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1.
Trop Anim Health Prod ; 55(5): 330, 2023 Sep 26.
Artículo en Inglés | MEDLINE | ID: mdl-37749453

RESUMEN

Our objective was to evaluate the productive parameters of ewes and their lambs in relation to ewe age and to develop models for predicting lamb weight at birth and weaning in a tropical warm-climate pasture. Individual data were collected from 273 ewes and 273 lambs, between 2013 and 2021. During this period all animals were kept on pastures of Brachiaria brizantha cv. Marandu All lambs in the experiments were supplemented in creep-feeding. A descriptive statistical analysis was performed using the PROC SUMMARY procedure in SAS (SAS University Edition, SAS Institute Inc. Cary, CA, USA). Pearson correlation coefficients between variables were estimated using the PROC CORR procedure in SAS (SAS University Edition, SAS Institute Inc. Cary, CA, USA). Model adjustments and variable selection were performed using PROC REG in SAS (SAS University Edition, SAS Institute Inc. Cary, CA, USA). The STEPWISE option and Mallow's C(p) were used to select the variables included in the equations. Outliers were identified by evaluating the studentized residuals based on the predicted values from the equations. Residual analysis was predicted by regression minus observed values and those that fell outside the range of -2.5 to 2.5 were removed. Several statistics were used to assess the predictability of the equations, including the coefficients of determination (r2) and mean standard error (RMSE). The average ewe age at lambing was 3.4 ± 1.7 years, with an average weight of 56.9 ± 8,9 kg and average body condition score (BCS) of 2,4 ± 0.8 points. The average ewe age at weaning was 51.1 ± 7.9, with average BCS of 1.8 ± 0.8 points. The average lamb at birthing was 3.9 ± 0.9 kg. The average lamb at weaning was 21.0 ± 4.9, with daily gain of 0.2 ± 0.1 kg/day and total gain of 17.1 ± 4.7 kg birth to weaning. The lamb produced by ewe at lambing was 5.3 ± 1.7 kg/ewe. The lamb weaned by ewe at weaning was 28.7 ± 10.8 kg/ewe. The ratios of lamb produced per ewe at birth and at weaning were 0.1 ± 0.03 and 0.6 ± 0.2, respectively. The lamb's birth weight showed a positive linear relationship with the age of the ewe, increasing by 115 g per year of age. The regression equations adjusted for ewe age had maximum points ranging from 4.2 to 5.2, occurring at average age of 4,7 years. The other characteristics showed a quadratic tendency. The results suggest the culling of ewes at five years of age to generate lambs with ideal weight at birth and at weaning raised in warm tropical pastures.


Asunto(s)
Brachiaria , Oveja Doméstica , Humanos , Ovinos , Animales , Femenino , Peso al Nacer , Destete , Modelos Teóricos
2.
Trop Anim Health Prod ; 55(2): 109, 2023 Mar 14.
Artículo en Inglés | MEDLINE | ID: mdl-36917307

RESUMEN

The objective was to evaluate the effect of the supplementation with natural antioxidants from Yerba mate (Ilex paraguariensis St. Hil.) on the performance, carcass and meat characteristics, and fatty acid profile in meat and fat of Texel × Ile de France lambs kept in Brachiaria-grass pasture. Twenty lambs with a mean age of 90 days and 26.3 kg of BW were distributed in a completely randomized design in two treatments with 10 replicates/treatment: Control-protein-energy supplement based on corn and soybean meal (150 g/kg DM of crude protein) without the addition of natural antioxidant yerba mate and Yerba Mate - energy protein supplement with the addition of yerba mate (110 g/kg DM). There was no treatment effect on animal performance and carcass characteristics. The subcutaneous fat thickness was significantly higher for lambs treated without yerba mate. There was no effect of nutritional treatments on the oxidative markers of lamb meat. The muscle of the animals treated with yerba mate showed a higher concentration of unsaturated and polyunsaturated fatty acids elaidic, linolenic, thymnodonic, docosadienoic, and ceorvonic. The fat of the animals treated with yerba mate showed a higher concentration of palmitoleic acid, linoelaidic acid, heneicosanoic acid, dihomo-γ-linolenic acid, and arachidonic acid. The concentration of polyunsaturated fatty acids was significantly higher in meat and fat of lambs treated with yerba mate. Including yerba mate in the diet of lambs kept on Brachiaria pastures improves the lipid profile of polyunsaturated fatty acids in meat and fat, without altering the performance of the animals.


Asunto(s)
Ilex paraguariensis , Animales , Alimentación Animal/análisis , Antioxidantes , Ácidos Grasos/metabolismo , Ácidos Grasos Insaturados , Ilex paraguariensis/metabolismo , Carne/análisis , Ovinos , Oveja Doméstica/metabolismo
3.
Trop Anim Health Prod ; 55(1): 13, 2022 Dec 19.
Artículo en Inglés | MEDLINE | ID: mdl-36534328

RESUMEN

The hypothesis tested is that the association of soybean grain and yerba mate as an antioxidant source can increase the concentration of polyunsaturated fatty acids (PUFA) with lower oxidation of milk from lactating ewes reared in tropical pastures. Sixteen ewes were randomly distributed in a 2x2 factorial scheme (with or without yerba mate at 110 g / kg of dry matter (DM); with or without soybean grain at 210 g/kg of DM). Yerba mate intake reduced DM intake, and concentrations of ether extract (EE), protein, lactose, defatted dry extract, density, omega-3 concentrations, and the ratio between saturated/monounsaturated fatty acids (FA), but increased the concentration of monounsaturated FA and the sequestering power of free radicals by DPPH without altering the concentrations of conjugated dienes and the concentrations of substances reactive to thiobarbituric acid in milk. Supplementation with soybean grain decreased the birth weight of the lambs and increased the concentrations of conjugated linoleic acid (CLA), PUFA, omega - 6, omega ratio - 6/omega - 3, and total blood cholesterol. The addition of yerba mate did not influence the oxidative profile of milk. Supplementation with soybean grain improved the FA profile of milk, increasing the concentrations of CLA and PUFA. The results suggest that the association of yerba mate and soybean grain helps to improve the fat quality of milk from ewes raised in tropical pastures, as shown by the enhanced antioxidant activity, although it does not help prevent oxidation of milk rich in PUFA.


Asunto(s)
Antioxidantes , Ilex paraguariensis , Animales , Femenino , Antioxidantes/metabolismo , Suplementos Dietéticos , Grano Comestible , Ácidos Grasos/análisis , Ácidos Grasos Insaturados/análisis , Ilex paraguariensis/química , Lactancia , Leche/química , Extractos Vegetales/química , Ovinos , Glycine max
4.
Trop Anim Health Prod ; 53(5): 481, 2021 Sep 25.
Artículo en Inglés | MEDLINE | ID: mdl-34562171

RESUMEN

Studies on the rearing of ewe lambs in the Cerrado are scarce, so the objective was to evaluate the effects of protein-energy supplementation with 1.6 and 2.4% BW on the productive and reproductive performance of ewe lambs raised on pastures of Brachiaria brizantha cv. Marandu. Twenty-four Texel ewe lambs, with a mean age of 5 months, were distributed in two treatments with provision of energy protein supplementation at levels of 1.6 and 2.4% BW, formulated for average daily gains of 150 and 200 g/day for ewe lambs weighing 20 kg, respectively. The experimental delineation adopted was the completely randomized design, with fifteen repetitions per treatment. The performance of the ewe lambs was evaluated by weight at the beginning and end of the breeding season (BS), average daily gain (ADG), and total weight gain (TWG). The count of fecal eggs was performed monthly. The evaluation of the ewe lambs reproductive organs took place at 8 months of age. The fertility of the ewe lambs was detected by transrectal ultrasonography at the end of the BS. The supplementation level of 2.4% BW was higher for ADG and TWG; however, it did not influence the other performance characteristics. There was no effect of supplementation on the reproductive characteristics, parasite load, and nutrients of the pasture. Pasture nutrients were influenced by the month of use. Supplementation levels were not effective to ensure the reproductive success of 8-month-old ewe lambs.


Asunto(s)
Óvulo , Fitomejoramiento , Animales , Suplementos Dietéticos , Femenino , Reproducción , Ovinos , Oveja Doméstica
5.
J Phys Ther Sci ; 29(12): 2107-2111, 2017 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-29643585

RESUMEN

[Purpose] Problems involving the temporomandibular joint and associated structures can lead to temporomandibular disorder (TMD). The aim of the present study was to evaluate muscle activity in individuals with a diagnosis of TMD before and after treatment with low-level laser therapy (LLLT) through the use of electromyography (EMG). [Subjects and Methods] Male and female individuals aged 14 to 23 years were evaluated. TMD was determined by a clinical examination and the administration of the Research Diagnostic Criteria for Temporomandibular Disorders, followed by the evaluation of sensitivity to palpation of the masseter and anterior temporal muscles as well as the EMG determination of muscle activity. The participants were randomly allocated to an active LLLT group (n=9) and sham group (n=7). Twelve sessions of LLLT were conducted using a wavelength of 780 nm, energy density of 25 J/cm2, power of 50 mW, power density of 1.25 W/cm2 and a 20-second exposure time or sham LLLT. Muscle activity was determined prior to treatment and after the last session. [Results] During the isometric evaluation of the masseter and anterior temporal muscles, an increase in the mean EMG signal was found in the group submitted to active LLLT. When evaluated individually, some participants in the active LLLT group demonstrated a reduction in muscle activity, but no significant differences were found in the mean EMG signal between the initial and final evaluations. [Conclusion] Further studies with a larger sample size are needed to confirm the present findings.

6.
J Oral Maxillofac Surg ; 73(4): 622-9, 2015 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-25542604

RESUMEN

PURPOSE: The aim of this pilot study was to evaluate the effect of low-level laser therapy on pain, mandibular movements, and occlusal contacts in adolescents and young adults with temporomandibular disorder. MATERIALS AND METHODS: Individuals aged 14 to 23 years were evaluated. The Research Diagnostic Criteria for Temporomandibular Disorders were used for the diagnosis of temporomandibular disorders. Pain was assessed with a visual analog scale. Occlusal contacts were recorded using the T-Scan III program (Tekscan, Boston, MA). The participants were randomly allocated to 2 groups: active or placebo laser treatment. The laser parameters were as follows: wavelength of 780 nm, energy density of 33.5 J/cm(2), power of 50 mW, power density of 1.67 W/cm(2), and 20-second exposure time. The Kolmogorov-Smirnov test was used to determine the normality of the data distribution. The paired t test was used for the comparisons of the pretreatment and post-treatment results. The SPSS program for Windows (version 15.0; SPSS, Chicago, IL) was used for all analyses, with the level of significance set at 5% (P < .05). RESULTS: No statistically significant differences between groups were found for the right and left anterior temporal muscles (P = .3801 and P = .5595, respectively), superior masseter muscles (P = .087 and P = .1969, respectively), medial masseter muscles (P = .2241 and P = .076, respectively), or inferior masseter muscles (P = .5589 and P = .3268, respectively) after treatment. CONCLUSIONS: No statistically significant differences were found regarding pain, mandibular range of motion, or the distribution of occlusal contacts after treatment with low-level laser therapy. These preliminary results need to be verified in a larger sample of patients to confirm the lack of response to low-level laser therapy.


Asunto(s)
Terapia por Luz de Baja Intensidad/métodos , Trastornos de la Articulación Temporomandibular/radioterapia , Síndrome de la Disfunción de Articulación Temporomandibular/radioterapia , Adolescente , Oclusión Dental , Dolor Facial/radioterapia , Femenino , Estudios de Seguimiento , Humanos , Masculino , Músculo Masetero/efectos de la radiación , Fatiga Muscular/efectos de la radiación , Mialgia/radioterapia , Dimensión del Dolor/métodos , Placebos , Dosificación Radioterapéutica , Rango del Movimiento Articular/efectos de la radiación , Método Simple Ciego , Sonido , Músculo Temporal/efectos de la radiación , Escala Visual Analógica , Adulto Joven
7.
BMC Musculoskelet Disord ; 15: 123, 2014 Apr 10.
Artículo en Inglés | MEDLINE | ID: mdl-24721559

RESUMEN

BACKGROUND: The aim of the present study was to analyse the influence of temporomandibular disorder (TMD) on electromyographic activity in the masseter and temporal muscles of adolescents and investigate a possible association with the number of occlusal contacts. METHODS: The Helkimo Index was administered for the diagnosis of TMD and classification of the adolescents into three groups: without TMD; with mild TMD; and with moderate/severe TMD. Carbon paper was used for the determination of occlusal contact points. A standardised electromyographic evaluation was performed on the masticatory muscles at rest, during habitual chewing and during maximum voluntary clenching. The readings were normalised to maximum voluntary clenching. Statistical analysis involved the chi-squared test and Fisher's exact test. The Kruskal-Wallis test and one-way analysis of variance with Dunn's post hoc test were used to compare differences between groups. Pearson's correlation coefficients (r) were calculated for the determination of correlations between the number of occlusal contacts and RMS values. RESULTS: Electromyography revealed significant differences in the right and left masseter and temporal muscles at rest and during chewing among the three groups. These differences were not observed during maximum voluntary clenching. No statistically significant differences were found between the groups with and without TMD regarding the number of occlusal contacts. CONCLUSION: Electromyographic activity in the masseter and temporal muscles was greater among adolescents with moderate to severe TMD.


Asunto(s)
Oclusión Dental , Electromiografía , Músculo Masetero/fisiopatología , Músculo Temporal/fisiopatología , Trastornos de la Articulación Temporomandibular/diagnóstico , Adolescente , Factores de Edad , Brasil/epidemiología , Distribución de Chi-Cuadrado , Femenino , Humanos , Masculino , Masticación , Valor Predictivo de las Pruebas , Prevalencia , Índice de Severidad de la Enfermedad , Encuestas y Cuestionarios , Trastornos de la Articulación Temporomandibular/epidemiología , Trastornos de la Articulación Temporomandibular/fisiopatología
8.
J Phys Ther Sci ; 26(7): 1125-8, 2014 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-25140110

RESUMEN

[Purpose] The aim of the present study was to evaluate the effect of a biteplate on the cranio-cervical posture of children with bruxism. [Subjects and Methods] Twelve male and female children aged six to 10 years with a diagnosis of bruxism participated in this study. The children used a biteplate during sleep for 30 days and were submitted to three postural evaluations: initial, immediately following placement of the biteplate, and at the end of treatment. Posture analysis was performed with the aid of the Alcimagem(®) 2.1 program. Data analysis (IBM SPSS Statistics 2.0) involved descriptive statistics and the Student's t-test. [Results] A statistically significant difference was found between the initial cranio-cervical angle and the angle immediately following placement of the biteplate. However, no statistically significant difference was found between the initial angle and the angle after one month of biteplate usage. [Conclusion] No significant change in the cranio-cervical posture of the children was found one month of biteplate usage. However, a reduction occurred in the cranio-cervical angle when the biteplate was in position.

9.
J Phys Ther Sci ; 25(10): 1331-4, 2013 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-24259787

RESUMEN

[Purpose] To assess the association between the oclusal characteristics, headache, parafunctional habits and clicking sounds and signs/symptoms of TMD in adolescents. [Subjects] Adolescents between 14 and 18 years of age. [Methods] The participants were evaluated using the Helkimo Index and a clinical examination to track clicking sounds, parafunctional habits and other signs/symptoms of temporomandibular disorder (TMD). Subjects were classified according to the presence or absence of headache, type of occlusion, facial pattern and type of bite. In statistical analyse we used the chi-square test and Fisher's exact test, with a level of significance of 5%. [Results] The sample was made up of 81 adolescents with a mean age of 15.64 years; 51.9% were male. The prevalence of signals/symptoms of TMD was 74.1%, predominantly affecting females. Signals/symptoms of TMD were significantly associated with clicking sounds, headache and nail biting. No associations were found between signals/symptoms of TMD and angle classification, type of bite and facial pattern. [Conclusion] Headache is one of the most closely associated symptoms of TMD. Clicking sounds were found in the majority of cases. Therefore, the sum of two or more factors may be necessary for the onset and perpetuation of TMD.

10.
Photomed Laser Surg ; 36(7): 370-376, 2018 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-29768084

RESUMEN

OBJECTIVE: This is a randomized, sham-controlled, blind clinical trial that aimed to evaluate the effect of phototherapy on bite force, mandibular range of motion, sensitivity to palpation, and fatigue in the masseter and anterior temporal muscles of young patients when administered before the induction of fatigue. MATERIALS AND METHODS: Fifty-two healthy volunteers aged 18-23 years were randomly allocated to a laser group and sham group. Both groups were submitted to a clinical evaluation to record mandibular range of motion, bite force, muscle sensitivity to palpation, and muscle fatigue. The laser group was then submitted to phototherapy (780 nm, 25 J/cm2, 50 mW, 20 sec, and 1 J per point) on three points of the masseter and one point of the anterior temporal muscle on each side. The sham group was submitted to the same procedure, but with the device switched off. The volunteers were then instructed to chew two pieces of gum (one on each side) for 6 min, with the pace set by a metronome calibrated to 80 bpm, followed by the reevaluation of all variables. The results were submitted to t-test and Wilcoxon test. A significance level of 5% (p < 0.05) was considered in all analyses. RESULTS: No statistically significant intergroup or intragroup differences were found for the variables analyzed. CONCLUSIONS: With the proposed protocol, phototherapy administered before the induction of fatigue did not lead to any changes in bite force and mandibular range of motion, indicating that further studies are needed with different phototherapy dosimetric parameters.


Asunto(s)
Músculo Masetero/efectos de la radiación , Fatiga Muscular/efectos de la radiación , Fototerapia , Músculo Temporal/efectos de la radiación , Adolescente , Fuerza de la Mordida , Femenino , Humanos , Masculino , Masticación , Método Simple Ciego , Adulto Joven
11.
Case Rep Dent ; 2016: 9685429, 2016.
Artículo en Inglés | MEDLINE | ID: mdl-27478655

RESUMEN

Background. Melnick-Needles Syndrome is rare congenital hereditary skeletal dysplasia caused by mutations in the FLNA gene, which codifies the protein filamin A. This condition leads to serious skeletal abnormalities, including the stomatognathic region. Case Presentation. This paper describes the case of a 13-year-old girl diagnosed with Melnick-Needles Syndrome presenting with different forms of skeletal dysplasia, such as cranial hyperostosis, short upper limbs, bowed long bones, metaphyseal thickening, genu valgum (knock-knee), shortened distal phalanges, narrow pelvis and shoulders, rib tapering and irregularities, elongation of the vertebrae, kyphoscoliosis, micrognathia, hypoplastic coronoid processes of the mandible, left stylohyoid ligament suggesting ossification, and dental development anomalies. Conclusion. Knowledge of this rare syndrome on the part of dentists is important due to the fact that this condition involves severe abnormalities of the stomatognathic system that cause an impact on the development of the entire face as well as functional and esthetic impairments.

12.
J Bodyw Mov Ther ; 18(1): 87-91, 2014 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-24411155

RESUMEN

The aims of the present study were to assess the degree of sensitivity and specificity of the screening questionnaire recommended by the American Academy of Orofacial Pain (AAOP) and the patient-history index proposed by Helkimo (modified by Fonseca) and correlate the findings with a clinical exam. All participants answered the questionnaires and were submitted to a clinical exam by a dentist who had undergone calibration training. Both the AAOP questionnaire and Helkimo index achieved low degrees of sensitivity for the detection of temporomandibular disorder (TMD), but exhibited a high degree of specificity. With regard to concordance, the AAOP questionnaire and Helkimo index both achieved low levels of agreement with the clinical exam. The different instruments available in the literature for the assessment of TMD and examined herein exhibit low sensitivity and high specificity when administered to children and adolescents stemming from difficulties in comprehension due to the age group studied and the language used in the self-explanatory questions.


Asunto(s)
Dolor Facial/etiología , Dimensión del Dolor/métodos , Encuestas y Cuestionarios , Trastornos de la Articulación Temporomandibular/diagnóstico , Adolescente , Factores de Edad , Niño , Estudios Transversales , Humanos , Sensibilidad y Especificidad
13.
J Bodyw Mov Ther ; 18(3): 435-40, 2014 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-25042315

RESUMEN

The aim of the present study was determine the type of bite and abnormalities in the vertical dimension of occlusion (VDO) among children and adolescents with temporomandibular disorder (TMD). The Helkimo index was employed for the diagnostic investigation of TMD. A clinical examination was performed for the determination of occlusion. The VDO was measured using a digital caliper. Fisher's exact text was used to determine associations between type of bite, gender and TMD. The Student's t-test was used to compare age and VDO by gender. The significance level was set to 5% or corresponding p-value. Children and adolescents with anterior open bite were 1.2-fold more likely to develop TMD in comparison to those without any type of malocclusion. The same was found for those with posterior crossbite and mixed malocclusion. A statistically significant association was found between the VDO and age in both genders. TMD affected 68.85% of the sample. No correlation was found between malocclusion, VDO and TMD in the sample. The present findings suggest that individuals with malocclusion are more prone to TMD. Therefore, it is important to evaluate all variables capable of influencing the harmony of the stomatognathic system for an effective diagnosis of TMD and malocclusion.


Asunto(s)
Maloclusión/epidemiología , Trastornos de la Articulación Temporomandibular/epidemiología , Dimensión Vertical , Adolescente , Niño , Femenino , Humanos , Masculino , Maloclusión/clasificación , Índice de Severidad de la Enfermedad , Factores Sexuales
14.
Trials ; 15: 395, 2014 Oct 14.
Artículo en Inglés | MEDLINE | ID: mdl-25315893

RESUMEN

BACKGROUND: Technological innovations in dental materials have been fueled by the desire of patients to improve the esthetics of their teeth. This emphasis on esthetics has led dentists to seek resources that respect the standards established by society, but without compromising the integrity of the teeth. METHODS/DESIGN: The aim of the proposed controlled clinical trial will be to assess colorimetric changes and increased dental sensitivity in adolescent patients submitted to tooth whitening with 6% and 7.5% hydrogen peroxide using home kits with whitening strips. Adolescents aged 12 to 20 years will be allocated to different groups based on treatment (n = 16 per group): (1) placebo; (2) 6.0% hydrogen peroxide (White Class with Calcium, FGM); (3) 7.5% hydrogen peroxide (White Class with Calcium, FGM); and (4) 7.5% hydrogen peroxide (Oral B 3D White, Oral-B). After the whitening procedures, the participants will be evaluated using a visual analog scale for tooth sensitivity and digital spectrophotometry to measure changes in color. Descriptive analysis of the data will be performed. Either the chi-squared test or Fisher's exact test will be used for the determination of associations among the categorical variables. Student's t-test and analysis of variance will be used to compare mean colorimetric data. Pearson's correlation coefficients will be calculated to determine the strength of correlations among the continuous variables. DISCUSSION: This randomized trial will provide an opportunity to evaluate products such as whitening strips in comparison to other self-administered methods, especially in adolescents. TRIAL REGISTRATION: The protocol for this study was submitted to Clinical Trials in November 2013 with registration number NCT01998386.


Asunto(s)
Peróxido de Hidrógeno/uso terapéutico , Proyectos de Investigación , Blanqueadores Dentales/uso terapéutico , Blanqueamiento de Dientes/métodos , Decoloración de Dientes/terapia , Adolescente , Factores de Edad , Brasil , Distribución de Chi-Cuadrado , Niño , Protocolos Clínicos , Femenino , Geles , Humanos , Peróxido de Hidrógeno/efectos adversos , Masculino , Dimensión del Dolor , Factores de Tiempo , Blanqueamiento de Dientes/efectos adversos , Blanqueadores Dentales/efectos adversos , Decoloración de Dientes/diagnóstico , Odontalgia/inducido químicamente , Odontalgia/diagnóstico , Resultado del Tratamiento , Adulto Joven
15.
Trials ; 15: 443, 2014 Nov 14.
Artículo en Inglés | MEDLINE | ID: mdl-25394474

RESUMEN

BACKGROUND: Halitosis is a common problem that affects a large portion of the population worldwide. The origin of this condition is oral in 90% and systemic in 10% of cases. The unpleasant odor is mainly the result of volatile sulfur compounds produced by Gram-negative bacteria. However, it has recently been found that anaerobic Gram-positive bacteria also produce hydrogen sulfide (H2S) in the presence of amino acids, such as cysteine. Light, both with and without the use of chemical agents, has been used to induce therapeutic and antimicrobial effects. In photodynamic therapy, the antimicrobial effect is confined to areas covered by photosensitizing dye. The aim of the present study is to evaluate the antimicrobial effect of photodynamic therapy on halitosis in adolescents through the analysis of volatile sulfur compounds measured using gas chromatography and microbiological analysis of coated tongue. METHODS/DESIGN: A quantitative clinical trial will be carried out involving 60 adolescents randomly divided into the following groups: group 1 will receive treatment with a tongue scraper, group 2 will receive photodynamic therapy applied to the posterior two-thirds of the dorsum of the tongue, and group 3 will receive combined treatment (tongue scraper and photodynamic therapy). Gas chromatography (OralChromaTM) and microbiological analysis will be used for the diagnosis of halitosis at the beginning of the study. Post-treatment evaluations will be conducted at one hour and 24 hours after treatment. The statistical analysis will include the Shapiro-Wilk test for the determination of the distribution of the data. If normal distribution is demonstrated, analysis of variance followed by Tukey's test will be used to compare groups. The Kruskal-Wallis test followed by the Student-Newman-Keuls test will be used for data with non-normal distribution. Either the paired t-test or the Wilcoxon test will be used to compare data before and after treatment, depending on the distribution of the data. DISCUSSION: The results of this trial will determine the efficacy of using photodynamic therapy alone or in combination with a tongue scraper to treat bad breath in adolescents. TRIAL REGISTRATION: The protocol for this study was registered with Clinical Trials (registration number NCT02007993) on 10 December 2013.


Asunto(s)
Halitosis/tratamiento farmacológico , Fotoquimioterapia , Proyectos de Investigación , Lengua/microbiología , Adolescente , Factores de Edad , Bacterias/crecimiento & desarrollo , Bacterias/metabolismo , Biopelículas/crecimiento & desarrollo , Brasil , Cromatografía de Gases , Protocolos Clínicos , Terapia Combinada , Dispositivos para el Autocuidado Bucal , Femenino , Halitosis/diagnóstico , Halitosis/microbiología , Humanos , Masculino , Azul de Metileno/administración & dosificación , Higiene Bucal/instrumentación , Fármacos Fotosensibilizantes/administración & dosificación , Compuestos de Azufre/metabolismo , Factores de Tiempo , Resultado del Tratamiento , Volatilización
16.
Int J Dent ; 2013: 896381, 2013.
Artículo en Inglés | MEDLINE | ID: mdl-24363672

RESUMEN

The aim of the present study was to assess pain and the need for anesthesia during chemomechanical caries removal with Papacarie gel and the traditional method (low-speed bur) in pediatric patients. A randomized, controlled, clinical trial with a "split-mouth" design was carried out involving 20 children (10 girls and 10 boys) aged four to seven years. Forty primary teeth (two per child) were randomly allocated to either Group 1 (G1: chemomechanical caries removal with Papacarie gel) or Group 2 (G2: removal of carious dentin with low-speed bur). A face scale was used to classify the sensation of pain during the procedure (1: absence of pain; 2: mild pain; 3: moderate pain; 4: moderately intense pain; 5: intense pain; and 6: extremely intense pain). Statistical analysis of the data was performed using the Wilcoxon-Mann-Whitney (U) test. Pain scores were higher in G2, with statistically significant differences in comparison to G1 (U = 148.0; W = 358.0; P = 0.041). Chemomechanical caries removal with Papacarie provides a lesser degree of pain in comparison to conventional caries removal and does not require the use of local anesthesia. The clinical trial registration number is NCT01811420.

17.
Trials ; 14: 229, 2013 Jul 22.
Artículo en Inglés | MEDLINE | ID: mdl-23876095

RESUMEN

BACKGROUND: A number of problems involving the temporomandibular joint (TMJ) and associated structures can lead to temporomandibular disorder (TMD). The aim of the proposed study is to assess the effect of low-level laser therapy on occlusal contacts, mandibular movements, electromyography activity in the muscles of mastication and pain in adolescents with TMD. METHODS/DESIGN: A randomized, controlled, double-blind, clinical trial will be carried out involving 85 male and female adolescents between 15 and 18 years of age. The research diagnostic criteria for TMD will be used to assess all individuals who agree to participate. All participants will be submitted to a clinical examination and electromyographic analysis of the masseter muscles and anterior bundle of the temporal muscles bilaterally, to determine TMD. Based on the clinical findings, the participants will be classified as having or not having TMD. Those with TMD will be divided into four groups, three of which will receive low-level laser therapy and one of which will receive a placebo treatment. The treatments will involve the TMJ region alone, the masseter and temporal muscles alone, or both these regions together. The data will be submitted to descriptive statistical analysis. The chi-square test and Fisher's exact test will be used to determine associations among the categorical variables. The Student's t test and analysis of variance will be used for the comparison of mean electromyographic signals. Pearson's correlation coefficients will be calculated for the analysis of correlations among the continuous variables. TRIAL REGISTRATION: The protocol for this study has been submitted to Clinical Trials - registration number NCT01846000.


Asunto(s)
Terapia por Luz de Baja Intensidad , Proyectos de Investigación , Trastornos de la Articulación Temporomandibular/radioterapia , Articulación Temporomandibular/efectos de la radiación , Adolescente , Análisis de Varianza , Fenómenos Biomecánicos , Brasil , Distribución de Chi-Cuadrado , Protocolos Clínicos , Método Doble Ciego , Electromiografía , Dolor Facial/diagnóstico , Dolor Facial/radioterapia , Femenino , Humanos , Masculino , Músculo Masetero/fisiopatología , Músculo Masetero/efectos de la radiación , Masticación , Dimensión del Dolor , Valor Predictivo de las Pruebas , Músculo Temporal/fisiopatología , Músculo Temporal/efectos de la radiación , Articulación Temporomandibular/fisiopatología , Trastornos de la Articulación Temporomandibular/diagnóstico , Trastornos de la Articulación Temporomandibular/fisiopatología , Factores de Tiempo , Resultado del Tratamiento
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