ABSTRACT
ABSTRACT Objective: To investigate the association between DH and Health (HRQoL) or Oral Health-Related Quality of Life (OHRQoL). Material and Methods: PubMed, Web of Science, Scopus, EMBASE, Cochrane, Scielo, LILACS/BBO, Biblioteca Digital de Teses e Dissertações (BDTD), Open Grey, and Google Scholar databases were screened in September 2019 (updated in October 2022). Observational studies were selected to compare HRQoL/OHRQoL(outcome) according to DH(exposure) or evaluate the association among these variables. Standardized Joanna Briggs Institute critical appraisal tool for analytical cross-sectional studies was used to analyze the risk of bias. A random-effects meta-analysis was conducted to synthesize evidence for the association between DH and OHRQoL. Results: 10 papers met inclusion criteria and were evaluated. In most studies, presenting or having a greater intensity of DH was associated with a negative impact on one's quality of life. However, most of these studies showed a moderate to high risk of methodological bias. The consistent finding from studies with a low risk of bias suggests a significant association between DH and OHRQoL. Meta-analysis was feasible for three studies with substantial heterogeneity. The pooled Odds Ratio was 2.14 (95%CI 1.15-3.99; I2= 57,44%). Conclusion: Many studies presented a high risk of bias; therefore, the actual effect of DH on one's quality of life remains uncertain.
Subject(s)
Quality of Life , Dentin Sensitivity , Cross-Sectional Studies/methods , Patient Reported Outcome MeasuresABSTRACT
Abstract Periodontal diseases are infectious inflammatory chronic diseases of a multifactorial nature. They are primarily caused by dysbiotic ecological changes in dental biofilm, which may be influenced by risk factors. The prevention of periodontal diseases may involve different strategies focused on reducing distal, intermediate, and proximal risk factors at both the population and individual levels. Effective prevention depends on interdisciplinary and common risk factor approaches. Also, patient-centered preventive models are more effective than professional-centered models in the management of periodontal diseases. Regular and periodic control of dental biofilm is an essential measure for the different levels of prevention of periodontal diseases. The effectiveness of periodontal disease prevention largely depends on positive modifications of behavior, knowledge, health literacy, patient empowerment, motivation, and compliance.
ABSTRACT
A romã (Punica granatum) possui uma vasta história médica conhecida por sua ação antibacteriana, antioxidante e anti-inflamatória. A presente revisão teve como objetivo verificar os potenciais efeitos terapêuticos do uso de produtos derivados da P. granatum como coadjuvante no tratamento das doenças periodontais. Descritores em inglês e português dos termos: "romã", "doença periodontal", "gengivite", "periodontite" e "punica granatum", foram utilizados para consulta nas bases de dados Pubmed, Lilacs e Scielo. Para avaliação dos efeitos anti-inflamatórios, antimicrobianos e clínicos da romã foram incluídos trabalhos clínicos e pré-clínicos, sem restrições de data. Os diferentes estudos selecionados avaliaram P. granatum em diferentes formulações, incluindo bochechos, géis, infusão, dentifrícios, e chips biodegradáveis. Os resultados demostraram que os componentes fitoquímicos de P. granatum, como polifenóis flavonoides, punicalaginas, ácido punícico e antocinas apresentam propriedades relevantes pró-saúde periodontal, que incluem efeitos anti-inflamatórios, antioxidantes, hemostáticos e imunoregulatórios. Estudos in vivo utilizando diferentes formulações da romã em participantes acometidos por gengivite ou periodontite apresentaram reduções nos índices de placa, sangramento gengival e profundidade de sondagem em graus variados. Conclui-se que P. granatum pode ser uma promissora alternativa à terapia antimicrobiana padrão, para auxílio do controle mecânico de placa, com melhora dos sinais clínicos das doenças periodontais. Contudo, mais estudos clínicos ainda são necessários. (AU)
The pomegranade (Punica granatum) has a vast medical history know by its antibacterial, antioxidant and antiinflammatory action. The presente review aimed at verifying the potential therapeutic effects of products derived from P. granatum as adjuvant in the treatment of periodontal diseases. English and Portugueses descriptors of the terms "pomegranate", "periodontal disease", "gingivitis", "periodontitis" and "Punica granatum" were used for search in Pubmed, Lilacs and Scielo databases. To assess the anti-inflammatory, antimicrobial and clinical effects of pomegranate, clinical and preclinical were included, with no date restrictions. The different studies evaluated P. granatum in different formulations, including mouthwash, gels, infusion, dentifrices, and biodegradable chips. Results showed that the phytochemical components of P. granatum, such as polyphenois flavonoids, punicalagins, punicic acid and antocines, demonstrated relevant periodontal prohealth properties, including anti-inflammatory, antioxidant, hemostatic and immunoregulatory effects. In vivo studies, using different pomegranade formulations in individuals affected by gingivitis or periodontitis, showed reductions in plaque index, gingival bleeding and probing depth in different levels. It was concluded that P. granatum could be a promising alternative to the standard antimicrobial therapy in order to aid the mechanical control of plaque, with improvement of clinical signs of periodontal diseases. However, more clinical studies are still necessary. (AU)
Subject(s)
Periodontal Diseases/classification , Periodontal Diseases/complications , Periodontitis , Gingivitis , Anti-Infective Agents/therapeutic use , Anti-Inflammatory Agents/therapeutic useABSTRACT
Objetivo: A capacidade de diagnóstico é fundamental em todas as áreas da odontologia. Na periodontia o diagnóstico deve ser criterioso, exigindo dos estudantes e profissionais conhecimento, habilidade e percepção. A utilização dos recursos disponíveis e interpretação correta dos mesmos resultam em um diagnóstico apropriado e influenciam diretamente do sucesso terapêutico. Diante disso, este estudo teve como objetivo avaliar os conhecimentos e atitudes de acadêmicos da Faculdade de Odontologia da Universidade de Itaúna sobre o diagnóstico em periodontia. Métodos: Participaram do estudo 154 estudantes do 7º ao 10º período que cursavam a disciplina de Clínica Integrada e já tinham passado pela disciplina de periodontia. Resultados: Os resultados revelaram que os estudantes possuem dificuldades para realização do diagnóstico das doenças periodontais. A maior dificuldade aparenta estar na aplicação dos conhecimentos adquiridos durante o curso na prática clínica. Conclusão: A literatura indica que recursos didáticos como o fluxograma, podem beneficiar os estudantes e resultar no aumento de diagnósticos corretos.
Aim: Diagnostic capability is essential in all areas of dentistry. In periodontics, the diagnosis must be judicious, requiring students' and professionals' knowledge, skill, and perception. The use of the available resources and the correct interpretation of these results in an appropriate diagnosis can directly influence the therapeutic success. Therefore, this study aimed to evaluate the knowledge and attitudes of academians from the Dentistry School of the University of Itaúna regarding diagnoses in periodontics. Methods: A total of 154 students from the 7th to the 10th semesters, who had completed both the Integrated Clinic course as well as the discipline of periodontics, participated in this study. Results: The results revealed that the students have difficulties to perform the diagnosis of periodontal diseases. The greatest difficulty appears to be in the application of the knowledge acquired during the course in clinical practice. Conclusion: The literature indicates that teaching resources, such as flowcharts, can benefit students and result in an increase in correct diagnoses.