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1.
Braz. j. oral sci ; 20: e211359, jan.-dez. 2021. ilus
Artigo em Inglês | LILACS, BBO - Odontologia | ID: biblio-1252506

RESUMO

Aim: To evaluate the effects of an intervention for the prevention of obesity on the prevalence of dental caries disease in Spanish children. Methods: Two cities participated intervention study nested in a cohort IDEFICS (Identification and prevention of dietary and lifestyle induced health effects in children and infants): Huesca, where there was a 2-year intervention, which encouraged less sugar consumption; and Zaragoza (control). The prevalence of caries was evaluated by examining the 1st permanent molars in the 7-11 age range, using the ICDAS (International Caries Detection and Assessment System). These teeth erupt at 6 years of age and at the baseline (2007-2008) were free of caries because they were not present in the oral cavity. As outcomes, white spots were selected, combining the ICDAS criteria 1 and 2, and untreated caries, combining criteria 4, 5 and 6. Their association with socioeconomic variables, BMI (Body Mass Index), frequency of sugar intake, sex and parents' perceptions of their children, was investigated. To do so, the chi-square test was applied (p<0.05). Results: The sample consisted of 281 children. The prevalence of white spots and untreated caries was higher in Huesca, despite the intervention. There was no association between the outcomes and the variables studied (p>0.05). Conclusion: The intervention for the prevention of obesity did not exert any association with the prevalence of caries in Spanish children


Assuntos
Humanos , Masculino , Feminino , Criança , Saúde Bucal , Cárie Dentária/epidemiologia , Obesidade
2.
Braz. j. oral sci ; 20: e211606, jan.-dez. 2021. tab
Artigo em Inglês | LILACS, BBO - Odontologia | ID: biblio-1253158

RESUMO

Aim: The present study sought to investigate dental caries experience and its association with sociodemographic, postnatal and breastfeeding variables in children in the agerange from 6 to 71 months of age, in the Xingu Indigenous Park, Mato Grosso, Brazil. Methods: This was an analytical cross-sectional study that used secondary data pertaining to 402 indigenous children of the Low, Middle and Eastern Xingu regions, who participated in the Oral Health Epidemiological Survey in 2013. The dependent variable was dental caries, dichotomized by the median (dmf-t≤1 and dmf-t>1). The data of independent variables were obtained by means of instruments of the Local Health Information System of the Xingu Indigenous Special Sanitary District (DSEI). Raw analyses were performed to test the association of the independent variables with the dependent variable. The variables were tested in the multiple logistic regression model. Results: The mean value of the dmf-t index was 2.60 and the prevalence of affected children was 51%. In the multiple analysis, only children older than 36 months (OR: 6.64; CI95%: 4.11 to 10.73) and those that were breastfed for a longer period of time (OR: 1.88; CI95%: 1.16 to 3.02) showed significant association with the dmf-t>1 index. Conclusion: Childhood dental caries among indigenous children was associated with age and breastfeeding prolonged for over 26 months, therefore, pointing out the need to offer dental follow-up care at earlier ages


Assuntos
Humanos , Masculino , Feminino , Pré-Escolar , Aleitamento Materno , Índios Sul-Americanos , Saúde Bucal , Cárie Dentária
3.
Braz. j. oral sci ; 20: e211883, jan.-dez. 2021. tab
Artigo em Inglês | LILACS, BBO - Odontologia | ID: biblio-1253946

RESUMO

Aim: The aim of the study was to investigate perceived family cohesion and adaptability and its association with trauma, malocclusion and anthropometry in school adolescents. Methods: Cross-sectional study with a representative sample of 921 adolescents from 13 to 19 years old of both sexes, enrolled in state public schools of a northeastern Brazilian municipality. A questionnaire with sociodemographic questions, the FACES III scale was applied and a clinical oral examination (dental trauma and malocclusion) and anthropometric (BMI by age) were performed. For statistical analysis, was evaluated by the Chi-square test. The variables that presented significance in the bivariate analysis of up to 25% were taken to the multivariate analysis (multinomial logistic regression), variables that presented significance in bivariate analysis of up to 25% were taken to multivariate analysis and all conclusions were drawn considering the significance level of 5%. Results: As a result, it was identified that displaced families were associated with low maternal education, agglutinated families associated with the absence of caries. Rigid families were associated with marked overjet and caries. The prevalence of dental trauma (37.5%) was considered high. Conclusion: It was concluded that family cohesion and adaptability were associated with oral health and socioeconomic factors


Assuntos
Humanos , Masculino , Feminino , Adolescente , Antropometria , Saúde Bucal , Adolescente , Traumatismos Dentários/epidemiologia , Saúde Holística , Má Oclusão/epidemiologia
4.
Braz. j. oral sci ; 20: e213400, jan.-dez. 2021. tab
Artigo em Inglês | LILACS, BBO - Odontologia | ID: biblio-1254527

RESUMO

Aim: In this cross-sectional study, we evaluated the oral hygiene habits, oral health conditions, and the perception about the influence of oral health conditions on the physical performance of youth and professional volleyball and soccer athletes. Methods: A total of 96 male athletes participated: 48 volleyball players (25 youth and 23 professional players); and 48 soccer players, of whom 22 were youth, and 26 were professional players. We analyzed the oral hygiene and oral health condition (daily toothbrush, flossing, mouthwash, dental plaque, orthodontic treatment, dental/facial trauma, temporomandibular dysfunction, malocclusion, and the athletes' perception about the influence of oral health conditions on the physical performance (yes or no)). Comparisons were made between the youth and professional athletes for each sport (volleyball and soccer). According to each variable, we applied the Chi-square, Fisher's Exact, and Mann-Whitney tests. Results: For soccer athletes, we found significant differences between youth and professionals for: flossing (p=0.014), orthodontic treatment (p=0.028), dental/facial trauma (p=0.041), and the athletes' perception about oral health and physical performance (p<0.001). Considering the category (youth and professional) regardless of the type of sport, we found significant differences for dental plaque (p=0.024) and dental/facial trauma (p=0.005). According to the sport (volleyball and soccer), independent of the category, we found significant differences for daily brushing, dental/facial trauma (p=0.005), and the athletes' perception about oral health and physical performance (p=0.006). Conclusion: We concluded that the surveyed athletes had good oral health and believed that oral health can influence sports performance


Assuntos
Humanos , Masculino , Higiene Bucal , Esportes , Saúde Bucal , Desempenho Atlético
5.
Braz. j. oral sci ; 20: e211701, jan.-dez. 2021. ilus
Artigo em Inglês | LILACS, BBO - Odontologia | ID: biblio-1254532

RESUMO

Aim: This study aimed to evaluate how meta-analyses are conducted and reported in dentistry. Methods: We conducted a search to identify dentistry-related Systematic Reviews (SRs) indexed in PubMed in 2017 (from January 01 until December 31) and published in the English language. We included only SRs reporting at least one meta-analysis. The study selection followed the 4-phase flow set forth in the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Statement (PRISMA), and it was independently conducted by two researchers. Data extraction was performed by one of three reviewers, and data related to conducting and reporting of the meta-analysis were collected. Descriptive data analysis was performed summarizing frequencies for categorical items or median and interquartile range for continuous data. Results: We included 214 SRs with meta-analyses. Most of the studies reported in the title that a meta-analysis was conducted. We identified three critical flaws in the included studies: Ninety (90) meta-analyses (43.1%) did not specify the primary outcome; most of the meta-analyses reported that a measure of statistical heterogeneity was used to justify the use of a fixed-effect or random-effects meta-analysis model (n=114, 58.5%); and a great part did not assess publication bias (n=106, 49.5%). Conclusion: We identified deficiencies in the reporting and conduct of meta-analysis in dentistry, suggesting that there is room for improvement. Educational approaches are necessary to improve the quality of such analyses and to avoid biased and imprecise results


Assuntos
Saúde Bucal , Relatório de Pesquisa , Revisões Sistemáticas como Assunto
6.
Cien Saude Colet ; 26(6): 2097-2108, 2021 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-34231722

RESUMO

This study verified the internal consistency and reliability of an instrument to evaluate dental services in Primary Health Care (PHC). In order to verify the factor validity, a factor analysis with principal component extraction and varimax orthogonal rotation method was used. Factors with three or more items with factor loadings greater than 0,35 were selected. This instrument's reliability was verified using internal consistency (total item correlation >0,30 and Cronbach alpha = or >0,70)). 562 dentists participated in the study. In the factor analysis, ten factors were kept, which explain 40,95% of the total variation. Regarding the internal consistency, only 3 items presented insufficient correlation. Also on internal consistency, using Cronbach's alpha, the following values of the coefficients were identified: Access (0.55), Continuity (0,74), Care Coordination (0,55), Coordination - Information System (0.21), Comprehensiveness of Services Available (0,91), Comprehensiveness of Services Provided (0,79), Family Orientation (0.66), Community Orientation (0,87), Cultural Competence (0,81). For the success ratio of the scale, all results were higher than 88%, less the "Information Systems" component (21%).


Assuntos
Saúde Bucal , Atenção Primária à Saúde , Brasil , Humanos , Psicometria , Reprodutibilidade dos Testes , Inquéritos e Questionários
7.
Int J Mol Sci ; 22(12)2021 Jun 18.
Artigo em Inglês | MEDLINE | ID: mdl-34207046

RESUMO

More than a year ago, the coronavirus disease 2019 (COVID-19), caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), was declared a pandemic by the World Health Organization, with the world approaching its fourth wave. During this period, vaccines were developed in a much shorter period than thought possible, with the initiation of the pertinent vaccination. However, oral cavities have come under renewed scrutiny worldwide because saliva, a mixture of salivary secretions, pharyngeal secretions, and gingival crevicular fluid, have not only been shown to contain infective viral loads, mediating the route of SARS-CoV-2 transmission via droplet, aerosol, or contagion, but also used as a sample for viral RNA testing with a usefulness comparable to the nasopharyngeal swab. The oral cavity is an important portal for ingress of SARS-CoV-2, being an entryway to the bronchi, alveoli, and rest of the lower respiratory tract, causing inflammation by viral infection. Moreover, angiotensin-converting enzyme 2, a host receptor for SARS-CoV-2, coupled with proteases responsible for viral entry have been found to be expressed on the tongue and other oral mucosae, suggesting that the oral cavity is the site of virus replication and propagation. Furthermore, there is a possibility that the aspiration of oral bacteria (such as periodontal pathogens) along with saliva into the lower respiratory tract may be a complicating factor for COVID-19 because chronic obstructive pulmonary disease and diabetes are known COVID-19 comorbidities with a greater risk of disease aggravation and higher death rate. These comorbidities have a strong connection to chronic periodontitis and periodontal pathogens, and an oral health management is an effective measure to prevent these comorbidities. In addition, oral bacteria, particularly periodontal pathogens, could be proinflammatory stimulants to respiratory epithelia upon its exposure to aspirated bacteria. Therefore, it may be expected that oral health management not only prevents comorbidities involved in aggravating COVID-19 but also has an effect against COVID-19 progression. This review discusses the significance of oral health management in SARS-CoV-2 infection in the era of "the new normal with COVID-19" and COVID-19 prevention with reference to the hypothetical mechanisms that the authors and the other researchers have proposed.


Assuntos
Saúde Bucal , SARS-CoV-2/fisiologia , Enzima de Conversão de Angiotensina 2/metabolismo , COVID-19/patologia , COVID-19/virologia , Humanos , Mucosa Bucal/metabolismo , Mucosa Bucal/virologia , SARS-CoV-2/isolamento & purificação , Saliva/virologia , Língua/metabolismo , Internalização do Vírus
8.
Artigo em Inglês | MEDLINE | ID: mdl-34205160

RESUMO

BACKGROUND: elementary schoolteachers play a central role in shaping their students' beliefs, attitudes, and behaviours related to health and oral hygiene. This study was designed to evaluate Turkish schoolteachers' levels of oral health knowledge, attitudes, and behaviours. METHODS: A cross-sectional survey-based study was conducted among elementary schoolteachers in Istanbul using a validated self-administered questionnaire. The questionnaire was composed of 36 multiple-choice items categorised into six sections, and the participants were recruited using convenience sampling. (3) Results: A total of 385 elementary schoolteachers participated in this study. The majority were female (62.2%), qualified with a licensure degree (81.3%) and working in public schools (86.5%). Female gender and greater work experience were found to be promoters for oral health knowledge and positive attitudes. The correlation between their perceived knowledge and actual knowledge was very weak, thus suggesting that the teachers are inclined to overestimate their knowledge. CONCLUSIONS: The Turkish elementary schoolteachers showed satisfactory oral health knowledge and attitudes toward oral health education. The teachers' knowledge about dental trauma management was inadequate, necessitating urgent educational interventions, especially for physical education teachers, who are at the greatest risk of encountering such events during their work. The oral hygiene behaviours were not associated with teachers' oral health knowledge, attitudes, or practice, thus requiring further investigation.


Assuntos
Conhecimentos, Atitudes e Prática em Saúde , Professores Escolares , Estudos Transversais , Feminino , Educação em Saúde Bucal , Humanos , Masculino , Saúde Bucal , Inquéritos e Questionários
9.
Ned Tijdschr Tandheelkd ; 128(7-8): 381-387, 2021 Jul.
Artigo em Holandês | MEDLINE | ID: mdl-34242384

RESUMO

At the basis of oral care for young people is improving self care. This is not always easily done in practice. The Dutch Oral Health Research Agenda of 2018 revealed that oral care professionals need an effective method to change the behaviour of their patients. 'Uitblinkers' (Stars) is a theory-based interview method for oral care professionals to help parents improve their 2- to 10-year-old children's tooth brushing. The interview method aims at learning pedagogical skills so tooth brushing in children happens more easily. This article provides a description of the 'Uitblinkers' intervention, highlighting 3 key components: how to make parents receptive to advice from the oral care professional, how to identify barriers that parents experience when brushing their children's teeth, and how to achieve an appropriate approach to tackling the identified barriers to tooth brushing.


Assuntos
Pais , Escovação Dentária , Adolescente , Criança , Pré-Escolar , Comportamentos Relacionados com a Saúde , Humanos , Saúde Bucal
10.
Ned Tijdschr Tandheelkd ; 128(7-8): 388-394, 2021 Jul.
Artigo em Holandês | MEDLINE | ID: mdl-34242385

RESUMO

Diet and nutrition play a fundamental role in general health and oral health in children and adults. Dietary guidelines have been developed to provide evidence-based recommendations for populations promoting a diet that meets the best nutritional requirements and prevents diet-related diseases such as overweight, obesity, diabetes and dental caries. Lifestyle and dietary habits are strongly influenced by the (social) media and the products on offer in the supermarkets. Knowledge of the field of the development of foodstuffs and lifestyle trends contributes to effective, appropriate and individualised advice for a healthy mouth in children. Sugar-free flavoured waters with aroma are a good alternative to fizzy drinks, they are tooth friendly and promote a healthy weight.


Assuntos
Cárie Dentária , Saúde Bucal , Criança , Cárie Dentária/epidemiologia , Cárie Dentária/prevenção & controle , Dieta , Humanos , Estilo de Vida , Política Nutricional
11.
Ned Tijdschr Tandheelkd ; 128(7-8): 395-401, 2021 Jul.
Artigo em Holandês | MEDLINE | ID: mdl-34242386

RESUMO

The new Dutch clinical practice guideline Oral Care for Children and Young People advises parents to visit the oral care professional before or from the eruption of the first tooth, because oral care starts with the first deciduous tooth. However, this is not yet standard for everyone. Still, almost all parents of newborns (> 95%) visit well-baby clinics with their newborn. This article describes how well-baby clinics and oral care can collaborate and how in the Netherlands, young children and their parents can be contacted earlier for (preventive) dental care. There are a few examples of projects in which well-child clinics and oral care collaborate, such as the Gezonde Peutermonden project (toddlers' healthy mouths project), the GigaGaaf project (giga whole project) and the case of a practice in Haarlem, in the Schalkwijk district. Because these projects are still in progress, it is not yet clear whether a collaboration between well-child clinics and oral care will also have an effect on the caries prevalence in children.


Assuntos
Cárie Dentária , Odontologia Preventiva , Adolescente , Criança , Cuidado da Criança , Pré-Escolar , Cárie Dentária/epidemiologia , Cárie Dentária/prevenção & controle , Humanos , Lactente , Recém-Nascido , Países Baixos , Saúde Bucal , Pais
12.
Adv Gerontol ; 34(2): 232-238, 2021.
Artigo em Russo | MEDLINE | ID: mdl-34245505

RESUMO

We examined 408 patients (151 male, 257 female) in an age range from 54 to 85 years (mean age 73,9±4,9) performing clinical (anamnesis, visual analysis, palpation, percussion, auscultation) sociological (GOHAI), additional (chewing efficiency evaluation, phonetic analysis, weight deficit of body calculation, OPG, CBCT) assessment. Among 322 of examined subjects working syndromological diagnosis was «decompensated dentition¼ related to lower jaw in 167 cases, 65 to upper jaw, 90 to both upper and lower jaws (altogether 412 dental arches). Chewing efficiency among edentulous patients was low considering that majority of patients had dentures. Score range for Geriartric General Oral Health Assessment Index (GOHAI) was from 7 to 25 points (mean 18,23±4,19) which is attributed as low level. General syndromes among patients were rough, disfiguring, ageing changes in facial appearance, major alteration of aesthetic norms. Equally important or even more was incapacitation impact of total loss of proper mastication, speech problems, phonetic alteration, problematic food swallowing. In our research we highlighted two pathological conditions among elderly and senile age groups: decompensated dentition, and fully edentulous jaws. Taking into consideration suffering of the patients due to morphological functional and psychosocial disabling conditions, accompanying these diseases, we might consider this group of patients as handicapped and that could lead to the need to introduction of setting quotas of implant prosthetics treatment of the elderly and senile patients. The result, efficacy and efficiency of such rehabilitation are considered in compliance with the system of adequate treatment result for this part of population.


Assuntos
Pessoas com Deficiência , Qualidade de Vida , Idoso , Idoso de 80 Anos ou mais , Feminino , Humanos , Masculino , Mandíbula , Mastigação , Saúde Bucal
13.
Int J Mol Sci ; 22(12)2021 Jun 18.
Artigo em Inglês | MEDLINE | ID: covidwho-1273460

RESUMO

More than a year ago, the coronavirus disease 2019 (COVID-19), caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), was declared a pandemic by the World Health Organization, with the world approaching its fourth wave. During this period, vaccines were developed in a much shorter period than thought possible, with the initiation of the pertinent vaccination. However, oral cavities have come under renewed scrutiny worldwide because saliva, a mixture of salivary secretions, pharyngeal secretions, and gingival crevicular fluid, have not only been shown to contain infective viral loads, mediating the route of SARS-CoV-2 transmission via droplet, aerosol, or contagion, but also used as a sample for viral RNA testing with a usefulness comparable to the nasopharyngeal swab. The oral cavity is an important portal for ingress of SARS-CoV-2, being an entryway to the bronchi, alveoli, and rest of the lower respiratory tract, causing inflammation by viral infection. Moreover, angiotensin-converting enzyme 2, a host receptor for SARS-CoV-2, coupled with proteases responsible for viral entry have been found to be expressed on the tongue and other oral mucosae, suggesting that the oral cavity is the site of virus replication and propagation. Furthermore, there is a possibility that the aspiration of oral bacteria (such as periodontal pathogens) along with saliva into the lower respiratory tract may be a complicating factor for COVID-19 because chronic obstructive pulmonary disease and diabetes are known COVID-19 comorbidities with a greater risk of disease aggravation and higher death rate. These comorbidities have a strong connection to chronic periodontitis and periodontal pathogens, and an oral health management is an effective measure to prevent these comorbidities. In addition, oral bacteria, particularly periodontal pathogens, could be proinflammatory stimulants to respiratory epithelia upon its exposure to aspirated bacteria. Therefore, it may be expected that oral health management not only prevents comorbidities involved in aggravating COVID-19 but also has an effect against COVID-19 progression. This review discusses the significance of oral health management in SARS-CoV-2 infection in the era of "the new normal with COVID-19" and COVID-19 prevention with reference to the hypothetical mechanisms that the authors and the other researchers have proposed.


Assuntos
Saúde Bucal , SARS-CoV-2/fisiologia , Enzima de Conversão de Angiotensina 2/metabolismo , COVID-19/patologia , COVID-19/virologia , Humanos , Mucosa Bucal/metabolismo , Mucosa Bucal/virologia , SARS-CoV-2/isolamento & purificação , Saliva/virologia , Língua/metabolismo , Internalização do Vírus
14.
Eur J Paediatr Dent ; 22(2): 98-106, 2021 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-34237998

RESUMO

AIM: To investigate oral hygiene and periodontal status of 12- and 15-year-old Greek adolescents in relation to socio- demographic and behavioural indicators and identify national trends. MATERIALS AND METHODS: In a stratified cluster sample of 2,478 participants, the Simplified Debris Index (DI-S) and the Community Periodontal Index (CPI) were calculated. Socio- demographic/behavioural data were collected through structured questionnaires. Multivariate ordinary regression examined the effect of socio-behavioural indicators on oral hygiene and periodontal conditions. RESULTS: 51.7% of the 12-year-olds and 56.9% of the 15- year-olds had fair and good oral hygiene, respectively. Approximately 30% of the adolescents had healthy periodontium. Bleeding on probing was detected in 23.6% and 21.6% of the 12- and the 15-year-olds, accordingly. Calculus was found in 46.2% and 44.3% of the 12- and the 15-year-old groups, correspondingly. The prevalence of periodontal pockets ?4mm was 3.2%. Significantly higher DI-S scores were found among 12-year-olds who were males, had lower educated mothers or did not use dental floss and among adolescents who brushed their teeth

Assuntos
Higiene Bucal , Doenças Periodontais , Adolescente , Criança , Grécia/epidemiologia , Humanos , Masculino , Saúde Bucal , Doenças Periodontais/epidemiologia , Índice Periodontal
15.
Georgian Med News ; (314): 56-63, 2021 May.
Artigo em Russo | MEDLINE | ID: mdl-34248028

RESUMO

Oral manifestations of HIV infection are diverse and not still not completely studied. HIV-associated diseases can occur as the first symptoms of infection, these are characterized by high frequency, clinical polymorphism and pronounced course. Periodontal aspects are also neglected in the literature. No papers on the condition of different areas of the oral mucosa, tongue and periodontium where they were studied simultaneously and according to various criteria have been found in the available literature. The objective of the research is to evaluate the condition of periodontium and the oral mucosa in different parts of the oral cavity in HIV-positive patients. Total number of the HIV-positive patients observed was 90, among them 81 males and 9 females between the age range of 24-62. An average age of the patients was 45.2±8.34, with male patients prevailing (p<0.001). HIV infection was diagnosed by Western-blot reaction. Clinical examination as well as probing and determination of the pocket depth by means of the periodontal probe was carried out to assess the health status of the oral cavity. Periodontal indices were also determined. It has been found that immunocompromised condition due to HIV infection contributes to the oral mucosa lesions. Namely, coated tongue was observed in 100% of cases, the oral mucosa relief impairment was seen in 75.6% of cases, lip cracks of different location and bright red color of the mucous membrane were observed in 73.3% and 82.2%, respectively (р<0.001). Examination of the tongue revealed the symptoms which were not found in the control group, such as tongue coating - in 100% (90 patients observed), epithelial desquamation foci - in 54.4% (49) (p<0.001). Inflammatory diseases of periodontium, particularly catarrhal and hypertrophic gingivitis and periodontitis of moderate severity were also revealed.


Assuntos
Gengivite , Infecções por HIV , Periodontite , Feminino , Gengivite/complicações , Gengivite/epidemiologia , Infecções por HIV/complicações , Humanos , Masculino , Saúde Bucal , Periodonto
16.
Georgian Med News ; (314): 70-77, 2021 May.
Artigo em Russo | MEDLINE | ID: mdl-34248030

RESUMO

Diseases of the oral cavity are considered as a health problem for the population of the whole world, in particular, Ukraine. Purpose of the study - to analyze the risk factors, legislative, financial, personnel support for the prevention and treatment of oral diseases of the population of Ukraine; to develop a national conceptual model for the organization of dental care. State statistics data, regulatory documents, scientific sources; methods of systems approach and analysis, conceptual modeling, graphic. A low standard of living is typical for 23.1% of the population of Ukraine; high levels of tobacco smoking, alcohol consumption, sugar consumption, insufficient amount of fruits and vegetables in the diet are common in the population. Low fluoride content in drinking water is a threat to the development of caries. The legal regulation of oral health needs improvement. A national conceptual model of the organization of dental care has been developed on the basis of an analysis of world experience and WHO recommendations, the main components of the model are determined: improving geographical and financial accessibility; improving quality; preventive focus; state regulation. The world experience in the provision of dental care and the national characteristics of the health care system made it possible to substantiate and develop a conceptual model for organizing dental care for the population of Ukraine.


Assuntos
Atenção à Saúde , Cárie Dentária , Assistência Odontológica , Cárie Dentária/epidemiologia , Cárie Dentária/prevenção & controle , Humanos , Saúde Bucal , Ucrânia
17.
Georgian Med News ; (314): 82-86, 2021 May.
Artigo em Inglês | MEDLINE | ID: mdl-34248032

RESUMO

Aim of study - to determine the composition of the essential macro and microelements in the hair and dental hard tissues and to study the influence of their imbalance on the general and dental health of the child. To assess the state of dental hard tissues, 375 children aged 3 to 12 years were randomly examined in Batumi. Monitoring of the examined children was carried out using standard indices provided by the World Health Organization. To determine the composition of the chemical elements in hair and dental hard tissues, according to the caries status 48 children were chosen from the examined 375 children. We used X-ray fluorescent spectroscopy method to study the qualitative and quantitative content of the chemical elements in the hair and dental hard tissues. The comparative analysis of the dental experience (dmft/DMFT) and the composition of chemical elements in dental hard tissues showed a statistically significant difference depending on caries status. The effect of some essential elements on the general health of the child has also been identified. The study into the composition of the essential macro and microelements in the hair and dental hard tissues revealed a high coefficient of correlation both with the mineralization of dental hard tissues and with the general health of the growing body.


Assuntos
Cárie Dentária , Saúde Bucal , Criança , Estudos Transversais , Cárie Dentária/epidemiologia , Cabelo , Humanos , Prevalência
18.
Chin J Dent Res ; 24(2): 105-112, 2021 Jun 23.
Artigo em Inglês | MEDLINE | ID: mdl-34219443

RESUMO

adolescents aged 12 to 15 years based on the 4th National Oral Health Survey and to explore its associated factors. METHODS: Students aged 12 to 15 years were recruited using to a multistage stratified random sampling method. All the subjects received oral examination and completed a questionnaire. Information relating to OHRQoL was collected through a Mandarin version of the child oral impacts on daily performances (Child-OIDP) questionnaire. The relationship between the Child-OIDP scores and independent variables was assessed using a Mann-Whitney U-test, Kruskal-Wallis test and a multivariate Poisson regression. RESULTS: A total of 89,582 subjects were included in the analysis, of whom 76.6% reported oral impacts in the last 6 months. Eating was the most affected daily performance. The results of the regression analysis showed that factors associated with adolescents' OHRQoL included sex, location of residence, region, only child status, parents' level of education, frequency of sugar consumption, self-perception of general/oral health, dental appointments in the past 12 months, oral health knowledge status, age, decayed, missing and filled teeth (DMFT) index and number of teeth with gingival bleeding. CONCLUSION: Oral impacts were common among Chinese adolescents, although most were not so severe. Eating was the most commonly affected performance. Sex, location of residence, region, only child status, parents' level of education, frequency of sugar consumption, selfperception of general/oral health status, dental appointments in the previous 12 months, oral health knowledge status, age, DMFT index and number of teeth with gingival bleeding were found to be associated with OHRQoL.


Assuntos
Cárie Dentária , Qualidade de Vida , Adolescente , China , Estudos Transversais , Inquéritos de Saúde Bucal , Humanos , Saúde Bucal , Inquéritos e Questionários
19.
Artigo em Inglês | MEDLINE | ID: mdl-34200062

RESUMO

Pregnancy can affect the mother's oral health, increasing their susceptibility to oral diseases that have been associated with harmful effects on the newborn. Despite the severity of oral diseases during pregnancy, the demand for dental care during the gestational period is low, which may improve with the participation of midwives in promoting oral health activities. The objectives of this study were: (i) to determine the knowledge, attitudes, and practices of Spanish midwives and midwifery students regarding oral health in pregnant women; and (ii) to identify the barriers faced by these healthcare professionals in addressing oral health promotion during pregnancy. An observational cross-sectional descriptive study was conducted. A total of 128 midwives and/or midwifery students ≥ 18 years old and of both sexes were invited to self-complete a questionnaire between January and April 2020. A total of 85 people participated in the study. Participants had a regular level of knowledge about oral health during pregnancy (overall knowledge score: 6.53), and although they were interested in activities that promote oral healthcare, their oral healthcare practices during pregnancy were limited. As midwives play an important role in promoting health, their training in oral healthcare could help to improve pregnant women's oral health.


Assuntos
Tocologia , Adolescente , Estudos Transversais , Feminino , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Recém-Nascido , Masculino , Saúde Bucal , Gravidez , Estudantes , Inquéritos e Questionários
20.
Indian J Dent Res ; 32(1): 23-26, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34269231

RESUMO

Context: Tobacco smoking is the leading cause of preventable premature mortality in the world. Smoking is also detrimental to oral health, causing unaesthetic tooth staining, bad breath, periodontal diseases, impaired healing of wounds, increased risk of dental implant failure, precancerous conditions and oral cancer. Aims: To assess the awareness of the effects of smoking on oral health among smokers in Mangalore city and to assess the smoker's willingness to quit smoking. Settings and Design: Cross-sectional study. Material and Methods: Data was collected from 140 participants. A cross sectional study was conducted using a self-administered questionnaire to determine the sociodemographic characteristics, awareness about the effects of smoking on oral health and their willingness to participate in smoking cessation programs and to quit smoking. Results: There was statistically significant difference found in the level of awareness of the smoking effects on oral cancer, on tooth staining and dental implants. However, it was observed that the upper socioeconomic class showed a comparatively higher level of awareness than the other classes. No significant differences were found in the level of awareness of the smoking effects on gum disease and on wound healing. One hundred and thirteen individual out of 140 expressed their willingness to quit smoking and also 78 respondents showed a positive attitude toward participation in cessation programs. Conclusion: Participants in this sample had some knowledge about the effects of smoking, but were not much aware of its effect on dental implants, requiring further education.


Assuntos
Abandono do Hábito de Fumar , Fumar , Estudos Transversais , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Saúde Bucal , Fumar/efeitos adversos , Inquéritos e Questionários , Fumar Tabaco
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