Factors associated with the number of filled teeth in adolescents from public schools: a cohort study

Abstract This study aimed to assess the association of demographic conditions, socioeconomic status, clinical variables, and psychosocial factors with the number of filled teeth in adolescents from public schools. This cohort study comprised 1,134 12-year-old adolescents enrolled in public schools in Santa Maria, Brazil, in 2012. They were followed-up in 2014, where 743 individuals were reassessed (follow-up rate of 65.52%) for the number of filled teeth. Data were collected via dental examinations and structured interviews. Demographic and socioeconomic characteristics were collected from parents or legal guardians. The psychosocial factor comprised students' subjective measurement of happiness (Brazilian version of the Subjective Happiness Scale - SHS). Dental examinations were performed to assess the number of filled teeth through decay, missing, and filled teeth index (DMF-T). Unadjusted and adjusted Poisson regression analyses were performed to assess the association between baseline variables and filled teeth at follow-up. The number of filled teeth in 2012 and 2014 were 193 (17.02%) and 235 (31.63%), respectively. The incidence of filled teeth in 2014 was 42 (5.65%). Adolescents with untreated dental caries, those who visited the dentist in the last 6 months, those that exhibited being happier, and those who had filled teeth at baseline were associated with a higher number of filled teeth at follow-up. We conclude that the number of filled teeth in adolescents was influenced by clinical and psychosocial factors, emphasizing the need to focus on oral health policies in individuals with higher disease burden and those who feel psychologically inferior.

Time expended on managing molar incisor hypomineralization in a pediatric dental clinic in Nigeria

Abstract This study assessed the difference in the number of visits made to a dental care clinic and the time spent providing specific dental treatment for children with and without molar incisor hypomineralization (MIH). Children aged 8 to 16 years who presented at the Pediatric Dental Unit of the Obafemi Awolowo University Teaching Hospital Complex, in Ile-Ife, Nigeria, were eligible for the study. A comprehensive medical and dental history was taken, and each child was clinically examined, diagnosed, and treated according to a drawn-up plan. The time taken to establish a diagnosis and to provide specific treatments (scaling and polishing, restoration, pulpectomy, extraction, and placement of stainless steel crowns) and the number of visits made to complete the treatment plan were recorded for each child. Differences in the number of visits, time expended to make a diagnosis and to treat children with and without MIH were analyzed. The average time for diagnosis (p = 0.001) and the average time for placing amalgam restorations (p = 0.008) were significantly longer in children with MIH than in those without it. Children with MIH made more visits to the clinic (p < 0.001).There was no significant difference in the average time for scaling and polishing (p = 0.08), glass ionomer cement restorations (p = 0.99), composite restorations (p = 0.26), pulpectomy (p = 0.42), tooth extraction (p = 0.06), and placement of a stainless steel crown (p = 0.83) in children with and without MIH. In conclusion, children with MIH required more time for oral health care. Placing amalgam restorations took significantly longer than placing tooth bonding restorative materials in children with MIH than in those without it.

Restauración post-endodoncia y condición social como factor de preservación dentaria: parte 1 / Post-endodontic restoration and social condition as afactor of tooth preservation. part 1

El objetivo de este estudio fue conocer el estado dental de piezas endodonciadas en correlación conlas variables de restauración coronaria, nivel de estudio, condición laboral y acceso a servicios odontológicos. Para ello, se analizó una población de individuos, compuesta por sujetos concurrentes a los cursos de posgrado de Endodoncia del Círculo Odontológico de Córdoba y al servicio de la Cátedra“B” de Endodoncia de la Facultad de Odontología de la Universidad Nacional de Córdoba. Se hicieron tratamientos controlados durante dieciocho meses. La muestra total la conformaron 144 pacientes y se trataron 174 casos. Sólo asistieron a control el 48,6 por ciento de los pacientes, de los cuales se evaluaron 89 dientes. El estudio mostró 37 casos con restauración coronaria definitiva sin fracturas, 52 dientes sinrestauración, 21 con fracturas y 1 se perdió. Se observó un incremento de fracturas en control a los 18 meses. La tasa de fracturas evidenció un mayor porcentaje en pacientes con nivel de estudio alto, menor en pacientes sin trabajo, y mayor en pacientes con trabajo estable y precario. El tipo de atención no se diferenció, pero los porcentajes observados sugieren que los atendidos en asistencia pública tendrían más probabilidad de fracturas. Se observó un mayor porcentaje de restauraciones definitivas enatención privada y menor en consultorios públicos. El elevado porcentaje de inasistencia a controlesmotivó un análisis específico, del cual se pudo concluir que a mayor estabilidad laboral, de estudios yde asistencia privada, mayor fue la asistencia a controles. Estos datos revelan información importantepara establecer políticas públicas de la atención posendodoncia.

The aim of this study was to know the dental state of endodontic pieces in correlation with different variables such as coronary restoration, level of study, employment status and access to dental services.To do so, we analyzed a population composed of subjects who participated in two different graduate courses at the Círculo Odontológico de Córdoba and the “Chair B” of Endodontics of the Faculty ofDentistry, National University of Córdoba. Treatments were clinically and radiographically controlled for eighteen months. The total sample included 144 patients and 174 treatments. Only 48.6% patients attended the control, 89 teeth of whom were evaluated. The study showed 37 cases with definitivecoronary restoration without fractures, 52 teeth without restoration, 21 with fractures, and 1 was lost.The fracture rate showed an increase in patients with high level of study, a decrease in unemployed patients, and an increase in both patients with stable and precarious work. The kind of attention didnot differ, but the observed percentages suggest that patients treated in public services would be morelikely to suffer from fractures. There was a higher percentage of definitive restorations in private services,and lower in public ones. The high percentage of non-attendance to controls motivated a specific analysis, from which it is possible to conclude that the more job stability, studies and private access todental services, the more the attendance to controls. These data reveal important evidence in order to establish public policies of post-endodontic services.

Restauración post-endodoncia y condición social como factor de preservación dentaria: parte 2 / Post-endodontic restoration and social condition asa factor of tooth preservation. Part 2

El objetivo de este estudio fue conocer el estado dental de piezas endodonciadas en correlación conlas variables de restauración coronaria, estado periodontal, nivel de estudio, condición laboral y acceso a servicios odontológicos. Para ello, se analizó una población de individuos compuesta por sujetos concurrentes a los cursos de posgrado de Endodoncia, del Círculo Odontológico de Córdoba, y al servicio de la Cátedra “B” de Endodoncia de la Facultad de Odontología, Universidad Nacional de Córdoba. Se hicieron tratamientos controlados durante dieciocho meses. La muestra total la conformaron 144 pacientes y se trataron 174 casos. El estudio mostró 37 casos con restauración coronaria definitiva sin fracturas, 52 dientes sin restauración, 21 con fracturas y 1 se perdió. De los dientes restaurados, el55,6 por ciento mostraron periodonto normal; 22,2 por ciento gingivitis, y 22 por ciento periodontitis leve. De los dientes sin restauración, el 3,9 por ciento mostraron periodonto normal; 7,8 por ciento gingivitis; 31,4 por ciento periodontitis leve; 35,3 por ciento periodontitis grave y 21,6 por ciento periodontitis complicada. De los dientes fracturados, el 16,7 por ciento mostraron periodonto normal o gingivitis; 35,3 por ciento periodontitis leve y grave, y un 72,7 por ciento periodontitis complicada. No se demostró asociación entre nivel de estudios, condición laboral y tipo de atención con fracturas de los pacientes, pero los porcentajes sugieren más probabilidad de sufrir fractura en los pacientes de la asistencia pública. El elevado porcentaje de inasistencia a control motivó un análisis específico, del cual se pudo concluir que cuanto más grave la patología periodontal, mayor el porcentaje de inasistencia. El estudio permitió observar desigualdad en el acceso a los servicios odontológicos, dientes no rehabilitados y con compromiso periodontal.

The aim of this study was to know the dental state of endodontic pieces in correlation with different variables such as coronary restoration, periodontic condition, level of study, employment status and access to dental services. A population composed of patients treated in two different postgraduate courses at the Círculo Odontológico de Córdoba and Chair “B” of Endodontics, Faculty of Dentistry,National University of Córdoba were analyzed. Treatments were clinically and radiographicallycontrolled for eighteen months. The total sample included 144 patients and 174 treatments. The studyshowed 37 cases with definitive coronary restoration without fractures, 52 teeth without restoration,21 with fractures, and 1 was lost. From restored teeth, 55.6% showed normal periodontium, 22.2%gingivitis, and 22% mild periodontitis. From teeth without restoration, 3.9% showed normalperiodontitis, 7.8% gingivitis, 31.4% mild periodontitis, 35.3% severe periodontitis and 21.6%complicated periodontitis. From fractured teeth, 16.7% showed normal periodontitis or gingivitis, 35.3% had mild and severe periodontitis, and 72.7% had complicated periodontitis. There has beenno correlation between level of education, work status, and kind of service on patient with fractures,but the percentage suggest that patients in public assistance are more likely to suffer fracture. The highpercentage of non-attendance to control led to a specific analysis, from which it is possible to concludedthat the more severe the periodontal disease, the greater the percentage of non-attendance. The study showed inequality in access to dental services, un rehabilitated teeth and with periodontal compromise.

Evaluación del tratamiento endodóntico y su relación con el tipo y la calidad de la restauración definitiva / Evaluation of edodontic treatment and its relationship with the type and quality of the definitive restoration

Introducción El éxito endodóntico está determinado por la calidad de los tratamientos de canales radiculares y restaurador, en conjunto con la ausencia de signos y síntomas. Objetivo Determinar el porcentaje de éxito de tratamientos de conductos y su relación con el tipo y la calidad de la restauración coronaria. Material y métodos Se realizó un estudio clínico retrospectivo en donde se evaluaron 227 dientes sometidos a tratamiento de canales radiculares con 4 años de evolución, por un dentista contralor, que realizó el examen clínico y radiográfico de estos dientes, evaluando los signos y síntomas que presentaron y el tipo y la calidad del tratamiento restaurador. Los datos se analizaron mediante el programa estadístico STATA 13. Resultados En los tratamientos evaluados existe un porcentaje de éxito del 93,8% y un 6,2% de fracaso, además de una asociación significativa en cuanto a que los dientes con una restauración coronaria adecuada, directa o indirecta, están relacionados con tratamientos considerados como exitosos, mediante test de Fisher (valor p < 0,01) con un nivel de confianza del 95%. Conclusiones Los resultados obtenidos en este estudio muestran un alto porcentaje de éxito de los dientes tratados endodónticamente (93,8%) y que existe una asociación estadísticamente significativa entre la calidad de la obturación y la sintomatología (p < 0,01) con un nivel de confianza del 95%.

Introduction Success in endodontic treatment is determined by the quality of the root canal treatment and definitive coronal restoration, with the absence of signs and symptoms. Objective The aim of this study was to determine the success rate of root canal treatment and its relationship with the type and quality of the coronary restoration. Material and methods A retrospective clinical study was conducted on 227 endodontically treated teeth over a period of 4 years. The analysis was performed by a comptroller dentist, who carried out the clinical and radiographical examination, evaluating signs and symptoms and the type and quality of the coronary restoration. The data analysis was performed using the STATA 13 statistics program. Results The results obtained show that there is a success rate of 93.8% and a 6.2% failure rate of the teeth evaluated. There was also significant evidence as regards teeth with proper restorations, whether direct or indirect, and root canal treatments considered as successful, according to Fisher's Test (P<.01), with a confidence level of 95%. Conclusions It can be concluded with the results obtained, that there is a high success rate (93.8%), and that there is a statistically significant association between the quality of the restoration and the presence of symptoms.

Periradicular lesions in HIV-infected patients attending the faculty of dentistry: clinical findings, socio-demographics status, habits and laboratory data - seeking an association

OBJECTIVE: The purpose of this study was to estimate the prevalence of periradicular lesions in HIV-infected Brazilian patients and to assess the correlation of several factors with the periradicular status. METHOD: One hundred full-mouth periapical radiographs were evaluated. A total of 2,214 teeth were evaluated for the presence of periradicular lesions, caries lesions, coronal restorations, pulp cavity exposure and endodontic treatment. RESULTS: The prevalence of periradicular lesions was 46%. There were no significant differences between individuals with or without periradicular lesions with respect to their socio-demographic status, habits, laboratory data and route of HIV infection. However, the presence of a periradicular lesion was statistically correlated with the number of teeth with endodontic treatment (p = 0.018), inadequate endodontic treatment (p = 0.025), images suggesting pulp cavity exposure (p = 0.002) and caries lesions (p = 0.001). CONCLUSIONS: The prevalence of periradicular lesions in HIV-infected individuals was 46% and was not related to HIV infection. .

Condicoes dentarias entre adultos brasileiros de 1986 a 2010 / Condiciones dentarias entre adultos brasilenos de 1986 a 2010 / Dental health in Brazilian adults between 1986 and 2010

OBJETIVO: Identificar tendências do padrão da cárie dentária em adultos brasileiros. MÉTODOS: Foram utilizados dados provenientes de levantamentos epidemiológicos realizados pelo Ministério da Saúde nos anos de 1986, 2003 e 2010. A experiência de cárie, expressa pelo índice CPOD (dentes permanentes cariados, perdidos e obturados), e a saúde dentária, expressa pelo índice OH-D (dentes hígidos + obturados) relativo ao número de dentes funcionais, foram comparadas em amostras aleatórias de residentes de 35 a 44 anos de idade em cada região brasileira. As diferenças nas condições dentárias entre os anos foram estimadas por meio da razão dos valores dos índices, empregando-se análise de regressão de Poisson ajustada pela idade. RESULTADOS: Houve reduções no índice CPOD e aumento no índice OH-D em todas as regiões no período de 1986 a 2010. A região Norte, que tinha o pior padrão em 1986, apresentou o maior ganho em termos de dentição funcional. CONCLUSÕES: Tem ocorrido uma transição da saúde bucal para melhor nos adultos brasileiros. É plausível que a adição de flúor à água e ao creme dental, maior incorporação de serviços restauradores e a melhoria nos indicadores de desenvolvimento humano decorrentes de políticas públicas estejam relacionados a essa melhora. .

OBJETIVO: Identificar tendencias del patrón de la caries dentaria en adultos brasileños. MÉTODOS: Se utilizaron datos provenientes de pesquisas epidemiológicas realizadas por el Ministerio de la Salud en los años de 1986, 2003 y 2010. La experiencia de caries, expresada por el índice CPOD (dientes permanentes cariados, perdidos y obturados) y la salud dentaria, expresada por el índice OH-D (dientes hígidos + obturados) relativo al número de dientes funcionales, fue comparada en muestras aleatorias de residentes de 35 a 44 años de edad en cada región brasileña. Las diferencias en las condiciones dentarias entre los años fueron estimadas por medio del cociente de los valores de los índices, empleándose análisis de regresión de Poisson ajustado por la edad. RESULTADOS: Miolo abstract Miolo abstract Miolo abstract Miolo abstract Miolo abstract Miolo abstract Miolo abstract Miolo abstract Miolo abstract Miolo abstract Miolo abstract Miolo abstract. CONCLUSIONES: Ha ocurrido una transición de la salud bucal para mejor en los adultos brasileños. Es plausible que la adición de flúor en el agua y en la crema dental, mayor incorporación de servicios restauradores y la mejoría en los indicadores de desarrollo humano decurrentes de políticas públicas, pueden estar relacionados con esta mejoría. .

OBJECTIVE: To identify trends in the pattern of dental caries in Brazilian adults. METHODS: Data from epidemiological surveys carried out by the Brazilian Ministry of Health in 1986, 2003 and 2010 were used. Dental caries experience, using the DMFT index (decayed, missing and filled teeth) and dental health, expressed by the FS-T index (filled and sound teeth) related to functional teeth, were compared using random samples of 35 to 44 year old residents of each region of Brazil. The differences in dental health between the years were estimated using the ratio of the index values, by Poisson regression analysis adjusted for age. RESULTS: Reduction in the DMFT index and increase in the FS-T index in all regions in the period between 1986 and 2010. The North, where the worst standards were found in 1986, showed the greatest improvements in terms of functional teeth. CONCLUSIONS: The dental health of Brazilian adults changed for the better. It is plausible that this oral health transition is related to the addition of fluoride to water and to toothpaste as well as increased incorporation of restorative services and improvements in human development due to public policies. .

Dental caries and tooth loss in adults in a Brazilian southeastern state

OBJECTIVE: The purpose of this study was to analyze dental caries experience of adults living in the southeastern state of São Paulo, Brazil, according to some socio-demographic conditions of this population. MATERIAL AND METHODS: The sample consisted of 1,159 school teachers and workers (35 to 44 years old) from 29 cities of the state of São Paulo, Brazil. RESULTS: 92.3 percent were dentate and the DMFT index (number of decayed, missing and filled teeth) was 21.0 and the mean number of decayed teeth was 1.1, with no significant difference among adults from regions with and without fluoridation. Male subjects presented the highest mean values of "D" (decayed teeth) and "M" (missing teeth) components. The percentage of caries-free subjects was higher among white subjects, as well as the mean number of teeth present in the mouth. The mean values of the "F" component (filled teeth) [9.81] and present teeth [19.3] were higher for adults from fluoridated water regions. CONCLUSIONS: In this study, the worse condition observed was the early tooth loss in all groups. In addition, people with worse socio-demographic conditions had worse oral health conditions. It is expected that oral health programs targeted to this population could be established with the goal of improving the oral health conditions of this population and hence the maintenance of the teeth for a longer period in function.

Dental needs in brazilian patients subjected to head and neck radiotherapy

In spite of its recognized benefits in the treatment of malignant tumors, radiation therapy have several side effects in the head and neck region. The evaluation of oral conditions by a dentist is important to prevent or minimize these problems. The aim of this retrospective review was to analyze the dental needs in 357 patients who received radiotherapy in the head and neck region and were treated at Orocentro/FOP/UNICAMP, between January 1990 and December 2004. Review of patient files showed that dental examination before radiotherapy was not performed in 148 patients (41.5 percent) and was done in 209 patients (58.5 percent). From the total of examined patients, 94 (45 percent) did not require dental procedures at the moment of examination, while 115 (55 percent) presented some sort of dental need. Following the patients after the radiotherapy, it was observed that the group of patients that was evaluated before radiation presented less need of restorations, root canal filling and dental extractions than those who were not evaluated. The results of this study confirm that the evaluation of oral conditions prior to radiotherapy is essential to minimize the dental needs, emphasizing the importance of the dentist in the multidisciplinary team that treats cancer patients.

Apesar dos benefícios da radioterapia no tratamento de tumores malignos, vários são os seus efeitos colaterais na região de cabeça e pescoço. Sendo assim, a avaliação das condições bucais pelo cirurgião dentista é fundamental para prevenir e/ou minimizar estes danos. Este estudo retrospectivo teve como objetivo verificar as condições dentárias e as necessidades de tratamento odontológico dos 357 pacientes que receberam radioterapia na região de cabeça e pescoço, atendidos pelo Orocentro/ FOP/UNICAMP, no período de janeiro de 1990 a dezembro de 2004. Em 148 (41,5 por cento) do total dos pacientes a avaliação odontológica não foi realizada previamente à radioterapia. A avaliação odontológica pré-radioterápica foi realizada em 209 pacientes (58,5 por cento) dos quais 94 (45 por cento) não tinham necessidades de tratamento odontológico no momento da avaliação, enquanto 115 (55 por cento) apresentavam algum tipo de necessidade odontológica. O grupo de pacientes avaliados antes da radioterapia apresentou menores necessidades de restaurações, endodontias e exodontias que os pacientes não avaliados. Conclui-se que a avaliação das condições bucais previamente à radioterapia é essencial para diminuir as necessidades de tratamento odontológico enfatizando a importância da participação do cirurgião-dentista na equipe multidisciplinar que trata pacientes com câncer.

Necesidad de tratamiento dentario y evaluación económica de un programa en niñas / Dental treatment need and economic evaluation of a program in little girls

El objetivo de este trabajo fue analizar el estado de la dentición, la necesidad de tratamiento y la evaluación económica para lograr salud en un grupo de niñas que asisten a una Escuela Hogar de Capital Federal. Sobre 80 niñas con edades comprendidas entre 6 y 13 años (10,11 +- 1,6) se realizó el examen y registro dentario según la encuesta básica de salud bucodental de OMS 1997. Se confeccionó el CPOD, ceod, Necesidad de Tratamiento (OMS 1997) y la evaluación económica del programa según González y Rivas 1999 J. Dent. Res. 2000 79(5) abst. 112. Los resultados mostraron un CPOD de 3,06 +- 0,23; ceod de 3,60 +-0,43. A los 12 años el CPOD fue de 3,95 +- 0,44. El número y porcentaje de niñas con historia de caries en la dentición permanente fue de 73 (91,25 por ciento) y con caries sin tratar 64 (84 por ciento). Los resultados mostraron un CPOD de 3,06 +- 0,23; ceod de 3,60 +-0,43. A los 12 años el CPOD fue de 3,95 +- 0,44. El numero y porcentaje de niñas con historia de caries en la dentición permanente fue de 73 (91,25 por ciento) y con caries sin tratar 64 (84 por ciento). El análisis de las prestaciones requeridas en el total de las niñas mostró que se demandaría 248 hs 6 min. con un costo de 7741,64 $. Entre los 9 y 12 años (n:43) el costo por niña sería de 49,56 $ y el tiempo requerido de hs 29 min. En las niñas >- 12 años (n:21) el costo por niña fue de 218,03 $ y el tiempo requerido 3 hs 17 min. La necesidad de tratamiento según criterios de OMS fue útil para planificar programas de salud en este grupo de niñas. La inclusión de la evaluación económica posibilitó establecer que a medida que aumenta la edad, mayores son los costos para lograr salud en ese grupo de niñas