ABSTRACT
El objetivo de este estudio fue verificar la prevalencia de HMI, la severidad y el impacto en la calidad de vida de niños de 8 a 10 años. Un total de 864 niños de ambos sexos fueron evaluados en la ciudad de Vila Velha, ES. La valoración clínica del HMI estuvo de acuerdo con los criterios diagnósticos de la EAPD. Como criterio de exclusión de la investigación se consideraron niños con déficit cognitivo, neuropsicomotor y pacientes con aparatología de ortodoncia. La condición leve o severa se determinó evaluando la necesidad de tratamiento 1 y la afectación de los incisivos y molares permanentes. Para evaluar el impacto en la calidad de vida se aplicó el Cuestionario de Percepción Infantil, con 29 preguntas relacionadas con síntomas orales, limitaciones funcionales, bienestar emocional y social. Los resultados se analizaron después de las pruebas estadísticas: Chi Cuadrado, Fischer y Poisson. Se encontró una frecuencia de 183 niños (21 %) con HMI, 125 (68,3 %) con el tipo severo que necesita tratamiento. En la aplicación de CPQ, la sensibilidad y el dolor en los dientes afectados tuvieron una puntuación más alta, y cuando asociado con la presencia o ausencia del HMI, los individuos afectados tuvieron un mayor impacto en este dominio (P = 0,04). Se concluye que el HMI afecta la población estudiada en condición severa, requiriendo cuidados odontológicos preventivos y reparadores, y puede tener un impacto negativo en la calidad de vida de los estudiantes en relación a su salud bucal, en cuanto a síntomas bucales.
O objetivo deste estudo foi verificar a prevalência da HMI, a severidade e o impacto na qualidade de vida, em crianças dos 8 aos 10 anos de idade. Foi avaliado um total de 864 crianças de ambos os sexos, na cidade de Vila Velha, ES. A avaliação clínica da HMI foi de acordo com os critérios diagnósticos da EAPD. Como critério de exclusão da investigação foram consideradas crianças com déficits cognitivos, neuropsicomotores e portadoras de aparelhos ortodônticos. A condição leve ou severa foi determinada através da avaliação da necessidade de tratamento 1 e do envolvimento de molares e incisivos permanentes. Para avaliar o impacto na qualidade de vida, foi aplicado o Questionário de Percepção Infantil, composto por 29 perguntas relacionadas aos sintomas orais, limitações funcionais, bem-estar emocional e social. Os resultados foram analisados após os testes estatísticos: Chi Square, Fischer e Poisson. Foi encontrada uma frequência de 183 crianças (21 %) com HMI, com 125 (68,3 %) com o tipo severo a necessitar de tratamento. Na aplicação do CPQ, a sensibilidade e a dor nos dentes afetados apresentaram uma pontuação mais elevada, e quando este instrumento foi associado à presença ou ausência do HMI, os indivíduos afetados também tiveram um maior impacto neste domínio (P = 0,04). Concluímos que a HMI afeta a população estudada na condição do tipo severa, exigindo cuidados dentários preventivos e restauradores, e pode ter um impacto negativo na qualidade de vida dos estudantes em relação à sua saúde oral, no que diz respeito aos sintomas orais.
Purpose of this study was to verify the prevalence of MIH, the severity and the impact on the quality of life, in children from 8 to 10 years of age. Materials and methods: A total of 864 children of both genders, in the city of Vila Velha, ES, were evaluated. The clinical assessment followed the diagnostic criteria of the EAPD. As exclusion criterion of the research were children with cognitive deficits, neuropsychomotor and carriers orthodontic appliances. The mild or severe conditions were determined by assessing the need for treatment (WHO) and involvement of permanent molars and incisors. To evaluate the impact on quality of life, the Child Perception Questionnaire was applied, composed of 29 questions elaborated to observe the child's perception regarding oral symptoms, functional limitations, well-being Emotional and social. For statistical analysis, Chi, Square, Fischer and Poisson tests were used. Results: A frequency of 183 children (21%) with MIH was found, with 125 (68.3%) with the severe type requiring treatment. In the application of CPQ, the sensitivity and pain in affected teeth presented a higher score, and when this instrument was associated with the presence or absence of MHI, the affected individuals also had a greater impact in this domain (P = 0.04). Conclusions: The MIH affects the studied population in severe condition, requiring preventive and restorative dental care, and can negatively impact the quality of life of the students in relation to their oral health, as far as oral symptoms are concerned
Subject(s)
Humans , Male , Female , Child , Sensitivity and Specificity , Dental Enamel Hypoplasia , Orthodontic Appliances , Therapeutics , Oral Health , Dental CareABSTRACT
ABSTRACT BACKGROUND AND OBJECTIVES: Atypical odontalgia is characterized by continuous pain that persists for more than three months in one or more teeth or in the socket after extraction, without apparent dental and neurological causes, with transient pain relief and worsening within a few days or even weeks in patients undergoing extensive dental treatment. These patients are at risk of going through unnecessary dental/surgical procedures, which would worsen their pain. This article aims to report a difficult case of atypical odontalgia diagnosis of a patient that underwent extensive dental treatment accompanied by severe pain. CASE REPORT: A 57-year-old female patient with severe and excruciating pain in the right maxillary region of no identified source. After an endodontic retreatment on teeth 14 and 16, the pain worsened suggesting traumatic pericementitis or reaction to the intracanal drug used. Since the pain did not improve, a pulpectomy on 13 was performed. However, the pain increased significantly, and after an evaluation by volumetric computed tomography, a paraendodontic surgery was performed, but the pain irradiated to the ocular fundus and the maxillary region. The absence of neurological, ophthalmological, and otorhinolaryngological alterations led to the diagnosis of atypical odontalgia. CONCLUSION: The diagnosis of atypical odontalgia is difficult, requiring a multidisciplinary approach listening to the patient's complaint, and, in case of doubt, avoid any procedures not to worsen pain and turn it chronic.
RESUMO JUSTIFICATIVA E OBJETIVOS: A odontalgia atípica caracteriza-se por dor contínua que persiste por mais de três meses em um ou mais dentes ou no alvéolo após extração, sem causas dentárias e neurológicas aparentes, com alívio transitório, e piora da dor dentro de poucos dias ou até semanas, em pacientes com amplo tratamento odontológico. A dificuldade para o diagnóstico pode levar a procedimentos odontológicos desnecessários e mutiladores, com piora e/ou cronificação da dor. Este artigo tem como objetivo relatar um caso de difícil diagnóstico de odontalgia atípica em paciente submetida a extenso tratamento odontológico. RELATO DO CASO: Paciente do sexo feminino, 57 anos, apresentava queixa de dor lancinante em região maxilar direita cuja origem não identificava. Após retratamento endodôntico dos dentes 14 e 16, houve piora da dor sugerindo pericementite traumática ou reação a fármaco intracanal. Como a dor não melhorou foi realizada uma pulpectomia no dente 13. Entretanto, a dor aumentou e após tomografia computadorizada volumétrica foi realizada cirurgia parendodôntica, porém a dor irradiou para fundo do olho direito e região maxilar. A ausência de alterações neurológicas, oftalmológicas e otorrinolaringológicas permitiram diagnosticar a odontalgia atípica. CONCLUSÃO: O diagnóstico é difícil, sendo recomendada a abordagem multidisciplinar, valorizar a queixa do paciente e, em casos de dúvida, evitar quaisquer procedimentos para não piorar e cronificar a dor.
ABSTRACT
Objective: To quantify salivary creatinine levels patients with end-stage renal disease (ESRD) before, during, and after hemodialysis sessions. Material and Methods: Sixty-eight individuals, aged between 4 and 25 years, were selected, and among these, 34 were diagnosed with ESRD and were undergoing hemodialysis (Group 1) and 34 were clinically healthy patients (Group 2). Saliva samples were collected before, during, and after hemodialysis sessions for Group 1 and compared with those of Group 2. Stimulated saliva flow rate (SSFR), buffer capacity (BC), pH, and salivary creatinine levels were determined. Shapiro-Wilk test, followed by the Friedman, Mann-Whitney and ANOVA tests were used to analyze the variables. Results: Mean SSFR values of Group 1 at the three stages of hemodialysis sessions did not differ from those of Group 2. Furthermore, BC and pH values were within their normal limits, and no difference was detected between the two groups. Mean salivary creatinine levels at baseline and during hemodialysis were significantly higher in Group 1 that in Group 2, but these values were not different between Groups at the end of hemodialysis. Conclusion: Salivary creatinine levels reduce significantly after hemodialysis sessions suggesting that saliva may be used to monitor the efficiency of hemodialysis or even indicate the moment at which it should start.
Subject(s)
Humans , Male , Female , Child, Preschool , Child , Adolescent , Adult , Creatine/analysis , Renal Dialysis/methods , Renal Insufficiency, Chronic/diagnosis , Saliva/microbiology , Analysis of Variance , Kidney , Statistics, NonparametricABSTRACT
Introduction: Childhood autism is a neurodevelopment disorder with characteristic symptoms, e.g.: impairments in social interaction and communication, restricted interests and repetitive behaviors. The dental care of these individuals is challenging because of the difficulty in social relationship presented, so that the use of auxiliary pharmacological means, as the use of conscious sedation with nitrous oxide and oxygen is indicated in managing the behavior of the patient with infantile autism. Objective: To perform comprehensive literature review on the use of conscious sedation with nitrous oxide as an adjunct in the behavior of the patient with infantile autism. Literature review: The following descriptors were used: autistic disorder, conscious sedation and nitrous oxide in national and international databases at the period from 2006-2014. Conclusion: The conscious sedation with nitrous oxide and oxygen, as an auxiliary method in the behavior management of children with autism is a secure and effective option, through previous evaluation of the individual, in order to achieve the expected results.