 19.18 ± 2.00 years) having Angle's Class II division 1 malocclusion needing bilateral extractions of maxillary first bicuspids were recruited for this split-mouth randomized clinical trial. After the initial stage of alignment and leveling with contemporary edgewise MBT (McLaughlin-Bennett-Trevisi) prescription brackets (Ortho Organizers, Carlsbad, Calif) of 22 mil, followed by extractions of premolars bilaterally, 6 mm nickel-titanium spring was used to retract the canines separately by applying 150 g force on 0.019 × 0.025-in stainless steel working archwires. LIPUS (1.1 MHz frequency and 30 mW/cm2 intensity output) was applied for 20 minutes extraorally and reapplied after 3 weeks for 2 more successive visits over the root of maxillary canine on the experimental side whereas the other side was placebo. A numerical rating scale- (NRS-) based questionnaire was given to the patients on each visit to record their weekly pain experience. Impressions were also made at each visit before the application of LIPUS (T1, T2, and T3). Models were scanned with a CAD/CAM scanner (Planmeca, Helsinki, Finland). Mann-Whitney U test was applied for comparison of canine movement and pain intensity between both the groups. Results: No significant difference in the rate of canine movement was found among the experimental (0.90 mm ± 0.33 mm) and placebo groups (0.81 mm ± 0.32 mm). There was no difference in pain reduction between experimental and placebo groups (p > 0.05). Conclusion: Single-dose application of LIPUS at 3-week intervals is ineffective in stimulating the OTM and reducing associated treatment pain.


Assuntos
Má Oclusão Classe II de Angle/terapia , Técnicas de Movimentação Dentária/efeitos adversos , Odontalgia/fisiopatologia , Ondas Ultrassônicas/efeitos adversos , Adolescente , Feminino , Humanos , Masculino , Boca/fisiopatologia , Níquel/farmacologia , Paquistão , Fatores de Tempo , Titânio/farmacologia , Odontalgia/etiologia , Adulto Jovem
9.
Community Dent Oral Epidemiol ; 49(6): 522-532, 2021 12.
Artigo em Inglês | MEDLINE | ID: mdl-33829523

RESUMO

OBJECTIVES: To investigate the prevalence of toothache and its risk indicators in the older Chinese population. METHODS: National cross-sectional survey data on 25 048 Chinese people ≥65 years in 2011, 2014 and 2018 survey year were analysed and then pooled. Chi-square test was used to examine the differences in prevalence among specific subgroups. Multivariate modified Poisson regression analyses with robust error variances were used to detect related factors and prevalence ratios (PR) were calculated. RESULTS: The prevalence of toothache was 16.3% (95% CI: 15.5%-17.1%), 12.8% (95% CI: 12.0%-13.7%) and 16.0% (95% CI: 15.3%-16.7%) in years 2011, 2014 and 2018. In the pooled multivariate Poisson regression model, factors associated with toothache were female (PR: 1.27, 95% CI: 1.18-1.37), younger age (PR: 1.84, 95% CI: 1.63-2.09), currently married and living with spouse (PR: 1.08, 95% CI: 1.01-1.15), current living in urban area (PR:1.12, 95% CI: 1.06-1.20), enough financial support (PR: 0.69, 95% CI: 0.65-0.74), having chronic disease (PR: 1.46, 95% CI: 1.35, 1.57), higher sugar intake (PR: 1.10, 95% CI: 1.03-1.17), salty flavour (PR:1.15, 95% CI: 1.07-1.23), smoking (PR: 1.14, 95% CI:1.06-1.23) or drinking (PR: 1.17, 95% CI: 1.09-1.25), with denture (PR: 1.15, 95% CI: 1.08-1.22) and higher toothbrushing frequency (PR: 1.25-1.50). CONCLUSIONS: More than one in ten older Chinese population had toothache, and it was related to age, gender, socioeconomic status, behaviour and oral health status. Lifestyle interventions should be taken to avoid the occurrence of the toothache.


Assuntos
Odontalgia , Adulto , Brasil , China/epidemiologia , Estudos Transversais , Escolaridade , Feminino , Humanos , Prevalência , Fatores Socioeconômicos , Odontalgia/epidemiologia , Odontalgia/etiologia
10.
Surg Radiol Anat ; 43(6): 997-1000, 2021 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-33388946

RESUMO

Multiple roots in anterior teeth are very rarely reported in the literature. The occurrence of multi-rooted canine in primary dentition is an infrequent entity. This unusual abnormality is an accidental finding on routine examination. Radiographic examination plays a significant role in the identification of this anomaly. This rare anomaly has been reported very infrequently reported and has not been published in a Saudi Arabia population. Therefore, the purpose of the present case report is to describe a case of an 8-year old Saudi boy presented with the bimaxillary occurrence of bi-rooted primary canine. This report discusses this unique occurrence in the context of the published literature.


Assuntos
Dente Canino/anormalidades , Maxila/anormalidades , Raiz Dentária/anormalidades , Dente Decíduo/anormalidades , Odontalgia/diagnóstico , Criança , Humanos , Achados Incidentais , Masculino , Radiografia Dentária , Arábia Saudita , Extração Dentária , Odontalgia/etiologia , Odontalgia/cirurgia
11.
Sci Rep ; 10(1): 8057, 2020 05 15.
Artigo em Inglês | MEDLINE | ID: mdl-32415116

RESUMO

We examined human exposures to dental products (EDP), stomatological preparations (ESP), and in the context of dental care (EDC) or toothache (ETA) registered by the Poisons Information Centre (PIC) Erfurt from 1997 to 2017. Dental products like dental technical and filling materials belong to medical devices. Stomatological preparations were classified according to the ATC code and symptom severity to the Poisoning Severity Score (PSS). In total, 156 cases of EDP (136 cases with different tooth filling materials), 1167 cases of ESP (55.6% fluoride containing products), 979 cases of EDC, and 331 cases of ETA were registered. Symptom severity in EDP and ESP were asymptomatic or mild. In ETA and EDC, however, 35 cases with moderate and 5 cases with severe symptoms were detected. 5 moderate and 3 severe cases were caused by prolonged paracetamol overdose. Severe bleeding occurred following tooth extraction in a 41 year-old phenprocoumon treated patient after self-medication with acetylsalicylic acid and metamizole. Gingival injection of lidocaine plus epinephrine in a 37 year-old healthy woman resulted in severe bradycardia and cardiac arrest. Acute toxicity of EDP and ESP appears to be low. Prolonged paracetamol overdose because of toothache, and some dental treatment can result in severe symptoms.


Assuntos
Assistência Odontológica , Materiais Dentários/efeitos adversos , Exposição Ocupacional , Odontalgia/epidemiologia , Odontalgia/etiologia , Adolescente , Adulto , Idoso , Criança , Pré-Escolar , Assistência Odontológica/efeitos adversos , Assistência Odontológica/métodos , Feminino , Humanos , Lactente , Masculino , Pessoa de Meia-Idade , Odontalgia/diagnóstico , Adulto Jovem
12.
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
13.
Orbit ; 39(1): 68-70, 2020 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-31020884

RESUMO

Amyloidosis and lymphoma localized to the ocular adnexa are rare, and their presentation may resemble more common inflammatory conditions such as autoimmune disease or infection, which can protract diagnostic evaluation and delay eventual therapy. In a patient with recalcitrant facial and tooth pain and ophthalmoplegia, evaluation should include careful histopathologic analysis of biopsy specimens. We report a case of orbital AL amyloidosis associated with localized lymphoma that presented with intractable dental pain and progressed to bilateral complete ophthalmoplegia.


Assuntos
Amiloidose de Cadeia Leve de Imunoglobulina/patologia , Linfoma/patologia , Linfoma/cirurgia , Doenças Orbitárias/patologia , Doenças Orbitárias/cirurgia , Biópsia por Agulha , Blefaroptose/diagnóstico , Blefaroptose/etiologia , Diplopia/diagnóstico , Diplopia/etiologia , Progressão da Doença , Feminino , Seguimentos , Humanos , Amiloidose de Cadeia Leve de Imunoglobulina/diagnóstico por imagem , Amiloidose de Cadeia Leve de Imunoglobulina/cirurgia , Imuno-Histoquímica , Linfoma/diagnóstico por imagem , Imageamento por Ressonância Magnética/métodos , Pessoa de Meia-Idade , Oftalmoplegia/diagnóstico , Oftalmoplegia/etiologia , Doenças Orbitárias/diagnóstico por imagem , Doenças Raras , Medição de Risco , Odontalgia/diagnóstico , Odontalgia/etiologia , Resultado do Tratamento
14.
Oral Dis ; 26(8): 1601-1609, 2020 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-31797486

RESUMO

Chronic overlapping pain conditions (COPCs) are conditions that share several clinical characteristics and symptomatology, are usually considered idiopathic in nature, and are frequently comorbid. Currently, there are no established inclusion criteria to determine which conditions should be included under this umbrella term despite different systems proposed. Persistent dentoalveolar pain disorder (PDAP), also referred to as atypical odontalgia and thought to be a component of persistent idiopathic facial pain, is a chronic pain condition that manifests as a persistent tooth pain or pain over a dentoalveolar site formerly occupied by a tooth in the absence of detectable pathology during clinical or radiological examination. PDAP is considered idiopathic in nature, and its pathophysiological mechanisms are not fully understood. Our objective was to investigate whether PDAP fits the conceptual paradigm of COPC given its characteristics and commonalities with other COPC, based on published literature identified through a scoping review. We found that PDAP fits 16 out of 18 common characteristics among COPCs, and based on this finding, we discuss the implications of PDAP being considered a COPC.


Assuntos
Dor Crônica , Doença Crônica , Dor Crônica/etiologia , Dor Facial/etiologia , Humanos , Transtornos Somatoformes , Odontalgia/etiologia
15.
Brain Behav ; 10(1): e01506, 2020 01.
Artigo em Inglês | MEDLINE | ID: mdl-31863574

RESUMO

INTRODUCTION: Orthodontic pain is the most common adverse side effect reported in the context of tooth movement. Given its central role in processing pain and negative emotion, the central nucleus of the amygdala (CeA) is thought to be a key site involved in orthodontic pain sensation. METHODS: In the present study, we therefore explored whether the CeA is involved in contributing to orthodontic pain in a rat model of tooth movement. For this study, we utilized adult male rats with bilateral sham or electrolytic CeA lesions (400 µA; 25 s), and then we analyzed face grooming behavior as a measure of pain sensation. RESULTS: Through this approach, we found that there were time- and force-dependent factors influencing pain levels in these rats. We further found that bilateral CeA lesions markedly reduced tooth movement-induced orofacial pain and that unilateral CeA lesions did so to a lesser extent. CONCLUSIONS: As such, these results suggest the CeA is a key area of orthodontic pain, with the results of this study highlighting potential avenues for achieving pain relief in those suffering from orthodontic pain.


Assuntos
Núcleo Central da Amígdala/patologia , Técnicas de Movimentação Dentária/efeitos adversos , Odontalgia , Animais , Comportamento Animal , Núcleo Central da Amígdala/fisiopatologia , Masculino , Medição da Dor/métodos , Ratos , Ratos Sprague-Dawley , Odontalgia/diagnóstico , Odontalgia/etiologia , Odontalgia/fisiopatologia
16.
Braz. oral res. (Online) ; 34: e036, 2020. tab
Artigo em Inglês | LILACS, BBO - Odontologia | ID: biblio-1100936

RESUMO

Abstract 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
Humanos , Masculino , Feminino , Adulto , Odontalgia/etiologia , Odontalgia/epidemiologia , Brasil/epidemiologia , Índice CPO , Saúde Bucal/estatística & dados numéricos , Estudos Transversais , Fatores de Risco , Distribuição por Sexo , Cárie Dentária/epidemiologia , Análise Multinível , Renda/estatística & dados numéricos
17.
Artigo em Inglês | LILACS, BBO - Odontologia | ID: biblio-1056894

RESUMO

Abstract Objective: To investigate the impacts of toothache on the daily activities of children aged 5 to 9 years. Material and Methods: A cross-sectional analytical study was conducted among 465 children (220 boys and 245 girls) aged between 5-9 years, using the Child Dental Pain Questionnaire (Child-DPQ), in the city of Kerman. They were categorized into two groups based on the clinical status: (1) untreated dental caries and (2) no dental caries or treated dental caries. For data analysis, the Chi-square, Mann-Whitney test, multiple logistic regressions, Spearman's correlation coefficient and t-test were used. Results: Regarding the severity of pain, about 28.3% reported mild pain, 30.1% moderate pain, and 21.9% very severe pain. The prevalence of reported dental pain increased by increasing the number of reported dental visits and more strongly among those having dmft>1. Toothache in children caused to stop eating (73.3%) and to sleep (63.8.1%) and provoked a dental visit in more than 40%. Conclusion: The toothache stopped many children eating and sleeping and provoked a dental visit in more than 40%. Among the children under study, 55.9% had to miss school.


Assuntos
Humanos , Masculino , Feminino , Criança , Odontalgia/etiologia , Criança , Inquéritos e Questionários , Cárie Dentária/prevenção & controle , Irã (Geográfico) , Distribuição de Qui-Quadrado , Modelos Logísticos , Estudos Transversais/métodos , Estatísticas não Paramétricas
18.
J Craniofac Surg ; 30(5): e418-e420, 2019 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-31299799

RESUMO

The symptoms of sudden severe headache and/or diminished consciousness characterize the onset of aneurysmal subarachnoid hemorrhage (SAH). However, several studies have suggested that some patients show an atypical presentation at the onset: symptoms lacking sudden headache and diminished consciousness. These atypical symptoms can easily lead to misdiagnosis. This paper reported the death cases of acute aneurysmal subarachnoid hemorrhage with toothache as the first symptom, hoping to provide clinical evidence for the general public doctors to reduce the misdiagnosis and delayed diagnosis of SAH, improve the identification ability of SAH, and prevent such death events from happening again.


Assuntos
Hemorragia Subaracnóidea/complicações , Odontalgia/etiologia , Autopsia , Diagnóstico Tardio , Evolução Fatal , Humanos , Masculino , Pessoa de Meia-Idade
19.
Singapore Med J ; 60(5): 224-228, 2019 May.
Artigo em Inglês | MEDLINE | ID: mdl-31187144

RESUMO

Tooth pain is a common presentation in primary care, with 32.4% of Singaporeans experiencing pain from dental caries in their lifetime. Some systemic conditions can have oral presentations, and oral conditions may be associated with chronic disease. A good history and examination is key in delineating odontogenic from non-odontogenic causes of tooth pain. Primary care physicians should accurately diagnose and assess common dental conditions and make appropriate referrals to the dentist. Common non-odontogenic causes of orofacial pain can be mostly managed in primary care, but important diagnoses such as acute coronary syndrome, peritonsillar abscess and temporal arteritis must not be missed. Ibuprofen has been shown to be effacious, safe and cost-effective in managing odontogenic pain. Antibiotics are indicated when there is systemic or local spread of dental infection. Without evidence of spread, antibiotics have not been shown to reduce pain or prevent subsequent dental infections.


Assuntos
Dor Facial/terapia , Comunicação Interdisciplinar , Colaboração Intersetorial , Equipe de Assistência ao Paciente , Doenças Dentárias/terapia , Odontalgia/terapia , Analgésicos/uso terapêutico , Antibacterianos/uso terapêutico , Diagnóstico Diferencial , Dor Facial/etiologia , Medicina Geral , Humanos , Masculino , Pessoa de Meia-Idade , Encaminhamento e Consulta , Singapura , Doenças Dentárias/diagnóstico , Doenças Dentárias/etiologia , Odontalgia/etiologia
20.
Oral Dis ; 25(5): 1384-1393, 2019 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-30939210

RESUMO

OBJECTIVE: To investigate the prevalence of dental pain among adolescent students and its association with individual, school and city variables, using a multilevel approach. SUBJECTS AND METHODS: Individual and school data were obtained from the National Adolescent School-Based Health Survey (PeNSE) conducted in Brazil in 2015 in a sample of 34,776 students from 1,339 schools in the 27 Brazilian capital cities. Secondary data on socioeconomic, structural and health indicators of the cities were obtained from public databases. The outcome was the prevalence of dental pain in the last six months (yes/no). Independent variables, consisting of potential social and behavioural determinants of dental pain, were structured in three levels: individual, school and city. Multilevel logistic regression was performed. RESULTS: Prevalence of dental pain was 21.8% (95% CI = 21.0-22.7). Unadjusted analysis showed significant associations between the outcome and most of the factors in the individual and in the contextual levels. In the final adjusted model, adolescents who reported unfavourable health-related behaviours, adverse socioeconomic or psychosocial characteristics, as well as those attending public schools and living in cities with high caries prevalence (DMFT) at age 12, were more likely to report dental pain. CONCLUSIONS: Prevalence of dental pain was high and associated with adverse individual and contextual factors in the school and city levels.


Assuntos
Cárie Dentária/epidemiologia , Odontalgia/epidemiologia , Adolescente , Brasil/epidemiologia , Criança , Estudos Transversais , Humanos , Prevalência , Fatores Socioeconômicos , Inquéritos e Questionários , Odontalgia/etiologia
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA
...