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1.
Shanghai Kou Qiang Yi Xue ; 31(2): 173-177, 2022 Apr.
Artigo em Chinês | MEDLINE | ID: mdl-36110075

RESUMO

PURPOSE: To investigate the periodontal health status of type 2 diabetes patients in the Endocrinology Department of Shanghai Sixth People's Hospital, to explore relevant influencing factors of chronic periodontitis, so as to provide epidemiological basis for targeted prevention and treatment of periodontal diseases in patients with type 2 diabetes. METHODS: Periodontal examination and questionnaire survey of patients with type 2 diabetes who visited the Endocrinology Department of Shanghai Sixth People's Hospital from November 2018 to December 2018 were conducted. Criteria in "Basic Methods for Oral Health Survey" recommended by WHO was referred to check and score the relevant periodontal indicators, including probing depth, bleeding on probing, attachment loss, calculus index, plaque index, etc. Sociodemographic information, diabetes history, periodontal health-related behaviors, and other information were collected through questionnaires. SPSS 22.0 software package was used for statistical analysis. RESULTS: Of the 916 patients with type 2 diabetes who participated in the survey, 670 patients with periodontitis were detected. The overall prevalence of periodontitis was 73.14%, and the number of missing teeth per capita was 4.85. The age of diabetic patients, the duration of diabetes, and the presence or absence of complications were risk factors for periodontitis. As the patients grew, the duration of the disease increased, and diabetes-related complications appeared, the prevalence of periodontitis in patients with diabetes increased significantly (P<0.05). CONCLUSIONS: Periodontal health of patients with type 2 diabetes in the surveyed region is not optimistic. Early prevention and treatment of periodontitis is extremely important. It is necessary to pay attention to the periodontal health status of elderly patients with long-term disease and diabetes, and to carry out targeted oral prevention and health care work for this population.


Assuntos
Periodontite Crônica , Diabetes Mellitus Tipo 2 , Perda de Dente , Idoso , China/epidemiologia , Periodontite Crônica/complicações , Índice de Placa Dentária , Diabetes Mellitus Tipo 2/complicações , Diabetes Mellitus Tipo 2/epidemiologia , Humanos , Perda de Dente/complicações
2.
Front Immunol ; 13: 919411, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-36119109

RESUMO

Here, we present the findings of an investigation involving two male siblings with juvenile total tooth loss, early-onset chronic leg ulcers, and autoimmune thyroiditis, as well as focal segmental glomerulosclerosis with associated pulmonary emphysema in one and diabetes mellitus in the other. The clinical picture and lupus anticoagulant, cryoglobulin, and cold agglutinin positivity suggested the diagnosis of antiphospholipid syndrome. Flow cytometry analysis showed immunophenotypes consistent with immune dysregulation: a low number of naive T cells, elevated CD4+ T cell counts, and decreased CD8+ T-cell counts were detected, and more than half of the T-helper population was activated. Considering the siblings' almost identical clinical phenotype, the genetic alteration was suspected in the background of the immunodeficiency. Whole exome sequencing identified a previously not described hemizygous nonsense variant (c.650G>A, p.W217X) within exon 6 of the moesin (MSN) gene localized on chromosome X, resulting in significantly decreased MSN mRNA expression compared to healthy controls. We present a putative new autoimmune phenotype of Immunodeficiency 50 (MIM300988) characterized by antiphospholipid syndrome, Hashimoto's thyroiditis, leg ulcers, and juvenile tooth loss, associated with W217X mutation of the MSN gene.


Assuntos
Síndrome Antifosfolipídica , Doença de Hashimoto , Perda de Dente , Crioglobulinas , Doença de Hashimoto/genética , Humanos , Inibidor de Coagulação do Lúpus , Masculino , Proteínas dos Microfilamentos , Fenótipo , RNA Mensageiro
3.
BMC Oral Health ; 22(1): 383, 2022 09 05.
Artigo em Inglês | MEDLINE | ID: mdl-36064674

RESUMO

BACKGROUND: Correctional institution inmates have reduced access to dental care; however, a quantitative assessment of their oral health condition has not yet been performed in South Korea. Therefore, this study aimed to assess dental caries and compare the prevalence of dental caries and associated factors between inmates and the general South Korean population. METHODS: The dental records of two detention centers in South Korea were retrospectively analyzed to assess the clinical oral health condition of inmates using the Decayed, Missing, and Filled Teeth (DMFT) index and self-reported questionnaire. These data were compared with similar data obtained from the Korea National Health and Nutrition Examination Survey (KNHANES) for the general South Korean population. RESULTS: In total, 642 inmates were analyzed and compared with 13,345 KNHANES participants in the KNHANES. The inmate and KNHANES groups demonstrated significant intergroup differences, with a higher prevalence of untreated caries, DMFT, decayed teeth (DT), and missing teeth (MT) values among the inmates. The prevalence of untreated caries decreased according to the history of dental pain in the inmate group but increased in the KNHANES group. The decrease in DMFT with a history of dental pain was significant only in the inmate group. Furthermore, self-rated oral health was significantly associated with prevalence of untreated caries, DMFT, DT, MT, and filled teeth (FT) in the inmate group but with prevalence of untreated caries, DMFT, DT, and MT in the KNHANES group. It was found that this is because there is an interaction effect by the group. CONCLUSIONS: The oral health of the inmate group was significantly poorer than that of the general group. Since DMFT, DT, MT, and FT values and prevalence of untreated caries in the inmate group were significantly related to their self-rated oral health, suggesting that self-rated oral health should be incorporated into the dental health screenings of correctional institution inmates.


Assuntos
Cárie Dentária , Perda de Dente , Índice CPO , Cárie Dentária/epidemiologia , Humanos , Prisões Locais , Inquéritos Nutricionais , Dor , Prevalência , República da Coreia/epidemiologia , Estudos Retrospectivos , Perda de Dente/epidemiologia
4.
Biomed Res Int ; 2022: 6254551, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-36072474

RESUMO

Teeth loosening are caused by insufficient supporting tissue, inflammation of periodontal tissue, or occlusal trauma, which is one of the main clinical symptoms of periodontitis. A digital technique for fabricating resin-bonded splinting fixed partial dentures (S-FPDs) is presented. It restores the missing mandible anterior teeth and splints the adjacent periodontally mobile teeth of the patient at the same time. The S-FPDs is designed and fabricated by computer-aided design and computer-aided manufacturing (CAD/CAM) technology with flexible PMMA material. The workflow is straightforward, convenient, and accurate. Meanwhile, the restoration can meet the esthetic requirements and help with the stability of adjacent loosening natural teeth spontaneously. It could be considered a medium-term provisional restorative treatment option, but further controlled investigations still be needed.


Assuntos
Prótese Adesiva , Perda de Dente , Desenho Assistido por Computador , Planejamento de Dentadura , Humanos , Mandíbula , Contenções Periodontais
5.
PLoS One ; 17(9): e0274465, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-36103495

RESUMO

BACKGROUND: Tooth loss is associated with nutritional status and significantly affects quality of life, particularly in older individuals. To date, several studies reveal that a high BMI is associated with tooth loss. However, there is a lack of large-scale studies that examined the impact of obesity on residual teeth with respect to age and tooth positions. OBJECTIVE: We assessed the impact of obesity on the number and position of residual teeth by age groups using large scale of Japanese database. METHODS: This was a cross-sectional study of 706150 subjects that were included in the database that combined the data from health insurance claims and health check-up, those lacking information about BMI, HbA1c level, smoking status, and the number of residual teeth were excluded. Thus, a total of 233517 aged 20-74 years were included. Subjects were classified into 4 categories based on BMI, and the number of teeth was compared between age-groups. The percentage of subjects with residual teeth in each position was compared between groups with obesity (BMI ≥25.0 kg/m2) and non-obesity. Logistic regression analysis was performed to clarify whether obesity predicts having <24 teeth. RESULTS: Higher BMI was associated with fewer teeth over 40s (P for trend <0.0001 when <70s). Obesity was associated with the reduction of residual teeth in the maxillary; specifically, the molars were affected over the age 30. Smoking status further affected tooth loss at positions that were not affected by obesity alone. After adjusting for age, sex, smoking status, and HbA1c ≥6.5%, obesity remained an independent predictive factor for having <24 teeth (ORs: 1.35, 95% CIs: 1.30-1.40). CONCLUSIONS: We found that an increase in BMI was associated with a decrease in the number of residual teeth from younger ages independently of smoking status and diabetes in the large scale of Japanese database.


Assuntos
Perda de Dente , Idoso , Estudos Transversais , Hemoglobina A Glicada , Humanos , Japão/epidemiologia , Obesidade/complicações , Obesidade/epidemiologia , Qualidade de Vida , Perda de Dente/complicações , Perda de Dente/epidemiologia
6.
J Am Geriatr Soc ; 70(9): 2695-2709, 2022 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-36073186

RESUMO

BACKGROUND: Emerging evidence indicates that poor periodontal health adversely impacts cognition. This review examined the available longitudinal evidence concerning the effect of poor periodontal health on cognitive decline and dementia. METHODS: Comprehensive literature search was conducted on five electronic databases for relevant studies published until April 2022. Longitudinal studies having periodontal health as exposure and cognitive decline and/or dementia as outcomes were considered. Random effects pooled estimates and 95% confidence intervals were generated (pooled odds ratio for cognitive decline and hazards ratio for dementia) to assess whether poor periodontal health increases the risk of cognitive decline and dementia. Heterogeneity between studies was estimated by I2 and the quality of available evidence was assessed through quality assessment criteria. RESULTS: Adopted search strategy produced 2132 studies for cognitive decline and 2023 for dementia, from which 47 studies (24 for cognitive decline and 23 for dementia) were included in this review. Poor periodontal health (reflected by having periodontitis, tooth loss, deep periodontal pockets, or alveolar bone loss) was associated with both cognitive decline (OR = 1.23; 1.05-1.44) and dementia (HR = 1.21; 1.07-1.38). Further analysis, based on measures of periodontal assessment, found tooth loss to independently increase the risk of both cognitive decline (OR = 1.23; 1.09-1.39) and dementia (HR = 1.13; 1.04-1.23). Stratified analysis based on the extent of tooth loss indicated partial tooth loss to be important for cognitive decline (OR = 1.50; 1.02-2.23) and complete tooth loss for dementia (HR = 1.23; 1.05-1.45). However, the overall quality of evidence was low, and associations were at least partly due to reverse causality. CONCLUSIONS: Poor periodontal health and tooth loss appear to increase the risk of both cognitive decline and dementia. However, the available evidence is limited (e.g., highly heterogenous, lacking robust methodology) to draw firm conclusions. Further well-designed studies involving standardized periodontal and cognitive health assessment and addressing reverse causality are highly warranted.


Assuntos
Disfunção Cognitiva , Demência , Periodontite , Perda de Dente , Disfunção Cognitiva/complicações , Disfunção Cognitiva/epidemiologia , Demência/complicações , Demência/etiologia , Humanos , Estudos Longitudinais , Perda de Dente/complicações , Perda de Dente/epidemiologia
7.
West Afr J Med ; 39(9): 942-948, 2022 Sep 16.
Artigo em Inglês | MEDLINE | ID: mdl-36126389

RESUMO

BACKGROUND: Tooth loss is an irreversible condition and it is an indicator of overall dental health. Tooth loss impairs speech, aesthetics, mastication, and deglutition, affecting an individual's oral health related quality of life. This study aimed to review the pattern of tooth loss in Nigerians over a forty-one-year period. MATERIALS AND METHODS: A literature search for articles on tooth loss and related subjects was performed on databases (NICB PubMed, Medline and Cochrane). Keywords used for the search included "tooth loss" and "Nigeria' as well as partial edentulousness, partial denture, implant and prosthodontics. The articles included were studies published between 1972 and 2019, written in English language and involving human subjects. A self-developed proforma was used to extract clinical and demographic data from the articles. RESULTS: All the studies assessed were observational. Most studies were conducted in tertiary hospitals. There was a marginal difference in the prevalence of tooth loss between males and females. The mean age of persons presenting in hospitals across Nigeria for extraction of their teeth was identical across several studies. Most of the studies reported the molars as the teeth most frequently lost. CONCLUSION: In younger adults, tooth loss was more common in 20-29-year-old subjects, while among the elderly it peaked in the 60-70-year-old group. Dental caries was the predominant cause of tooth loss over the years. Community based studies may provide more accurate information on the extent of tooth loss in Nigerians.


CONTEXTE: La perte de dents est un état irréversible et un indicateur de la santé dentaire globale. La perte de dents nuit à l'élocution, à l'esthétique, à la mastication et à la déglutition, affectant ainsi la qualité de vie d'un individu liée à sa santé bucco-dentaire. Cette étude avait pour but d'examiner le profil de la perte de dents chez les Nigérians sur une période de quarante et un ans. MATÉRIEL ET MÉTHODES: Une recherche documentaire d'articles sur la perte de dents et les sujets connexes a été effectuée sur des bases de données (NICB PubMed, Medline et Cochrane). Les motsclés utilisés pour la recherche comprenaient "perte de dents" et "Nigeria" ainsi que édentation partielle, prothèse partielle, implant et prosthodontie. Les articles inclus étaient des études publiées entre 1972 et 2019, rédigées en langue anglaise et impliquant des sujets humains. Un proforma auto-développé a été utilisé pour extraire les données cliniques et démographiques des articles. RÉSULTATS: Toutes les études évaluées étaient observationnelles. La plupart des études ont été menées dans des hôpitaux tertiaires. Il y avait une différence marginale dans la prévalence de la perte de dents entre les hommes et les femmes. L'âge moyen des personnes se présentant dans les hôpitaux du Nigeria pour l'extraction de leurs dents était identique dans plusieurs études. La plupart des études ont indiqué que les molaires étaient les dents les plus fréquemment perdues. CONCLUSION: Chez les jeunes adultes, la perte de dents était plus fréquente chez les sujets âgés de 20 à 29 ans, tandis que chez les personnes âgées, elle atteignait un pic dans le groupe des 60-70 ans. Les caries dentaires étaient la cause prédominante de la perte de dents au fil des ans. Des études communautaires pourraient fournir des informations plus précises sur l'étendue de la perte de dents chez les Nigérians. Mots clés: Perte de dents, Édentation, Prévalence, Nigeria.


Assuntos
Cárie Dentária , Doenças Periodontais , Perda de Dente , Adulto , Fatores Etários , Idoso , Cárie Dentária/complicações , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Nigéria/epidemiologia , Qualidade de Vida , Perda de Dente/epidemiologia , Perda de Dente/etiologia , Adulto Jovem
8.
Chin J Dent Res ; 25(3): 169-177, 2022 Sep 14.
Artigo em Inglês | MEDLINE | ID: mdl-36102885

RESUMO

OBJECTIVE: To investigate the synergistic changes of the astrocytes and neurons in the sensorimotor cortex during the process of implant osseointegration after insertion. METHODS: A total of 75 rats were allocated into three groups (n = 25): non-operated, extraction and implant. The rats in the latter two groups underwent extraction surgery of three maxillary right molars. One month later, the implant group received one titanium implant in the healed extraction socket. The rats were sacrificed on days 1, 3, 7, 14 and 28 after implantation. The brain sections, including sensory centre S1 and motor centre M1, were selected for further immunofluorescence for measurement of the synergistic morphological and quantitative changes of astrocytes and neurons. RESULTS: In layer IV of S1, the number of astrocytes in the implant group showed a descending trend with time; on days 1, 3, 7 and 14, the number of astrocytes in both the extraction group and the implant group was significantly higher than that in the non-operated group, and there was no difference between the extraction group and the implant group; however, on day 28, the number of astrocytes in the implant group was significantly lower than that in the extraction group. In layer V of M1, on days 7, 14 and 28, the number of astrocytes in the implant group was significantly lower than that in the extraction group; on days 14 and 28, the number of astrocytes in the extraction group was significantly higher than that in the non-operated group. In layer IV of S1 or layer V of M1, the number of neurons showed no significant changes between the three groups. CONCLUSION: The astrocytes in the face sensorimotor cortex were activated as a reaction to oral environment changes. This kind of neuroplasticity can be reversed by oral rehabilitation with dental implants. The motor cortex may be intimately related to osseointegration and osseoperception.


Assuntos
Implantes Dentários , Córtex Motor , Perda de Dente , Animais , Implantação Dentária Endóssea , Maxila/cirurgia , Córtex Motor/fisiologia , Córtex Motor/cirurgia , Ratos
10.
Int Dent J ; 72(4S): S21-S26, 2022 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-36031322

RESUMO

OBJECTIVES: The oral cavity functions in eating, speaking, socializing, and serving as a natural barrier to external pathogens. In the prevention of oral function decline in older people, oral health conditions should be maintained through public health actions. METHODS: This article discusses public health actions to prevent oral functional decline through addressing three major issues among older people: tooth loss, hyposalivation, and oral cancer. Negative impacts of tooth loss, hyposalivation, and oral cancer will be described, followed by describing public health approaches to prevent these problems RESULTS: Tooth loss, commonly caused by dental caries and periodontal diseases, affects one's ability to eat, speak, and socialize freely. Prevention of tooth loss can be done in clinical settings, community settings, and through national policies. Saliva plays an important role in eating, swallowing, and protecting oral mucosa from pathogens. The major causes of dry mouth are polypharmacy and the use of anticholinergic medications among older people. Public health actions to promote collaboration between dentists and doctors in the adjustment of drug prescriptions are warranted. Oral cancer can affect oral function largely both from the disease itself and from cancer treatments due to the destruction of oral structures and salivary gland function. Tobacco use and alcohol consumption are major risk factors for oral cancer; they also contribute to various systemic diseases and cancers of other organs. CONCLUSIONS: Public health policies and interventions using the common risk factor approaches to tackle tobacco and alcohol consumption should be encouraged. Rather than focusing on older people, the prevention of oral function decline should be planned through a life-course perspective.


Assuntos
Cárie Dentária , Neoplasias Bucais , Doenças Periodontais , Perda de Dente , Xerostomia , Idoso , Humanos , Saúde Bucal
11.
Int Dent J ; 72(4S): S5-S11, 2022 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-36031325

RESUMO

OBJECTIVE: The total years lived with disability among older people, and the concomitant burden of tooth loss in ageing societies have increased. This study is an overview of the burden of oral diseases and access to oral care in an ageing society. METHODS: We selected key issues related to the burden of oral diseases and access to oral care and reviewed the relevant literature. RESULTS: The rising number of older people with teeth increases their oral health care needs. To improve access to oral care, affordability of care is a great concern with respect to universal health coverage. In addition, accessibility is a crucial issue, particularly for vulnerable older adults. To improve oral care access, attempts to integrate oral health care into general care are being made in ageing countries. For this purpose, provision of professional oral care at home through domiciliary visits and provision of daily oral health care by non-dental professional caregivers are important. Oral health care for older people reduces general diseases such as pneumonia and malnutrition, which in turn could reduce further healthcare costs. CONCLUSIONS: To address the growing burden of oral care in ageing societies, special provision of oral health care to vulnerable older people, and integration of oral care with primary care will be required.


Assuntos
Doenças da Boca , Perda de Dente , Idoso , Envelhecimento , Humanos , Saúde Bucal
12.
Indian J Dent Res ; 33(1): 2-6, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35946236

RESUMO

Background: Oral diseases seriously impair the quality of life (QoL) in a large number of individuals and they may affect various aspects of life. Aim: To determine the relationship between tooth loss and oral health-related quality of life (OHRQoL) among adult dental patients. Study Setting and Design: A cross-sectional study was carried out among 296 adult dental patients aged 35-44 years attending Department of Oral Medicine and Radiology of Panineeya Institute of Dental Sciences and Hospital, Hyderabad, India. Materials and Methods: Oral Health Impact Profile-14 (OHIP-14) was used to assess OHRQoL. Dentition status and periodontal status according to WHO criteria 2013 and position, number of teeth lost by Batista et al. (2014) tooth loss classification were assessed. Statistical Analysis: Mann-Whitney U test and analysis of variance were used to find prevalence and severity of OHIP-14 with tooth loss and logistic regression analysis to evaluate the association between OHIP-14 prevalence and severity based on variables. Results: Except for the subjects with history of previous dental visit, variables such as gender and reason for dental visit showed significant difference (P ≤ 0.05) with tooth loss. Males subjects, who visited dentist with a history of pain, presence of periodontal disease and tooth loss up to 12 teeth (score 3) emerged as significant predictors for OHIP-14 prevalence (OR = 6.7, OR = 1.13, OR = 3.31). Conclusion: The study strongly evidenced that number and position of tooth loss had negative impacts on OHRQoL.


Assuntos
Doenças Periodontais , Perda de Dente , Adulto , Estudos Transversais , Humanos , Masculino , Saúde Bucal , Doenças Periodontais/complicações , Doenças Periodontais/epidemiologia , Qualidade de Vida , Inquéritos e Questionários , Perda de Dente/epidemiologia
13.
Braz Oral Res ; 36: e111, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35946739

RESUMO

The objective of this study was to identify dental caries-protective factors among 5-year-old children using the salutogenic theory. A cross-sectional study was conducted in a small-sized municipality in the Southeast region of Brazil, with a representative sample of 247 children registered in preschool and their respective mothers. The data were collected through questionnaires administered to the mothers about the socioeconomic, behavioral, and biological aspects of the mother and children. Additionally, the collections included validated instruments concerning psychosocial aspects, such as a sense of coherence, resilience, family cohesion and religiosity, and intraoral examinations of the children through the decayed-missing-filled primary teeth (dmft) index. All examinations were performed by a trained and calibrated examiner. The non-adjusted and adjusted odds ratios (OR) and their respective confidence intervals (CI) were estimated using multiple logistic regression with a hierarchical model. Among the examined children, 41.7% were caries-free. In the final model, the chances of the absence of dental caries experience (dmft = 0) were greater in children with mothers who had higher education levels (> 8 years of study) (OR = 2.55 [95%CIi:1.42-4.59]) and those who lived in an environment of high family cohesion (OR = 3.66 [95%CI: 1.19-11.29]). The results indicated that mothers' level of education and family relationships are protective factors against dental caries in 5-year-old children, which overlapped with behavioral and biological factors.


Assuntos
Cárie Dentária , Senso de Coerência , Perda de Dente , Pré-Escolar , Estudos Transversais , Índice CPO , Cárie Dentária/epidemiologia , Cárie Dentária/prevenção & controle , Escolaridade , Relações Familiares , Feminino , Humanos , Mães
14.
Quintessence Int ; 53(8): 722-731, 2022 Aug 17.
Artigo em Inglês | MEDLINE | ID: mdl-35976739

RESUMO

OBJECTIVES: Many treatment options accepted for unsalvageable traumatized teeth in adults would seem contraindicated in children and adolescents. Instead, growing patients need interim restorative measures, thus extensively preserving their local bone and soft tissue structures and, ideally, preparing the involved site for later definitive restoration while they transform to skeletal maturity. This narrative topic review addresses the interim management in case of very deep intra-extra-alveolar fractures, extensive infection-related root resorption, tooth ankylosis, and anterior tooth loss in growing patients, and seeks to empower the clinician to select the appropriate treatment approach. DATA SOURCES: The literature up to 2021 was reviewed based on several scoping searches on PubMed and the Cochrane Library using relevant terms. Due to the complexity of the topic (with various poor prognosis scenarios and the differing therapeutic options), a systematic review was deemed inappropriate. CONCLUSION: Suitable interim treatment options include extrusion of teeth showing deep intra-extra-alveolar fractures, and decoronation of ankylosed teeth as well as resin-bonded fixed dental prostheses, natural tooth pontics, and primary tooth autotransplantations after tooth loss. The interim management options described in this article represent compromises chosen in the absence of better alternatives after a careful risk-benefit analysis. However, if adequately performed, the presented treatment options have the potential to achieve the temporary restoration of function and esthetics in growing patients. Close clinical and (if appropriate) radiologic monitoring of these patients is considered mandatory to ensure early detection of possible complications that might jeopardize or could render impossible subsequent therapeutic measures. (Quintessence Int 2022;53:722-731; doi: 10.3290/j.qi.b3236409; Modified from a previously published article (in German) Quintessenz 2022;73(2):162-169).


Assuntos
Reabsorção da Raiz , Anquilose Dental , Perda de Dente , Adolescente , Adulto , Criança , Humanos , Prognóstico , Reabsorção da Raiz/etiologia , Reabsorção da Raiz/terapia , Anquilose Dental/etiologia , Anquilose Dental/terapia , Coroa do Dente , Perda de Dente/etiologia
15.
Zhonghua Kou Qiang Yi Xue Za Zhi ; 57(8): 874-879, 2022 Aug 09.
Artigo em Chinês | MEDLINE | ID: mdl-35970785

RESUMO

Periodontitis is a common chronic infectious disease, so as to be the leading cause of tooth loss in adults. Numerous studies have confirmed the interrelationship between periodontitis and systemic diseases. However, evidence-based reviews reporting the interrelationship between them and treatment strategies for periodontitis with systemic diseases were still absent currently. Therefore, based on evidence-based medical researches in recent years, this article will summarize the interrelationship between periodontitis and systemic diseases, and briefly state the treatment strategies for periodontitis with systemic diseases.


Assuntos
Periodontite , Perda de Dente , Adulto , Humanos , Periodontite/complicações , Periodontite/terapia , Perda de Dente/complicações , Perda de Dente/terapia
16.
Sci Rep ; 12(1): 11893, 2022 07 13.
Artigo em Inglês | MEDLINE | ID: mdl-35831375

RESUMO

The new 2018 classification of periodontal diseases is reported to be related to tooth loss due to periodontal disease (TLPD) during supportive periodontal therapy (SPT). However, few reports have evaluated this relationship for Asians or have analyzed the association of the new classification and TLPD by distinguishing between active periodontal therapy (APT) and SPT. In this study, we retrospectively applied the new classification to 607 Japanese periodontitis patients and examined the relationship between the new classification and annual TLPD rates per patient during the respective periods. TLPD rates were higher in patients in stage IV and/or grade C during both APT and SPT. TLPD during SPT was not associated with the presence or absence of TLPD during APT. Multivariate analysis revealed that stage IV and grade C as independent variables were significantly associated with the number of instances of TLPD not only during the total treatment period, but also during APT or SPT. Our results suggest that the new classification has a significantly strong association with TLPD during both APT and SPT, and that patients diagnosed with stage IV and/or grade C periodontitis had a higher risk of TLPD during both periods.


Assuntos
Doenças Periodontais , Periodontite , Perda de Dente , Humanos , Periodontite/complicações , Periodontite/terapia , Estudos Retrospectivos
17.
Artigo em Inglês | MEDLINE | ID: mdl-35805739

RESUMO

The occupational environment is an important factor for oral health because people spend a long time in the workplace throughout their lives and are affected by work-related stress and occupational health policies. This study aimed to review evidence for the association between occupation and oral health status and behaviors. A literature search of PubMed was conducted from February to May 2022, as well as a manual search analyzing the article origins. Articles were screened and considered eligible if they met the following criteria: (1) published in English; (2) epidemiological studies on humans; and (3) examined the association between occupation and oral health status and behaviors. All 23 articles identified met the eligibility criteria. After full-text assessments, ten articles from Japan were included in this review: four on the association between occupation and dental caries, three on occupation and periodontal disease, two on occupation and tooth loss, and one on occupation and oral health behaviors. An association was apparent between occupation, oral health status and behaviors among Japanese workers. In particular, skilled workers, salespersons, and drivers who work longer hours and often on nightshifts, tended to have poor oral health.


Assuntos
Cárie Dentária , Saúde do Trabalhador , Perda de Dente , Humanos , Japão/epidemiologia , Saúde Bucal , Local de Trabalho
18.
Int J Paleopathol ; 38: 95-106, 2022 09.
Artigo em Inglês | MEDLINE | ID: mdl-35868059

RESUMO

OBJECTIVE: This study combines caries and antemortem tooth loss rates with possible dental interventions and medical texts to evaluate whether dentistry was practiced in Pharaonic Egypt. MATERIALS: The study includes 32 mandibles and 44 maxillae consisting of 485 teeth and 1052 tooth sockets. It includes 14 Egyptian texts on dental treatments. METHODS: Human remains were observed macroscopically for carious lesions and antemortem tooth loss. Egyptian texts were translated from photographs. RESULTS: 11 % of teeth were lost antemortem and 42 % of maxillae and mandibles had one or more teeth lost antemortem. One possible dental extraction is presented. Carious lesions were present in 10 % of teeth and 39 % of mandibles and maxillae. One example of a possible dental filling is presented. Two treatments from Papyrus Ebers discuss treatments to fill a tooth. CONCLUSION: AMTL and carious lesions were common in this sample, especially in older adults. The possible presence of a dental extraction and a dental filling in combination with textual references to dental fillings indicate dental interventions were sometimes used to manage dental health in Egypt. SIGNIFICANCE: This study is the earliest evidence in Egypt for a dental filling in human remains. It also offers an interdisciplinary analysis of dental treatments that indicates, contrary to earlier publications, that dental interventions were practiced in Egypt during the New Kingdom. LIMITATIONS: The poor dental health of many Egyptian populations makes it impossible to assess how frequently Egyptians used dental interventions. FURTHER RESEARCH: Future analysis of the dental filling could help determine its composition.


Assuntos
Cárie Dentária , Perda de Dente , Idoso , Restos Mortais , Odontologia , Antigo Egito , Humanos
19.
Hypertens Res ; 45(10): 1553-1562, 2022 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-35869286

RESUMO

The relationship between masticatory performance and hypertension has seldom been studied. The association between hypertension and tooth loss with/without denture use is unclear. This cross-sectional study examined the relationship between hypertension and masticatory performance and whether the relationship between hypertension and the number of teeth varied with denture use among older Japanese adults. Hypertension was defined as a systolic or diastolic blood pressure ≥140 or ≥90 mm Hg, respectively, or the use of antihypertensive medications. Masticatory performance was assessed using a chewable gummy jelly. The number of teeth and denture use were visually assessed by a trained dental hygienist. Poisson regression analyses were carried out to estimate the prevalence ratio and 95% confidence interval (CI) of hypertension with the number of teeth (≥28, 20-27, or 0-19 teeth), quartiles of masticatory performance (Q1: highest [reference] to Q4: lowest), and tooth loss with/without denture use. Hypertension was significantly associated with masticatory performance in participants in Q3 (prevalence ratio = 1.35; 95% CI = 1.07, 1.72) and Q4 (prevalence ratio = 1.31; 95% CI = 1.01, 1.69). There was no association between tooth loss and hypertension. Compared to participants with >28 teeth, the prevalence ratios and 95% CIs of those without dentures and those with 20-27 teeth were 1.33 (95% CI = 1.06, 1.68) and 1.69 (95% CI = 1.21, 2.37), respectively, in those with 0-19 teeth. Masticatory performance was inversely associated with hypertension, and tooth loss without the use of dentures was related to hypertension. Therefore, masticatory function may be important for preventing hypertension among older adults.


Assuntos
Hipertensão , Perda de Dente , Idoso , Estudos Transversais , Dentaduras , Humanos , Hipertensão/complicações , Mastigação/fisiologia , Perda de Dente/complicações , Perda de Dente/epidemiologia
20.
BMC Oral Health ; 22(1): 285, 2022 Jul 14.
Artigo em Inglês | MEDLINE | ID: mdl-35836158

RESUMO

BACKGROUND: This study aimed to examine the association between oral health behaviors and tooth retention among Chinese older adults. METHODS: Data were used from the 4th Chinese National Oral Health Survey, a nationally representative sample. The sample included 9054 older adults aged 55 to 74. Control variables and oral health behaviors were measured through a questionnaire interview, and the number of remaining teeth and periodontal health were obtained from an oral health examination. A chi-square test was used for univariate analysis. Multivariate Logistic regression was used to explore the association between health behaviors and the number of remaining teeth. RESULTS: The average number of remaining teeth in the sample was 24.4 ± 7.7. There was a higher proportion of older adults living in urban areas with 20 or more teeth than those living in rural areas (83.2% vs. 79.4%, P < 0.001); and a higher proportion of individuals with high education levels with 20 or more teeth compared to those with low education levels (P < 0.001). Logistic regression models showed that older adults who used toothpicks `(OR = 3.37, 95% CI 2.94-3.85), dental floss (OR = 1.93, 95% CI 1.05-3.53), toothpaste (OR = 3.89, 95% CI 3.14-4.83); and never smoked (OR = 1.43 95% CI 1.20-1.70) were more likely to retain 20 or more natural teeth; whereas older adults who had a dental visit were less likely to retain 20 or more natural teeth (OR = 0.45, 95% CI 0.39-052). CONCLUSION: Good oral hygiene practices, never smoking, and regular dental visits focusing on prevention are significantly associated with teeth retention. It is critical to promote a healthy lifestyle and improve prevention-oriented oral health care systems.


Assuntos
Inquéritos de Saúde Bucal , Perda de Dente , Idoso , China/epidemiologia , Comportamentos Relacionados com a Saúde , Humanos , Saúde Bucal , Perda de Dente/epidemiologia
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