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1.
BMC Oral Health ; 21(1): 202, 2021 04 22.
Artigo em Inglês | MEDLINE | ID: mdl-33888123

RESUMO

BACKGROUND: Clinical evidence indicates that there are various risk factors of tooth loss. However, the degree of this risk among other risk factors remains unclear. In this retrospective cohort study, the authors evaluated the hazard ratios of several risk factors for tooth loss. METHODS: Included patients had all been treated for dental disorders, were in the supportive phase of periodontal therapy by dental hygienists, and visited a Japanese dental office continually during a 10-year period. Periodontal parameters, tooth condition, and general status of all teeth (excluding third molars) at the initial visit and at least 10 years later were evaluated by using multiple classification analysis. RESULTS: The authors evaluated a total of 7584 teeth in 297 patients (average age: 45.3, mean follow-up time: 13.9 years) Non-vital pulp was the most significant predictor of tooth loss according to Cox hazards regression analysis (hazard ratio: 3.31). The 10-year survival rate was approximately 90% for teeth with non-vital pulp and 99% for teeth with vital pulp. Fracture was the most common reason for tooth loss. CONCLUSIONS: Non-vital pulp had the most significant association with tooth loss among the parameters. Therefore, it is very important to minimize dental pulp extirpation.


Assuntos
Perda de Dente , Seguimentos , Humanos , Pessoa de Meia-Idade , Modelos de Riscos Proporcionais , Estudos Retrospectivos , Fatores de Risco , Perda de Dente/epidemiologia , Perda de Dente/etiologia
2.
Braz Oral Res ; 35: e031, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-33729276

RESUMO

The aim of this study was to investigate the intraoral distribution of untreated caries and tooth loss and estimate the impact of different socioeconomic factors on the occurrence of these outcomes. A cross-sectional study was conducted with 652 18-year-old male adolescents from the city of Sapucaia do Sul, Brazil, who conscripted for military service. The participants answered a questionnaire addressing sociodemographic variables. Two trained and calibrated examiners performed the clinical examinations for the diagnosis of dental caries using the criteria of the World Health Organization. Tooth group and adolescent were the units of analysis for the primary outcomes of the study. Poisson regression analysis with robust variance was performed, with the calculation of crude and adjusted prevalence ratios (PR) and 95% confidence intervals (CI). The prevalence of caries experience and untreated caries was 70.2% and 39.3%, respectively, and 9.4% of the adolescents had missing teeth. Sixty-seven percent of the untreated caries and 98.8% of missing teeth were in first molars. The probability of dental caries and tooth loss was significantly higher among adolescents with less schooling (PR = 2.56; 95%CI: 1.97-3.32 and PR = 3.28; 95%CI: 1.61-6.65, respectively) and those whose mothers had less schooling (PR = 1.31; 95%CI: 1.03-1.67 and PR = 2.30; 95%CI: 1.18-4.50, respectively). In conclusion, the occurrence of untreated dental caries and tooth loss was concentrated in the first molars of adolescents. Moreover, the prevalence of both conditions was higher among adolescents with low schooling and whose mothers had low schooling, reflecting the strong intraoral and socioeconomic polarization of these outcomes.


Assuntos
Cárie Dentária , Perda de Dente , Adolescente , Brasil/epidemiologia , Estudos Transversais , Cárie Dentária/epidemiologia , Suscetibilidade à Cárie Dentária , Humanos , Masculino , Prevalência , Fatores Socioeconômicos , Perda de Dente/epidemiologia
3.
Artigo em Inglês | MEDLINE | ID: mdl-33669490

RESUMO

Age-related decline in cognitive function is a major challenge in geriatric healthcare. A possible explanation is that the tooth loss or low chewing ability is at cause of cognitive impairment or dementia. The study aimed to investigate the potential relationship between chewing ability and cognitive function in the elderly. A total of 563 participants aged 65 years or over residing in urban and rural areas of South Korea were surveyed. The chewing ability was measured by objectively measurable indications such as the number of remaining teeth, denture status, color-changeable gum, and occlusal balance using T-Scan III®. The cognitive function was measured by the Korean version of Mini-Mental State Examination-Dementia Screening (MMSE-DS) and a score of 24 or more (out of 30) indicates a normal cognition, below 23 indicates cognitive impairment. The association between socio-demographic factors, chewing ability factors, and cognitive function demonstrated statistically significant results. When comparing the denture status and chewing ability, the proportion of need denture group had fewer remaining teeth and anterior balanced occlusion. The average number of remaining teeth in anterior balanced occlusion with cognitive impairment was 11.2 compared to posterior balanced occlusion with the normal cognition 19.2. A multiple linear regression analysis declared a significant correlation between number of remaining teeth, denture status, occlusal balance, and cognitive function. Results of the present study revealed objectively measurable indications are suitable for chewing ability assessment and correlated with cognitive function.


Assuntos
Disfunção Cognitiva , Perda de Dente , Idoso , Cognição , Disfunção Cognitiva/epidemiologia , Humanos , Mastigação , República da Coreia/epidemiologia , Perda de Dente/epidemiologia
4.
J Affect Disord ; 286: 174-179, 2021 05 01.
Artigo em Inglês | MEDLINE | ID: mdl-33730661

RESUMO

BACKGROUND: Depression is a major health problem among older adults, for which previous studies have suggested tooth loss as a risk factor. This study examined the mediating effect of oral function and orofacial appearance in the relationship between tooth loss and depression. METHODS: This three-year follow-up longitudinal study was based on a self-reported questionnaire targeting community-dwelling older adults aged ≥65 years. We used the incidence of depressive symptoms during follow-up as the outcome, the number of remaining teeth (≥20/≤19) as the exposure, and the deterioration of oral function and orofacial appearance (speaking, smiling, and eating) as mediators. We fitted the logistic regression model including confounders and calculated the natural indirect effect (NIE), natural direct effect, and the proportion mediated (PM) by the deterioration of oral functions by applying the causal mediation analysis framework. RESULTS: The mean age of the 8,875 participants was 72.7 years (1SD=5.5) and 48.0% were male. Depressive symptoms developed during follow-up in 11.5% of the participants (n=1,024). The incidence for those with ≤19 and ≥20 remaining teeth was 13.1% and 9.2%, respectively. Total effect of fewer remaining teeth (≤19) on depressive symptoms was OR=1.30 (95%CI=1.12-1.51). Difficulty in speaking (NIE OR=1.03, 95%CI=1.00-1.06, PM=12.4%), problems in smiling (NIE OR=1.04, 95%CI=1.01-1.07, PM=16.9%), and difficulty in chewing (NIE OR=1.05, 95%CI=1.02-1.09, PM=21.9%) significantly mediated the relationship. LIMITATION: Selection bias due to dropout. CONCLUSION: Deterioration of oral function and orofacial appearance were mediating factors of the mechanism for the relationship between tooth loss and the incidence of depressive symptoms.


Assuntos
Perda de Dente , Idoso , Estudos de Coortes , Depressão/epidemiologia , Feminino , Humanos , Vida Independente , Estudos Longitudinais , Masculino , Perda de Dente/epidemiologia
5.
Artigo em Inglês | MEDLINE | ID: mdl-33540933

RESUMO

The aim of this study was to develop and validate a predictive early tooth loss multivariable model for periodontitis patients before periodontal treatment. A total of 544 patients seeking periodontal care at the university dental hospital were enrolled in the study. Teeth extracted after periodontal diagnosis and due to periodontal reasons were recorded. Clinical and sociodemographic variables were analyzed, considering the risk of short-term tooth loss. This study followed the transparent reporting of a multivariable prediction model for individual prognosis or diagnosis (TRIPOD) guidelines for development and validation, with two cohorts considered as follows: 455 patients in the development phase and 99 in the validation phase. As a result, it was possible to compute a predictive model based on tooth type and clinical attachment loss. The model explained 25.3% of the total variability and correctly ranked 98.9% of the cases. The final reduced model area under the curve (AUC) was 0.809 (95% confidence interval (95% CI): 0.629-0.989) for the validation sample and 0.920 (95% CI: 0.891-0.950) for the development cohort. The established model presented adequate prediction potential of early tooth loss due to periodontitis. This model may have clinical and epidemiologic relevance towards the prediction of tooth loss burden.


Assuntos
Periodontite , Perda de Dente , Estudos de Coortes , Humanos , Periodontite/diagnóstico , Periodontite/epidemiologia , Perda de Dente/diagnóstico , Perda de Dente/epidemiologia
6.
Int J Dent Hyg ; 19(2): 153-165, 2021 May.
Artigo em Inglês | MEDLINE | ID: mdl-33523593

RESUMO

OBJECTIVE: The aim of this study was to determine the relationship between poor Oral Health-Related Quality of Life (OHRQoL) and oral health determinants (eg being 75 years of age or greater, marital status, smoking status, denture wearing, depression, low educational level (≤8th grade), poor general health, caries history, tooth-induced pain, decayed, missing filled teeth (DMFT) scores and periodontal diseases) among the elderly. METHODS: Formal search strategies in PubMed, Scopus, Cochrane and Web of Science were performed to identify studies in English published before 1 December 2019. We assessed the impacts of the oral health determinants including being 75 years of age or greater, marital status, smoking status, denture wearing, depression, low educational level (≤8th grade), poor general health, caries history, tooth-induced pain, DMFT scores and periodontal diseases) on OHRQoL among elderly individuals. The data were analysed using Stata 12.0 software. RESULTS: In total, 19 publications met the inclusion criteria of this meta-analysis. Findings indicate a positive association between low educational level (ie ≤8th grade), marital status, depression, smoking status, denture wearing, poor general health, tooth-induced pain, periodontal diseases and poor OHRQoL among the elderly. We also observed a negative association between DMFT, being older than 75 years of age on poor OHRQoL among the elderly. CONCLUSIONS: This review identified that several oral health determinants were associated with poor OHRQoL. The efficacy of preventive measures and the economic aspects of tooth replacement approaches should be explored in the future. Developing oral healthcare plans and policies with the specific aim of improving OHRQoL among this group is essential.


Assuntos
Cárie Dentária , Doenças Periodontais , Perda de Dente , Idoso , Estudos Transversais , Assistência Odontológica , Humanos , Saúde Bucal , Doenças Periodontais/epidemiologia , Doenças Periodontais/etiologia , Qualidade de Vida
7.
Am J Alzheimers Dis Other Demen ; 36: 1533317521996142, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-33631957

RESUMO

OBJECTIVE: Oral health status may be associated with dementia, which in turn results in higher medical costs among older people. METHODS: This STUDY enrolled 4,275 older individuals. Generalized linear models were constructed with the medical costs of dementia as the dependent variable, and number of teeth, Community Periodontal Index (CPI), and other factors as independent variables. RESULTS: Individuals with fewer teeth or with poor periodontal condition had significantly higher medical costs ratios for dementia independent of other confounding variables. The adjusted medical costs ratios of dementia were 4.13 (95% CI [confidence interval]; 1.79-9.56) for those with ≤9 teeth compared with those with ≥20 teeth and 3.48 (95% CI; 1.71-7.08) for those with personal CPI code 4 compared with those with personal CPI code 0-2. CONCLUSIONS: Oral health status was associated with the medical costs of dementia. Preventing tooth loss and maintaining periodontal health may contribute to controlling dementia costs.


Assuntos
Demência , Custos de Cuidados de Saúde , Saúde Bucal , Perda de Dente , Idoso , Idoso de 80 Anos ou mais , Demência/complicações , Demência/economia , Humanos , Japão , Estudos Longitudinais
8.
Am J Epidemiol ; 190(2): 196-206, 2021 02 01.
Artigo em Inglês | MEDLINE | ID: mdl-33524121

RESUMO

Gallbladder cancer (GBC) is a highly fatal cancer that can be cured through cholecystectomy if identified early. The presence of gallstones is the primary risk factor for GBC, but few people with gallstones develop GBC. A key question is what drives the development of GBC among persons with gallstones. We initiated the Chile Biliary Longitudinal Study (Chile BiLS) to address this question. From 2016 to 2019, Chile BiLS enrolled 4,726 women aged 50-74 years with ultrasound-detected gallstones from southern-central Chile, accounting for an estimated 36% of eligible women with gallstones in the study area. The median age was 59 years; 25% of the women were Amerindian (Mapuche), 60% were obese, 25% had diabetes, and 6% had cardiovascular disease. Participants will be followed for gallbladder dysplasia or cancer for 6 years. As of April 30, 2020, over 91% of those eligible completed the year 2 follow-up visit. Data being collected include epidemiologic and sociodemographic information, anthropometric measurements, blood pressure, and tooth counts. Biosamples being taken include baseline plasma, buffy coat, red blood cells, serum, blood clot from serum, and PAXgene whole blood (PreAnalytiX GmbH, Hombrechtikon, Switzerland). Complete gallbladder sampling is conducted for most participants undergoing cholecystectomy. The Chile BiLS cohort study will increase our understanding of GBC etiology and could identify potential risk stratification and early detection strategies in high-risk areas.


Assuntos
Neoplasias da Vesícula Biliar/epidemiologia , Cálculos Biliares/epidemiologia , Idoso , Pressão Sanguínea , Pesos e Medidas Corporais , Doenças Cardiovasculares/epidemiologia , Chile , Diabetes Mellitus/epidemiologia , Feminino , Neoplasias da Vesícula Biliar/diagnóstico por imagem , Neoplasias da Vesícula Biliar/etnologia , Cálculos Biliares/diagnóstico por imagem , Cálculos Biliares/etnologia , Humanos , Mediadores da Inflamação/sangue , Estudos Longitudinais , Pessoa de Meia-Idade , Obesidade/epidemiologia , Projetos de Pesquisa , Fatores de Risco , Fatores Socioeconômicos , Perda de Dente/epidemiologia
9.
Compend Contin Educ Dent ; 42(1): e5-e9, 2021 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-33481620

RESUMO

A single missing tooth is a common occurrence among young patients and impacts esthetics and long-term oral health in terms of compromised bone, gum tissue, and, if warranted, an implant and final prosthesis. In this case report, after years of poorly executed orthodontic therapy, the patient's dental growth complicated the development of an esthetically pleasing smile. An interdisciplinary approach was utilized comprising periodontal surgery, a second course of orthodontics, and prosthodontics to provide comprehensive patient care that included evaluation of occlusion and esthetics. Orthodontic treatment was performed to position the teeth in the most esthetic, functionally optimal position. An implant crown in the maxillary left central incisor position and direct bonding on the maxillary right central incisor were indicated to treat a large edentulous area. Final orthodontic treatment achieved a substantial reduction of incisor protrusion and proper mesial-distal distance between the future implant and adjacent teeth. An ideal emergence profile, appealing esthetics, and a provisional restoration were created before the final crown. Optimal alignment of teeth relative to the arch was achieved, and adequate tissue dimensions were created by combining surgical augmentations with provisional restorative therapy.


Assuntos
Estética Dentária , Perda de Dente , Coroas , Humanos , Incisivo , Maxila , Coroa do Dente
10.
Crit Rev Oncol Hematol ; 159: 103221, 2021 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-33482347

RESUMO

A number of epidemiological studies have suggested a positive association between periodontal diseases and oro-digestive cancers, including liver cancer. The purpose of the present systematic review was to analyze the current evidence regarding the potential association between periodontitis and/or tooth loss and the risk of liver cancer. A comprehensive search of PubMed, Scopus and Web of Science databases was conducted in August 2019. The inclusion criteria comprised all observational studies that assessed the relationship between periodontitis or tooth loss and liver cancer. Case reports, animal studies, experimental studies, and reviews were excluded. Due to great heterogeneity among the included studies, no meta-analysis was conducted. Six studies (five prospective cohorts and one case-control) comprising 619,834 subjects (including 916 liver cancer cases) were included. The studies were conducted in the United States, Europe, and Asia. Three large-scale cohort studies reported a positive association between periodontitis or tooth loss and the risk of liver cancer. One case-control study found some association between liver cancer and loss of 12-23 teeth, but such association was not replicated in patients with greater number of tooth loss. Contrarily, two studies failed to report any association between periodontitis and/or tooth loss and the risk of liver cancer. The available evidence suggests a possible link between tooth loss/periodontitis and the risk of liver cancer. However, the evidence is not conclusive enough, a fact that drives to conduct more, well-designed, prospective cohort studies to further explore the potential association between periodontitis and the risk of liver cancer.


Assuntos
Neoplasias Hepáticas , Periodontite , Perda de Dente , Animais , Ásia , Estudos de Casos e Controles , Europa (Continente) , Humanos , Neoplasias Hepáticas/epidemiologia , Neoplasias Hepáticas/etiologia , Periodontite/complicações , Periodontite/epidemiologia , Estudos Prospectivos , Perda de Dente/complicações , Perda de Dente/epidemiologia
11.
Artigo em Inglês | MEDLINE | ID: mdl-33401662

RESUMO

We aimed to investigate the association between blood pressure (BP) and tooth loss and the mediation effect of age. A cross-sectional study from a reference dental hospital was conducted from September 2017 to July 2020. Single measures of BP were taken via an automated sphygmomanometer device. Tooth loss was assessed through oral examination and confirmed radiographically. Severe tooth loss was defined as 10 or more teeth lost. Additional study covariates were collected via sociodemographic and medical questionnaires. A total of 10,576 patients were included. Hypertension was more prevalent in severe tooth loss patients than nonsevere tooth lost (56.1% vs. 39.3%, p < 0.001). The frequency of likely undiagnosed hypertension was 43.4%. The adjusted logistic model for sex, smoking habits and body mass index confirmed the association between continuous measures of high BP and continuous measures of tooth loss (odds ratio (OR) = 1.05, 95% CI: 1.03-1.06, p < 0.001). Age mediated 80.0% and 87.5% of the association between periodontitis with both systolic BP (p < 0.001) and diastolic BP (p < 0.001), respectively. Therefore, hypertension and tooth loss are associated, with a consistent mediation effect of age. Frequency of undiagnosed hypertension was elevated. Age, gender, active smoking, and BMI were independently associated with raised BP.


Assuntos
Hipertensão/epidemiologia , Saúde Bucal , Perda de Dente/epidemiologia , Adulto , Pressão Sanguínea , Estudos Transversais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Suíça/epidemiologia
12.
Quintessence Int ; 0(0): 300-306, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-33491382

RESUMO

Objective: To evaluate implant and patient characteristics 4 to 8 years after implant installation in a study involving immediate fixed restoration of dental implants. Method and materials: The study was a follow-up of treated generalized chronic periodontitis patients who received immediate restorations on dental implants as part of a previous study. The patients were examined clinically and radiographically at implant placement, 6 months, 1 year, and 4 to 8 years later. Supportive periodontal therapy (SPT), teeth and implant probing pocket depth (TPPD and IPPD), bleeding on probing (BOP [teeth, TBOP; implant, IBOP]), and bone level (BL) measurements around implants were documented. Cases were divided into three groups according to annual SPT rate: 0.00 to 0.99/year (SPT0), 1.00 to 1.99/year (SPT1), 2.00 or more/year (SPT2). Results: Twelve patients, with 26 implants and 242 teeth, were included. The mean ±â€¯standard deviation follow-up period was 6.08 ±â€¯1.25 years (range 4.04 to 7.94 years). All implants in the follow-up group were osseointegrated and survived during the follow-up period. The mean number of SPT appointments was 6.17 ±â€¯5.65. A weak negative correlation was found between SPT rate and ΔTPPD (-0.24, P = .0005), whereas a strong negative correlation was found between SPT rate and ΔIPPD (-0.76, P = .0005). Negative correlations were found between SPT rate and ∆TBOP (-0.20, P = .003), and between SPT rate and ∆IBOP (-0.5, P = .009). A moderate correlation was found between SPT rate and ΔBL (0.46, P = .02). Conclusion: SPT has a significant positive effect on PPD, BOP, and on implant BLs in long-term follow-up and should be an essential part of implant therapy.


Assuntos
Perda do Osso Alveolar , Periodontite Crônica , Implantes Dentários , Perda de Dente , Prótese Dentária Fixada por Implante , Falha de Restauração Dentária , Seguimentos , Humanos , Índice Periodontal
13.
J Int Acad Periodontol ; 23(1): 17-30, 2021 01 01.
Artigo em Inglês | MEDLINE | ID: mdl-33512339

RESUMO

BACKGROUND: The present review aimed to assess the impact of being a complier to supportive periodontal therapy (SPT), when compared to not being a complier, on tooth loss in patients with periodontitis. METHODS: Prospective and retrospective observational studies were included. MEDLINE, EMBASE, and LILACS databases were searched up to May 2019. The odds-ratio (OR) and standard error (SE) values of the studied groups (compliant or non-compliant) were converted to logOR, and the results of individual studies were grouped using a random effects model. RESULTS: From a total of 1815 articles initially searched, 13 retrospective studies and one prospective study comparing tooth loss of complier and non-complier individuals in SPT were included. Meta-analysis of eight studies showed that non-compliers in SPT have an increased risk of tooth loss when compared with compliers. Overall meta-analysis demonstrated that non-compliant patients in SPT have a 26% increased risk of tooth loss when compared with compliant patients (OR = 1.26; 95% CI = 1.06 to 1.51, Heterogeneity: I2 = 0%, p = 0.008). CONCLUSIONS: Patients with periodontitis who do not comply in SPT have a higher risk of tooth loss than compliant patients. Oral health professionals should implement measures to obtain optimal adherence by patients in SPT.


Assuntos
Perda de Dente , Seguimentos , Humanos , Cooperação do Paciente , Bolsa Periodontal , Estudos Prospectivos , Estudos Retrospectivos , Perda de Dente/etiologia
14.
Arch Oral Biol ; 123: 105039, 2021 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-33454419

RESUMO

OBJECTIVE: Prolonged mild stress due to tooth loss leads to morphologic and functional alterations of the hippocampus, as well as cognitive memory impairments in aged animals. An enriched environment improves stress-induced hippocampus-dependent cognitive impairments. The potential mechanisms underlying the beneficial effects of an enriched environment, however, remain unclear. In the present study, we investigated whether an enriched environment affects morphologic remodeling of the hippocampal myelin, synapses, and spatial learning deficits caused by tooth loss in aged senescence-accelerated mouse strain P8 (SAMP8) mice. DESIGN: SAMP8 mice (8 months old) with either teeth intact or teeth extracted were raised in a standard or enriched environment for three weeks. Spatial learning and memory ability was evaluated in a Morris water maze test. The morphologic features of the myelin sheath and synapses in the hippocampus were investigated by electron microscopy. RESULTS: Mice with tooth loss had a thinner myelin sheaths and shorter postsynaptic densities in the hippocampal CA1 region, and impaired hippocampus-dependent spatial learning ability. Exposure to an enriched environment ameliorated the hypomyelination and synaptic alterations, and spatial learning and memory impairments induced by tooth loss in aged SAMP8 mice. CONCLUSION: Our findings indicate that an enriched environment ameliorates hippocampal hypomyelination and synapse morphologic abnormalities, as well as learning deficits induced by tooth loss in aged SAMP8 mice.


Assuntos
Meio Ambiente , Hipocampo/fisiopatologia , Transtornos da Memória/etiologia , Bainha de Mielina , Sinapses/patologia , Perda de Dente/complicações , Animais , Aprendizagem em Labirinto , Camundongos
15.
Braz. dent. sci ; 24(1): 1-5, 2021. tab
Artigo em Inglês | LILACS, BBO - Odontologia | ID: biblio-1145383

RESUMO

Objective: One of the most important alterations in elderly is the destruction and loss of teeth and oral mucosal lesions. The aim of this study was to determine the frequency of biopsed pathologic lesions in elderly registered in the pathology department of Isfahan University of Medical Sciences during 1989 to 2018 years. Material and Methods: This cross-sectional descriptive-analytic study was performed on pathologic lesions in elderly archived in Faculty of Dentistry, Isfahan University of Medical Sciences. In this study, all archived information of elderly over 65 years including gender, age, location of lesion, clinical diagnosis, pathology diagnosis, and diagnosis year were evaluated in last three decades, and were analyzed statistically. Results: The age range of elderly patients was 65 to 90 years with a mean of 72.8 ± 4.9. The highest frequency for location of lesions was related to mandibular vestibule (21.1%). The most clinical diagnosed lesions were squamous cell carcinoma (24.5%) and Epulis Fissuratum (13.4%). The highest pathologic diagnosed lesions were related to reactive lesions group (35.6%). The squamous cell carcinoma malignancies and other malignancies were increased significantly in elderly patients with high age. Conclusion: According to the considerable frequency of oral lesions in elderly and increased frequency of squamous cell carcinoma and other malignancies, attention to oral lesions in elderly and periodic examinations are important to early diagnosis and treatment. (AU)


Objetivo: Uma das alterações mais importantes no idoso é a destruição e perda de dentes; e lesões da mucosa oral. O objetivo deste estudo foi determinar a frequência de lesões patológicas biopsiadas em idosos registrados no departamento de patologia da Universidade de Ciências Médicas de Isfahan durante os anos de 1989 a 2018. Material e métodos: Este estudo transversal descritivo-analítico foi realizado em lesões patológicas em idosos arquivadas na Faculdade de Odontologia da Universidade de Ciências Médicas de Isfahan. Neste estudo, todas as informações arquivadas de idosos com mais de 65 anos, incluindo sexo, idade, localização da lesão, diagnóstico clínico, diagnóstico patológico e ano do diagnóstico foram avaliadas nas últimas três décadas e foram analisadas estatisticamente. Resultados: A faixa etária dos pacientes idosos foi de 65 a 90 anos, com média de 72,8 ± 4,9. A maior frequência de localização das lesões foi relacionada a região vestibular da mandíbula (21,1%). As lesões mais diagnosticadas clinicamente foram carcinoma espinocelular (24,5%) e Epulis Fissuratum (13,4%). As maiores lesões patológicas diagnosticadas foram relacionadas ao grupo de lesões reativas (35,6%). As neoplasias do carcinoma de células escamosas e outras neoplasias aumentaram significativamente em pacientes idosos com alta idade. Conclusão: Devido à considerável frequência de lesões orais em idosos e ao aumento da frequência de carcinoma espinocelular e outras neoplasias, a atenção às lesões orais em idosos e os exames periódicos são importantes para o diagnóstico e tratamento precoces. (AU)


Assuntos
Humanos , Idoso , Idoso de 80 Anos ou mais , Patologia , Biópsia , Idoso , Neoplasias Bucais , Perda de Dente
16.
J Periodontal Res ; 56(2): 370-378, 2021 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-33368265

RESUMO

OBJECTIVE: The goals of this study were to investigate the prevalence of probable bruxism in a group of patients seeking a periodontal care and the association between probable bruxism and periodontal status. BACKGROUND: The results of previous studies evaluating the relationship between bruxism and periodontitis are contradictory. In addition, the relationship between probable bruxism and periodontitis in adults has not been evaluated, yet. Therefore, new studies are required in this field to clarify the relationship between bruxism and periodontitis. METHODS: Patients seeking periodontal care at a university periodontology unit were considered in this study. Their periodontal diagnosis, number of missing teeth, presence of probable bruxism, and sociodemographic characteristics were recorded. The periodontal status of each study participant was defined according to the latest consensus of the American Association of Periodontology/European Federation of Periodontology, and the 2018 consensus report on the assessment of bruxism was used to evaluate probable bruxism. A multiple logistic regression analysis was performed to determine the effects of bruxism on periodontitis. RESULTS: A total of 541 patients (289 females and 252 males, mean age 42.1 ± 15.9 years) were enrolled in the present study. The prevalence of probable bruxism was 36.6%. Additionally, 40.9% of the study population was diagnosed with periodontitis. The probable bruxers were older (P < 0.001), had a higher number of missing teeth (P < 0.001), and had poor periodontal status (P < 0.001). The multivariate logistic regression analysis suggested that probable bruxism was associated with periodontitis, after adjusting relevant factors (odds ratio: 2.243, 95% CI: 1.465-3.434, P < 0.001). CONCLUSIONS: It was observed that the prevalence of probable bruxism was 36.6% and probable bruxers showed higher odds of periodontitis. Future studies with prospective randomized design should be conducted to confirm these results among a larger study population.


Assuntos
Bruxismo , Periodontite , Perda de Dente , Adulto , Bruxismo/complicações , Bruxismo/epidemiologia , Estudos Transversais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Prevalência , Estudos Prospectivos , Fatores de Risco
17.
Am J Phys Anthropol ; 174(3): 451-462, 2021 03.
Artigo em Inglês | MEDLINE | ID: mdl-33340105

RESUMO

BACKGROUND: Female reproduction is associated with physiological, metabolic, and nutritional demands that can negatively affect health and are possibly cumulative when parity is high. While it is probable that maternal oral health is similarly affected, available evidence is based on fairly low parity populations and likely confounders affecting oral health status were not considered. AIM: To determine the relationship between parity and tooth loss in a population with many high parity women. Contributions of age, reproductive and socioeconomic parameters, and oral health practices were considered. MATERIALS AND METHODS: This was a cross-sectional study involving 612 Hausa women of all parity levels aged 13-65 years. Women with ≥5 children were considered high parity. Sociodemographic status and oral health practices were collected using a structured interviewer-administered questionnaire. All teeth present, (excluding third molars) and missing teeth were noted, with inquiries regarding tooth loss etiology. Associations with tooth loss were evaluated through correlations, ANOVA, post hoc analyses and Student's t tests. Effect sizes were used to interpret the magnitude of differences. Multiple regression (negative binomial model) was used to investigate predictors of tooth loss. RESULTS: Hausa women had a low prevalence of tooth loss, despite poor oral hygiene, and limited dental care. Older, middle SES, and higher parity women experienced significantly more tooth loss. Additionally, increased duration of reproductively active years was significantly related to fewer remaining teeth. CONCLUSION: Higher parity was related to greater tooth loss in Hausa women. Women with ≥5 children experienced more loss than lower parity age mates.


Assuntos
Paridade , Perda de Dente/epidemiologia , Adolescente , Adulto , Idoso , Antropologia Física , Estudos Transversais , Grupos Étnicos , Feminino , Humanos , Pessoa de Meia-Idade , Nigéria/epidemiologia , Adulto Jovem
18.
Prim Dent J ; 9(3): 40-43, 2020 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-33323064

RESUMO

Across the globe the population is ageing. In addition, older patients are retaining increasing numbers of natural teeth into old age. Therefore, clinicians are faced with the challenges of managing chronic dental diseases, including caries and periodontal disease, alongside replacing missing units. A number of treatment options are available to replace missing teeth for such patients with large numbers currently receiving removable partial dentures. Alternative approaches to treatment should be considered for this population group, including functionally orientated tooth replacement according to the principles of the shortened dental arch concept. In correctly chosen cases, this approach can provide patients with an acceptable, functional and aesthetic reduced dentition. Additionally, evidence suggests that such an approach can significantly reduce the maintenance burden for patients and clinicians which can ultimately deliver a more cost effective solution compared to removable alternatives.


Assuntos
Cárie Dentária , Prótese Parcial Removível , Arcada Parcialmente Edêntula , Doenças Periodontais , Perda de Dente , Cárie Dentária/terapia , Humanos
19.
Evid Based Dent ; 21(4): 120-121, 2020 12.
Artigo em Inglês | MEDLINE | ID: mdl-33339967

RESUMO

Data sources MEDLINE (PubMed), Web of Science and Cochrane Library in September 2019.Study selection Cross-sectional and cohort studies that explored the relationship between smoking cessation and tooth loss.Data extraction and synthesis The reviewers extracted data and contacted authors if relevant data were missing. Risk of bias was assessed using modified versions of the Newcastle-Ottawa scale (NOS) for both cohort and cross-sectional studies. For cross-sectional studies, random-effects model was used to assess the outcome (tooth loss). Estimates were presented as odds ratios (with 95% confidence interval). For cohort studies, random-effects model was also used to compare former and current smokers to never smokers. The estimates were presented as risk ratio (with 95% confidence interval). Heterogeneity was tested for both types of studies.Results Twenty-one studies were included in the review (14 cross-sectional and seven cohort). Of the cross-sectional studies, five studies were of low risk of bias while seven and two studies were of moderate and high risk of bias respectively. Former vs current smokers showed no significant difference in all levels of tooth loss. Of the cohort studies, the risk of tooth loss was twice as much for current smokers compared to former smokers.Conclusions There was not a significant difference in tooth loss between former smokers and never smokers. Current smokers are at a higher risk for tooth loss than former smokers.


Assuntos
Abandono do Hábito de Fumar , Perda de Dente , Estudos de Coortes , Estudos Transversais , Humanos , Fumar/efeitos adversos , Perda de Dente/prevenção & controle
20.
Hua Xi Kou Qiang Yi Xue Za Zhi ; 38(6): 616-621, 2020 Dec 01.
Artigo em Chinês | MEDLINE | ID: mdl-33377336

RESUMO

With the advance of materials and technologies, modern oral implantology developed rapidly. Dental implant has become the first choice to restore the missing teeth. Although it achieves a high success rate among healthy adults, for elderly patients, with the decline of physical function and other systemic diseases, the risks of implant treatment increase accordingly. Doctors should pay more attention to the factors that may affect the implant treatment of the elderly and ways of preventing possible risks and complications. Here we discuss the specificity, success rate, effect of systemic diseases and drug considerations of implant treatments in elderly patients.


Assuntos
Implantes Dentários , Perda de Dente , Adulto , Idoso , Implantação Dentária Endo-Óssea , Humanos
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