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1.
Quintessence Int ; 0(0): 0, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-33491396

RESUMO

Objective: This study aimed to compare the clinical outcomes in dental prophylaxis between rubber cup polishing and an air polishing system using erythritol powder, with or without prior dental plaque disclosure. Method and materials: In this single-blind, randomized, controlled, split-mouth clinical trial, healthy participants with full-mouth plaque score ≥ 60% were recruited. Quadrants in each participant were randomly assigned to four treatment groups: air polishing with prior plaque disclosure; air polishing without plaque disclosure; rubber cup polishing with prior plaque disclosure; or rubber cup polishing without plaque disclosure. Plaque scores and treatment time for each quadrant were recorded. Posttreatment satisfaction questionnaires for both the participants and operators were also completed. Results: In total, 88 participants consisting of 42 men and 46 women (mean age 23.1 ± 2.0 years) were recruited. Air polishing with prior plaque disclosure had significantly lower posttreatment marginal mean plaque score (21.7 ± 17.5%) compared to air polishing (33.5 ± 23.4%) or rubber cup polishing (34.5 ± 19.7%) without prior plaque disclosure (P < .001). Marginal mean treatment time for air polishing (325 seconds; SE = 10 seconds) was significantly shorter compared to rubber cup polishing (407 seconds; SE = 15 seconds) (P < .001). Both the participants and operators preferred air polishing over rubber cup polishing (P < .001). Conclusion: Prior plaque disclosure enhanced the effectiveness of plaque removal. Air polishing exhibited better treatment efficiency than rubber cup polishing and was the patients' and clinicians' preferred treatment modality.


Assuntos
Placa Dentária , Borracha , Adulto , Placa Dentária/prevenção & controle , Polimento Dentário , Profilaxia Dentária , Revelação , Feminino , Humanos , Masculino , Método Simples-Cego , Adulto Jovem
2.
Minerva Stomatol ; 69(2): 72-78, 2020 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-32489087

RESUMO

BACKGROUND: The aim of this study was to evaluate the effectiveness of a tailored treatment dental program in adolescents in combination with a professional oral hygiene. METHODS: Ninety-three adolescents (43 males and 50 females; mean age: 14±1.1 years) were included in this study and Plaque Index (PI) and simplified basic periodontal examination (BPE) were measured for each patient at T0 (screening) and at T1 (after 30 days). At T0 a professional dental hygiene treatment was performed and a tailored oral hygiene instruction protocol was adopted. All data were statistically analyzed using Student's t-test and the level of significance was set at P<0.05. RESULTS: A statistically significant decrease of PI was found from T0 (2.3±0.6) to T1 (0.9±0.3) (P<0.05). Moreover, also a significant decrease (P<0.05) of BPE was observed after 30 days. Girls exhibited a higher significant BPE index improvement (0.47±0.2) in comparison to boys (0.3±0.1) at the end of the follow-up (P<0.05). CONCLUSIONS: A tailored oral hygiene instruction protocol has resulted in a decreased plaque accumulation and gingival inflammation.


Assuntos
Profilaxia Dentária , Higiene Bucal , Adolescente , Criança , Assistência Odontológica , Índice de Placa Dentária , Feminino , Humanos , Masculino , Índice Periodontal
3.
J Esthet Restor Dent ; 32(6): 586-592, 2020 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-32400106

RESUMO

OBJECTIVE: To evaluate dental prophylaxis influence in tooth color assessment with the use of different methods. MATERIALS AND METHODS: Volunteers were consecutively recruited and screened according to appropriate inclusion/exclusion criteria. Each participant's upper right central incisive and canine color was measured before and after dental prophylaxis with a one-week interval. Tooth color assessment was performed by calibrated operators and the patient using a VITA Classical shade guide and by spectrophotometric methods with a proper device (SpectroShade). Color was reported as mean with SD of Commission Internationale De l'Eclairage (CIE) L*a*b* values, ΔEab and ΔE00 . One-way analysis of variance and Tukey post hoc were performed to assess differences between methods and paired t test for assessing differences in tooth color coordinates after dental prophylaxis. Values of P < .05 were taken as significant. RESULTS: Fifty patients were included. Self-assessed dental prophylaxis effects equated to a significantly different mean ΔE00 value of 2.3 ± 1.7 (P < .01), when compared to the calibrated operator reported 0.8 ± 1.1 and the spectrophotometer 1.0 ± 0.5. Half of volunteer's ΔE00 values surpassed the acceptability threshold, when compared to 28% from investigator and 10% from spectrophotometer. CONCLUSION: Performing a dental prophylaxis did have an influence in tooth color perception with a higher self-perceived effect in the patient assessment. CLINICAL SIGNIFICANCE: The results of this study suggest that performing professional dental prophylaxis presented a perceived effect in tooth color regardless of the method used being that patients precepted whiter and less yellowish teeth. Since extrinsic stain is considered as one of the factors that could influence tooth color assessment, performing professional dental prophylaxis prior to composite or ceramic color selection in anterior teeth restorations could consequently increase treatment predictability.


Assuntos
Dente , Cerâmica , Cor , Profilaxia Dentária , Humanos , Pigmentação em Prótese , Espectrofotometria
4.
BMC Oral Health ; 20(1): 126, 2020 04 25.
Artigo em Inglês | MEDLINE | ID: mdl-32334590

RESUMO

BACKGROUND: Treatment with fixed orthodontic appliances has been associated with significant biofilm accumulation, thus putting patients at a higher risk of oral health deterioration. The use of probiotics has been proposed to be useful in the prevention or treatment of oral pathologies such as caries and diseases of periodontal tissues. Our aim was to investigate the effects of probiotic use on inflammation of the gingival tissues and the decalcification of the enamel in patients being treated with fixed orthodontic appliances. METHODS: We searched without restrictions 8 databases and performed hand searching until September 2019. We searched for randomized controlled trials (RCTs) evaluating whether individuals with fixed orthodontic appliances benefit from probiotic treatment in terms of the inflammation of the gingivae and decalcification of the enamel. Following the selection of studies and the extraction of pertinent data, we appraised the risk of bias and the confidence in the observed effects based on established methodologies. RESULTS: From the final qualifying studies, three did not show any statistically significant effect on gingival inflammation after probiotic administration of up to 1 month. Similarly, non-significant differences were noted in another study regarding white spot lesions development (mean administration for 17 months). No adverse effects were reported and the level of evidence was considered moderate. CONCLUSIONS: Supplementation of orthodontic patients with probiotics did not affect the development of inflammation in the gingivae and decalcification in the enamel. Additional RCTs, with longer intervention and follow-up periods, and involving different combinations of probiotic strains are required. TRIAL REGISTRATION: PROSPERO (CRD42018118008).


Assuntos
Cárie Dentária/prevenção & controle , Placa Dentária/tratamento farmacológico , Gengivite/prevenção & controle , Saúde Bucal , Aparelhos Ortodônticos Fixos/efeitos adversos , Aparelhos Ortodônticos/efeitos adversos , Probióticos/uso terapêutico , Adolescente , Adulto , Criança , Profilaxia Dentária , Feminino , Humanos , Masculino , Higiene Bucal , Descoloração de Dente , Adulto Jovem
5.
BMC Med ; 18(1): 84, 2020 04 02.
Artigo em Inglês | MEDLINE | ID: mdl-32238164

RESUMO

BACKGROUND: Infective endocarditis is an uncommon but serious infection, where evidence for giving antibiotic prophylaxis before invasive dental procedures is inconclusive. In England, antibiotic prophylaxis was offered routinely to patients at risk of infective endocarditis until March 2008, when new guidelines aimed at reducing unnecessary antibiotic use were issued. We investigated whether changes in infective endocarditis incidence could be detected using electronic health records, assessing the impact of inclusion criteria/statistical model choice on inferences about the timing/type of any change. METHODS: Using national data from Hospital Episode Statistics covering 1998-2017, we modelled trends in infective endocarditis incidence using three different sets of inclusion criteria plus a range of regression models, identifying the most likely date for a change in trends if evidence for one existed. We also modelled trends in the proportions of different organism groups identified during infection episodes, using secondary diagnosis codes and data from national laboratory records. Lastly, we applied non-parametric local smoothing to visually inspect any changes in trend around the guideline change date. RESULTS: Infective endocarditis incidence increased markedly over the study (22.2-41.3 per million population in 1998 to 42.0-67.7 in 2017 depending on inclusion criteria). The most likely dates for a change in incidence trends ranged from September 2001 (uncertainty interval August 2000-May 2003) to May 2015 (March 1999-January 2016), depending on inclusion criteria and statistical model used. For the proportion of infective endocarditis cases associated with streptococci, the most likely change points ranged from October 2008 (March 2006-April 2010) to August 2015 (September 2013-November 2015), with those associated with oral streptococci decreasing in proportion after the change point. Smoothed trends showed no notable changes in trend around the guideline date. CONCLUSIONS: Infective endocarditis incidence has increased rapidly in England, though we did not detect any change in trends directly following the updated guidelines for antibiotic prophylaxis, either overall or in cases associated with oral streptococci. Estimates of when changes occurred were sensitive to inclusion criteria and statistical model choice, demonstrating the need for caution in interpreting single models when using large datasets. More research is needed to explore the factors behind this increase.


Assuntos
Antibioticoprofilaxia/métodos , Profilaxia Dentária/métodos , Registros Eletrônicos de Saúde/normas , Endocardite Bacteriana/prevenção & controle , Endocardite/prevenção & controle , Endocardite Bacteriana/etiologia , Inglaterra , Feminino , Humanos , Incidência , Masculino
6.
BMJ Case Rep ; 13(2)2020 Feb 28.
Artigo em Inglês | MEDLINE | ID: mdl-32111710

RESUMO

Streptococcus intermedius is a Gram-positive cocci, normally found in the oral cavity and gastrointestinal tract. It has been associated with deep-seated purulent abscesses commonly in the brain or liver in immunocompromised patients. Here, we discuss the case of a 21-year-old immunocompetent patient that presented with septic shock in the setting of multiple pyogenic liver abscesses with positive blood cultures for S. intermedius The patient had a dental cleaning 3 months prior to admission. The abscesses resolved with ultrasound guided drainage and antibiotic therapy.


Assuntos
Bacteriemia/etiologia , Profilaxia Dentária/efeitos adversos , Abscesso Hepático Piogênico/microbiologia , Abscesso Hepático Piogênico/terapia , Infecções Estreptocócicas/etiologia , Antibacterianos/uso terapêutico , Bacteriemia/tratamento farmacológico , Drenagem , Humanos , Hospedeiro Imunocomprometido , Masculino , Infecções Estreptocócicas/tratamento farmacológico , Streptococcus intermedius , Adulto Jovem
7.
PLoS One ; 15(3): e0230128, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32163480

RESUMO

BACKGROUND: Patients affected by angioedema due to hereditary and acquired C1-inhibitor (C1-INH) deficiency (HAE and AAE, respectively) report trouble accessing dental care, due to the risk of a life-threatening oropharyngeal and laryngeal attack triggered by dental procedures. The aim of this study was to assess the identification of hurdles in receiving dental care, and the effectiveness of short-term prophylaxis (STP) in preventing angioedema attacks. In addition, the study evaluated the impact of dental care in angioedema disease. All patients affected by angioedema due to C1-INH deficiency who were treated in the dentistry outpatient department of ASST Fatebenefratelli Sacco hospital (Milan, Italy) between 2009 and 2017 were considered for the analysis. Data were collected from patients' records. RESULTS: Twenty-nine patients were analyzed (27 with HAE and 2 with AAE). Of these, 63.0% reported that they had previously experienced hurdles in accessing dental care. Among patients with pathological oral status, at the first visit, 59.26% patients had moderate-to-severe oral disease. Seventy-five dental procedures were performed in 20 patients. Sixty procedures were preceded by STP (58 with plasma-derived C1-INH and 2 with danazol) in patients with/without long-term prophylaxis (LTP). Post-procedural attacks occurred in two patients. One HAE patient undergoing a tooth extraction without STP/LTP experienced a laryngeal attack. The other post-procedural attack occurred in an AAE patient with anti-C1-INH antibodies with STP with pdC1-INH. The angioedema disease did not worsen in any patient after dental care, but improved in four of them. CONCLUSIONS: Most C1-INH-HAE patients reported hurdles in receiving dental care. STP protects against attacks after dental procedures. Treating oral diseases results in improvement in the frequency of attacks.


Assuntos
Angioedema/tratamento farmacológico , Angioedema/etiologia , Angioedemas Hereditários/complicações , Proteína Inibidora do Complemento C1/metabolismo , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Criança , Danazol/uso terapêutico , Profilaxia Dentária/métodos , Feminino , Humanos , Itália , Masculino , Pessoa de Meia-Idade , Resultado do Tratamento , Adulto Jovem
8.
Arq. odontol ; 56: 1-9, jan.-dez. 2020. tab
Artigo em Português | LILACS, BBO - Odontologia | ID: biblio-1087809

RESUMO

Objetivo: Avaliar o comportamento infantil durante os tratamentos odontológicos de profilaxia e de exodontia. Métodos: Este estudo transversal contou com 58 crianças, entre 6 e 9 anos de idade. Dentre essas, 29 crianças foram submetidas ao procedimento de exodontia e 29 ao procedimento de profilaxia. O comportamento infantil frente ao tratamento odontológico proposto foi avaliado por um cirurgião-dentista treinado através da versão brasileira e validada da Escala Comportamental de Venham (Venham's Behavior Rating Scale (BvVBRS). Avaliou-se também a ansiedade infantil prévia ao tratamento odontológico através da Venham Picture Test modificada (VPTm). A condição bucal foi avaliada pelo índice CPO-D e ceo-d, por pesquisador previamente calibrado (Kappa > 0,7). Os pais/responsáveis responderam a um questionário socioeconômico e questões relacionadas a experiência odontológica prévia das crianças. Realizou-se análise descritiva e teste Qui-quadrado com nível de significância de 5%. Resultados: Em relação ao comportamento o grupo submetido à profilaxia apresentou 100% das crianças com um comportamento positivo, enquanto no grupo submetido à exodontia houve 75,9% das crianças com comportamento positivo (p = 0,010). Idade, gênero e presença de ansiedade prévia aos procedimentos não tiveram relação estatisticamente significante com o comportamento infantil. A presença de cárie na dentição decídua esteve associada ao comportamento negativo durante os procedimentos odontológicos (p = 0,013). Conclusão: Foi observado que durante o procedimento de profilaxia os pacientes demonstraram um comportamento mais colaborador quando comparado ao procedimento de exodontia.


Aim:To investigate the behavior of children during dental treatments of prophylaxis and dental extraction. Methods: Fifty-eight children, 6 to 9 years of age, and their caregivers participated of this cross-sectional study. Of these, 29 children underwent prophylaxis and 29 dental extraction. Child behavior was assessed through the Brazilian version of the Venham's Behavior Rating Scale (BvVBRS), and dental anxiety was measured by the Venham Picture Test modified (VPTm). Clinical examination was performed by a calibrated examiner (Kappa > 0.7), using the decay, missing, filled index for primary and permanent dentition dmft/DMFT index. The caregivers answered a socioeconomic questionnaire and questions related to the previous dental experience of the children. Descriptive data analysis and Chi-square test were performed, with a significance level of 5%. Results:Regarding behavior, the prophylaxis group presented 100% of children with a positive behavior, while the extraction group contained 75.9% of children with positive behavior, and this difference was statistically significant (p = 0.010). Age, gender, and presence of anxiety prior to the procedures had no statistically significant relationship to the presented child behavior. The presence of caries in the deciduous dentition was associated with child behavior during dental procedures (p = 0.013). Conclusion: It was observed that the type of procedure interfered directly in the negative behavior of the children, with a difference in cooperation with invasive (dental extraction) and non-invasive (prophylaxis) procedures.


Assuntos
Criança , Cirurgia Bucal , Extração Dentária , Criança , Comportamento Infantil , Ansiedade ao Tratamento Odontológico , Profilaxia Dentária , Escala de Avaliação Comportamental , Estudos Transversais , Inquéritos e Questionários
9.
Neurocirugía (Soc. Luso-Esp. Neurocir.) ; 30(6): 305-308, nov.-dic. 2019. ilus
Artigo em Espanhol | IBECS | ID: ibc-186961

RESUMO

Presentamos el caso de una mujer de 52 años, sin antecedentes de interés, que fue derivada a nuestro centro tras ser diagnosticada de una lesión ocupante de espacio en el hemisferio cerebeloso derecho. La sospecha inicial era de metástasis. En la RMN cerebral, sin embargo, se apreciaba una marcada restricción en la secuencia de difusión concordante con un absceso cerebeloso. La paciente se había sometido a una limpieza dental tres semanas antes. El análisis microbiológico tras la evacuación quirúrgica de la lesión mostró la presencia de Streptococcus intermedius


A 52-year-old woman with no relevant previous medical history was diagnosticated of an infratentorial bulky cerebellar mass. The mass showed restricted diffusion on MR images, which was consistent with cerebellar abscess. The patient had undergone a minor dental procedure three weeks before. Microbiological analysis after surgical evacuation of the mass confirmed the presence of Streptococcus intermedius


Assuntos
Humanos , Feminino , Pessoa de Meia-Idade , Profilaxia Dentária/efeitos adversos , Streptococcus intermedius/patogenicidade , Fossa Craniana Posterior/diagnóstico por imagem , Abscesso/microbiologia , Fossa Craniana Posterior/patologia , Cérebro/diagnóstico por imagem , Cérebro/patologia , Craniotomia/métodos , Neuroimagem/métodos , Abscesso/tratamento farmacológico
10.
Neurocirugia (Astur) ; 30(6): 305-308, 2019.
Artigo em Inglês, Espanhol | MEDLINE | ID: mdl-31377095

RESUMO

A 52-year-old woman with no relevant previous medical history was diagnosticated of an infratentorial bulky cerebellar mass. The mass showed restricted diffusion on MR images, which was consistent with cerebellar abscess. The patient had undergone a minor dental procedure three weeks before. Microbiological analysis after surgical evacuation of the mass confirmed the presence of Streptococcus intermedius.


Assuntos
Abscesso Encefálico/microbiologia , Profilaxia Dentária/efeitos adversos , Infecções Estreptocócicas/microbiologia , Streptococcus intermedius , Antibacterianos/uso terapêutico , Abscesso Encefálico/diagnóstico por imagem , Craniotomia , Feminino , Humanos , Imagem por Ressonância Magnética , Pessoa de Meia-Idade , Infecções Estreptocócicas/diagnóstico por imagem , Infecções Estreptocócicas/terapia , Vancomicina/uso terapêutico
11.
Cient. dent. (Ed. impr.) ; 16(2): 99-104, mayo-ago. 2019. tab
Artigo em Espanhol | IBECS | ID: ibc-183719

RESUMO

El angioedema hereditario (AEH) es una enfermedad genética rara de transmisión autosómica dominante, en la que existe un déficit de la encima C1-INH. Cursa con episodios recurrentes y autolimitados de edema, causados por aumento de la permeabilidad vascular. Tiene unas importantes implicaciones para los profesionales de la salud bucodental, ya que determinados procedimientos odontológicos y quirúrgicos pueden desencadenar episodios de angioedema, potencialmente mortales al producirse edema en las vías respiratorias superiores. El objetivo de este trabajo es aportar información y recomendaciones a los odontólogos a la hora de tratar a estos pacientes con el fin de minimizar las complicaciones. Los resultados han aportado un total de 48 pacientes y se realizaron un total de 90 intervenciones, siendo el tratamiento más frecuente las extracciones dentales. El AEH tipo I es el más frecuente de los tres tipos con una incidencia de entorno al 85% y el tipo III es el menos común y conocido, ya que se ha identificado en los últimos años. La profilaxis a corto plazo es un método preventivo que ha de realizarse en todos los pacientes con AEH antes de cualquier intervención quirúrgica odontológica. El tratamiento de estos pacientes implica, en la mayoría de las ocasiones, una profilaxis a largo y corto plazo con el fin de disminuir los ataques. Siendo aconsejable realizar los procedimientos odontológicos-quirúrgicos en ambiente hospitalario


Hereditary angioedema (HAE) is a rare genetic disease of autosomal dominant transmission, in which there is a deficit of C1-INH enzyme. It runs with recurrent and self-limited episodes of edema to increase vascular permeability. There are some important complications for oral health professionals because many dental and surgical procedures can trigger angioedema episodes which can be a potentially life-threating condition due to edema in the upper respiratory tract. The objective of this research is to provide information and recommendations to dentists for treating these patients in order to minimize complications. 48 patients have been reported and a total of 90 interventions were performed, being extractions the most frequent treatment. HAE type 1 is the most frequent of the three types with an 85% of incidence, and type III is the least common and known, it has been identified in recent years. Shortterm prophylaxis is a preventive method that must be done in all HAE patients before any dental surgery. The treatment of these patients implies, in most cases, a long- and short-term prophylaxis in order to reduce attacks. It is recommended to realize dental-surgical procedures in a hospital environment


Assuntos
Humanos , Angioedemas Hereditários/diagnóstico , Angioedemas Hereditários/cirurgia , Profilaxia Dentária/métodos , Enzimas/deficiência , Permeabilidade Capilar , Angioedemas Hereditários/classificação
12.
Braz Oral Res ; 33: e033, 2019 Jul 01.
Artigo em Inglês | MEDLINE | ID: mdl-31269113

RESUMO

The aim of this study was to evaluate the effect of periodontal treatment on the salivary cytokine levels and clinical parameters of individuals with cerebral palsy (CP) with gingivitis. A non-randomized, clinical trial was conducted in individuals diagnosed with spastic CP. Thirty-eight individuals were enrolled in the study and were categorized according to gingival index scores between 0-1 or 2-3, assigned to groups G2 or G1, respectively. Periodontal treatment comprised oral hygiene instructions, conventional mechanical treatment and 0.12% chlorhexidine applied as an adjunct. Clinical parameters and saliva samples were collected at baseline and at the 15-day follow-up visit. Bleeding on probing and periodontal screening and recording were determined. Non-stimulated saliva samples were obtained, and the salivary flow rate, the osmolality and the levels of cytokines IL-1ß, IL-6, IL-8, IL-10, TNF-α and IL-12p70 were evaluated by a cytometric bead array. The Wilcoxon test, the Mann-Whitney test, Spearman correlation analysis, Poisson regression analysis and an adjusted analysis were performed (α = 0.05). The groups differed significantly in periodontal clinical parameters at baseline and at follow-up. Salivary flow rate and osmolality were similar in both groups at both timepoints. However, TNF-α and IL-1ß levels were higher in G1 than in G2 at baseline. Mechanical treatment resulted in improved clinical parameters for both groups. Furthermore, mechanical treatment resulted in a significant reduction in salivary IL-1ß and IL-8 levels for both groups after treatment. Periodontal treatment performed in individuals with CP and gingivitis reduces the levels of TNF-α, IL-1ß, IL-6 and IL-8.


Assuntos
Biomarcadores/análise , Paralisia Cerebral/complicações , Gengivite/complicações , Gengivite/reabilitação , Periodontite/terapia , Saliva/química , Adolescente , Criança , Citocinas/análise , Profilaxia Dentária/métodos , Feminino , Gengivite/microbiologia , Humanos , Interleucina-10 , Interleucina-1beta/análise , Interleucina-6/análise , Masculino , Concentração Osmolar , Índice Periodontal , Distribuição de Poisson , Saliva/imunologia , Saliva/microbiologia , Fator de Necrose Tumoral alfa/análise
13.
Photobiomodul Photomed Laser Surg ; 37(5): 276-281, 2019 May.
Artigo em Inglês | MEDLINE | ID: mdl-31084563

RESUMO

Objective: The aim of this study was to determine if a single photobiomodulation treatment can reduce oral erythema and edema following routine dental prophylaxis in canines. Background: Photobiomodulation therapy has been documented to accelerate healing time through mitigation of erythema and edema in human and veterinary patients. Methods: Canine patients were randomly assigned into three groups: CG (Control, n = 9, mock gingiva treatment without irradiation), LTG (left side treated, n = 8, irradiation of left upper and lower dental arcade), and RTG (right side treated, n = 7, irradiation of right upper and lower dental arcade). Immediately following anesthetized dental prophylaxis, the canines in the RTG and LTG received four points of irradiation (GaAlInP-650 nm, continuous wave, 0.1 W, 0.2 W/cm2, 100 sec, 10 J, 20 J/cm2). Erythema and edema along the gingival surface of each dental arcade were scored 24 h after treatment by a blinded veterinary evaluator. Analysis of variance and Bonferroni correction were used for data analysis. Results: Using a composite evaluation, there was significantly lower inflammation scores for the RTG (p = 0.017) and LTG (p = 0.025) relative to the CG at the location of the lower right dental arcade. Evaluating erythema individually, a significant reduction was found in the LTG (p = 0.049) when compared with the CG for the lower left dental arcade. Conclusions: Despite the limitations in this study, the canines who received a single photobiomodulation treatment demonstrated some degree of reduction in oral inflammation and erythema following dental prophylaxis.


Assuntos
Profilaxia Dentária/efeitos adversos , Edema/terapia , Eritema/terapia , Lasers Semicondutores/uso terapêutico , Terapia com Luz de Baixa Intensidade , Doenças Periodontais/terapia , Animais , Cães , Edema/etiologia , Eritema/etiologia , Feminino , Gengiva , Masculino
14.
Med Oral Patol Oral Cir Bucal ; 24(2): e136-e144, 2019 Mar 01.
Artigo em Inglês | MEDLINE | ID: mdl-30818305

RESUMO

BACKGROUND: The aim of this present article was to evaluate the scientific evidence on the efficacy of daily hygiene and professional prophylaxis for treatment of desquamative gingivitis. MATERIAL AND METHODS: The present systematic review was conducted following the PRISMA protocol. Searches were carried out in Pubmed, Embase, Web of Science and Cochrane Library up to July 2018, randomized clinical trials and cohort studies on desquamative gingivitis (DG), and oral diseases joined to DG. RESULTS: After screening, we found that nine publications met the eligibility criteria eight cohort studies and one randomized control trial. The diagnosis of the diseases corresponded to oral lichen planus (n=185), mucous membrane pemphigoid (n=13); plasma cell gingivitits (n=15) and pemphigus vulgar (n=11). The follow-up was between a week and a year after instructing patients. Dental daily hygiene and professional prophylaxis, at least with supragingival scaling and polishing have significantly improved the extension of the lesion and reduced the activity of DG, and gingival bleeding in all patients. Furthermore, these techniques have also reduced pain and gingival plaque. CONCLUSIONS: In conclusion the studies presented support the efficacy of maintaining personal and professional oral hygiene in patients with GD, reducing the clinical signs of the disease, regardless of its pathogenesis.


Assuntos
Profilaxia Dentária/métodos , Gengivite/terapia , Higiene Bucal/métodos , Biópsia , Bases de Dados Factuais , Placa Dentária/terapia , Índice de Placa Dentária , Polimento Dentário/métodos , Raspagem Dentária/métodos , Humanos , Líquen Plano Bucal/diagnóstico , Penfigoide Mucomembranoso Benigno/diagnóstico , Pênfigo/diagnóstico , Índice Periodontal
15.
Braz Oral Res ; 33: e017, 2019 Mar 18.
Artigo em Inglês | MEDLINE | ID: mdl-30892412

RESUMO

In endodontic treatment, regardless of the instrumentation technique, the presence of a smear layer covering contaminated dentin walls is always a concern. Thus, irrigation plays an essential role in reducing bacterial load. To enhance irrigation effectiveness, different ultrasonic activation methods and the use of different tips have been studied. This study assessed the cleaning capacity of the novel NiTi ultrasonic tip for smear layer removal using ultrasonically activated irrigation (UAI) with passive or continuous ultrasonic irrigation (PUI or CUI, respectively), compared with conventional irrigation. Forty-five single-rooted human mandibular premolars were decoronated to a standardized length of 16 mm. Instrumentation was performed using the Genius system up to size 50.04 and irrigated with 3% NaOCl. The specimens were divided into three groups (n = 15) according to the final irrigation activation technique: conventional irrigation (CI), as control group; PUI; and CUI, following the manufacturer's protocol. The samples were longitudinally cleaved and analyzed under a scanning electron microscope for smear layer removal according to a cleanliness score for the cervical, middle, and apical thirds. Data were evaluated by means of the Kruskal-Wallis and Tukey's tests, with a 5% level of significance. UAI enhanced cleaning compared to conventional irrigation, mainly at the apical third. CUI showed the best results, with statistically significant lower scores than PUI and CI (p < 0.05). Final irrigant activation with the NiTi tip showed better cleaning capacity than conventional irrigation. In addition, CUI resulted in better smear layer removal than PUI.


Assuntos
Profilaxia Dentária/métodos , Cavidade Pulpar , Níquel , Irrigantes do Canal Radicular/uso terapêutico , Titânio , Terapia por Ultrassom/métodos , Humanos , Irrigação Terapêutica/instrumentação , Irrigação Terapêutica/métodos
16.
Wiad Lek ; 72(1): 89-94, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-30796869

RESUMO

OBJECTIVE: Introduction: In the modern literature, a variety of treatment regimens for periodontal diseases in pregnant women have been suggested and recommended for use in practical public health. And yet the concept of "dental diseases prevention in pregnancy" does not fully reflect the essence of the necessary measures to maintain the dental health of women during this period. The aim: The aim of the present paper is to study the scientific literature on the issue of preventing periodontal diseases in pregnancy. PATIENTS AND METHODS: Materials and methods: The subject under discussion was considered on the basis of 59 sources on this issue, using the method of content analysis, comparative and contrastive, analytical and biblio-semantic methods. RESULTS: Review and conclusions: The analysis of scientific literature justifies the need for an integrated approach to treatment and prophylactic measures during the entire pregnancy period. Furthermore, the review of literature sources allows us to advocate the need to improve the existing approaches and to develop new individual programs for primary and secondary prevention of periodontal diseases in pregnant women, taking into account pathogenesis and the peculiarity of their course. Diagnosis of dental status in pregnant women with assessment of early and long-term clinical observations provides a prognostic model of the course and outcome of dental diseases. Meanwhile, the introduction of the follow-up observation for the maternity leave group enhances the dental health of pregnant women and prevents multiple pathological conditions of the unborn child.


Assuntos
Profilaxia Dentária , Saúde Bucal , Doenças Periodontais/prevenção & controle , Complicações na Gravidez/prevenção & controle , Assistência à Saúde , Feminino , Humanos , Gravidez
17.
Am J Case Rep ; 20: 151-153, 2019 Feb 04.
Artigo em Inglês | MEDLINE | ID: mdl-30713335

RESUMO

BACKGROUND Infective endocarditis (IE) has a high mortality rate, even when treated with appropriate antibiotic therapy and surgical intervention. Right-sided endocarditis is in itself rare, with some studies reporting an incidence of 5-10%. The majority of these cases involve the tricuspid valve, and isolated pulmonary valve endocarditis (PVE) is an extremely rare entity affecting less than 2% of patients with infective endocarditis. Identification and early management are crucial to prevent long-term complications and reduce mortality. CASE REPORT We present a patient with a history of essential hypertension and no underlying valvular disease, who underwent dental cleaning and subsequently developed low-grade fever, myalgia, and malaise. This occurred during the flu season, and was initially diagnosed and treated as flu, without any improvement. The patient was later found to be bacteremic with S. mitis, with no identifiable source, and a normal transthoracic echocardiogram (TTE). He was later hospitalized, had a transesophageal echocardiogram, and was found to have a large pulmonic valve vegetation. CONCLUSIONS This case presents an interesting and rare finding of endocarditis, isolated to the pulmonic valve, in an otherwise healthy individual with no predisposing risk factors. The lack of peripheral stigmata, as well as an unremarkable initial outpatient TTE, made the diagnosis more difficult. It should also be noted that current guidelines do not specifically address right-sided endocarditis, and do not specify the role of surgical intervention.


Assuntos
Endocardite Bacteriana/diagnóstico , Valva Pulmonar/microbiologia , Profilaxia Dentária , Ecocardiografia , Endocardite Bacteriana/microbiologia , Humanos , Masculino , Pessoa de Meia-Idade , Valva Pulmonar/diagnóstico por imagem , Infecções Estreptocócicas/complicações , Streptococcus mitis/isolamento & purificação
18.
Int J Dent Hyg ; 17(2): 192-198, 2019 May.
Artigo em Inglês | MEDLINE | ID: mdl-30714331

RESUMO

INTRODUCTION: Periodontal therapy disrupts the biofilm harbouring calculus that triggers inflammation. The explorer is primarily used for calculus detection, and the ultrasonic instrument is primarily used for calculus removal. The efficiency in dental hygiene care may improve if the ultrasonic instrument could be used in both calculus detection and removal. PURPOSE: The purpose of this study was to validate the effectiveness of calculus detection between the Thinsert® ultrasonic insert and the 11/12 explorer. METHODS: Upon IRB approval, this validation study involved three dental hygiene faculty from the Ohio State University Dental Hygiene Program and 30 patient participants from the Ohio State University community. Using both instruments, calculus was evaluated on Ramfjord index teeth and on four possible surfaces per tooth. Data were analysed to evaluate for interrater reliability, intrarater reliability, sensitivity, and specificity. RESULTS: For interrater reliability, the average measure of intraclass coefficient (ICC) value was 0.782 with a 95% confidence interval (CI) of 0.749-0.810 (F(1439, 2878)  = 4.852, P < 0.01). For intrarater reliability, mean Kappa averages were in the full agreement range (κ = 0.726, n = 2160, P < 0.01). When using the Thinsert® for calculus detection, the sensitivity was 75%, specificity was 97%, PPV was 81%, and NPV was 94%. CONCLUSION: Since calculus evaluation was comparable when using the ODU 11/12 explorer and the Thinsert®, efforts can be focused on developing the tactile sensitivity when using the Thinsert® ultrasonic instrument in the assessment, treatment, and maintenance of periodontal disease and the support of oral health. The efficiency in dental hygiene care may improve by using the Thinsert® ultrasonic instrument in both the detection and removal of calculus.


Assuntos
Cálculos Dentários/diagnóstico , Cálculos Dentários/terapia , Higienistas Dentários , Profilaxia Dentária/instrumentação , Profilaxia Dentária/métodos , Raspagem Dentária/instrumentação , Higiene Bucal/instrumentação , Ultrassom , Humanos , Doenças Periodontais/diagnóstico , Doenças Periodontais/prevenção & controle , Doenças Periodontais/terapia
19.
J Dent Educ ; 83(2): 161-172, 2019 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-30709991

RESUMO

Successfully educating dental providers and patients about the link between human papillomavirus (HPV) and oropharyngeal cancer requires coordinated efforts to increase HPV-related prevention practices. The aim of this study was to identify, using a systems perspective, the multi-level determinants related to how dental providers can promote HPV prevention in dental practices. Data for this qualitative study were collected in 2015-16 from focus groups with dentists (four focus groups, n=33), focus groups with dental hygienists (four focus groups, n=48), and in-depth interviews with dental opinion leaders (n=13). Results were triangulated and mapped along micro, meso, and macro system levels. At the micro level, participants identified patient characteristics and low self-efficacy as influential determinants when discussing HPV prevention. At the meso level, relationships among dentists, dental hygienists, and the physical practice environment were factors affecting dental providers' HPV prevention efforts. At the macro level, professional organizations impacted how dental providers interacted with their patients on this topic. These results suggest that improving HPV prevention among dental providers requires a multi-level approach that considers the distinctive context of dental settings, dental training, and perceptions of professional roles. The findings suggested that the macro- and meso-level determinants may be challenging to modify due to the distinctive culture and practice models of dentistry. Nevertheless, the association between HPV and oral cancer requires an expansion of prevention strategies used in dental practices. Improving dental providers' self-efficacy to communicate HPV prevention through continuing education and integration of skill-guided training in dental and dental hygiene curricula could facilitate this process.


Assuntos
Profilaxia Dentária , Odontologia , Infecções por Papillomavirus/prevenção & controle , Papel Profissional , Humanos , Pessoa de Meia-Idade
20.
Spec Care Dentist ; 39(2): 89-96, 2019 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-30604877

RESUMO

AIM: We aimed to describe time requirements and costs associated with professional dental cleaning (PDC) performed by a dental nurse in one German nursing home, and to reveal potential differences in required time for demented versus nondemented and mobile versus immobile residents. METHODS AND RESULTS: We performed a retrospective, cross-sectional analysis of treatment time and costs, including a transparent, easily adaptable path of action that allows implementation of PDC in nursing homes. Total mean (±SD) treatment time for one session per resident was documented, including differences in demented and immobile residents, and projected treatment costs (€/$) per resident. We found no differences in required time for one PDC (37 ± 11 minutes) in residents with or without dementia (P = 0.803) or, immobile versus mobile residents (P = 0.396). Mean projected treatment costs of PDC were €14.98/$17.07 per resident per cleaning session, resulting in total costs of €13.5 million ($15.4 million). CONCLUSION: Cognitive status and mobility does not affect the mean time required to perform PDC by a dental nurse in nursing home residents. Main cost factor is working time of dental staff; consumable supplies have less impact. Our data may stimulate to include PDC as initial step toward implementation of long-term oral hygiene strategies.


Assuntos
Assistência Odontológica para Idosos , Profilaxia Dentária , Casas de Saúde , Idoso , Idoso de 80 Anos ou mais , Estudos Transversais , Demência/complicações , Assistência Odontológica para Idosos/economia , Profilaxia Dentária/economia , Feminino , Alemanha , Humanos , Masculino , Limitação da Mobilidade , Estudos Retrospectivos , Fatores de Tempo
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