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1.
Arq. ciências saúde UNIPAR ; 26(3): 671-680, set-dez. 2022.
Article in Portuguese | LILACS-Express | LILACS | ID: biblio-1399318

ABSTRACT

O pré-natal odontológico vem sendo alvo de ações estratégicas na atenção básica. É necessária a compressão que a mulher em período gestacional necessita de cuidados bucais, por esse fato o pré-natal necessita de reforços para o estabelecimento efetivo na atenção básica de forma a ser desmistificado na odontologia, e possibilitar que o cirurgião-dentista possa ser integrado com as ações voltadas para a saúde gestacional. Diante disso objetiva-se relatar sobre o pré-natal odontológico, e abordar sobre a contribuição da Estratégia Saúde da Família (ESF) nesse contexto, atuação multidisciplinar, e importância da educação e capacitação para desmistificação do atendimento a gestantes. Para isso foi realizado um levantamento bibliográfico nas bases de dados eletrônicas Scielo, portal BVS e Google Acadêmico. É visto ainda há baixa adesão das gestantes ao atendimento odontológico, embora haja uma notória representação da ESF na universalização desse cuidado. A equipe multidisciplinar no atendimento de gestantes parece colaborar para a motivação do atendimento, e fundamentar ações estratégicas interdisciplinares. Ainda é importante ressaltar que o conhecimento sobre os aspectos norteadores da gestação tem papel fundamental para desmistificar o atendimento odontológico e preparar os profissionais. Infere-se que o pré-natal odontológico vem ganhando expressividade, onde as ações da ESF, a atuação da equipe multidisciplinar e a ampliação do conhecimento acerca do assunto podem influenciar positivamente para a adesão desse grupo.


Dental prenatal care has been the target of strategic actions in primary care. It is necessary the compression that women in gestational period need oral care, for this reason prenatal care requires reinforcements for the effective establishment in primary care in order to be demystified in dentistry, and enable the dentist to be integrated with actions aimed at gestational health. Therefore, the objective is to report on dental prenatal care, and to address the contribution of the Family Strategy Health (ESF) in this context, multidisciplinary work, and the importance of education and training to demystify the care for pregnant women. For this, a bibliographic survey was carried out in the electronic databases Scielo, BVS portal and Google Scholar. It is seen that there is still low adherence of pregnant women to dental care, although there is a notorious representation of the ESF in the universalization of this care. A multidisciplinary team in the care of pregnant women seems to collaborate to motivate care, and to fundamentalize interdisciplinary strategic actions. It is also important to emphasize that knowledge about the guiding aspects of pregnancy has a fundamental role to demystify dental care and prepare professionals. It is inferred that prenatal in the dentistry has been gaining expressiveness, where the actions of the ESF, the performance of the multidisciplinary team and the expansion of knowledge on the subject can lead positively to the adhesion of this group.


La atención prenatal dental ha sido objeto de acciones estratégicas en la atención primaria. Es necesario que la mujer en el período de gestación necesite cuidados bucales, por lo que el prenatal necesita refuerzos para el establecimiento efectivo de la atención básica de forma que sea desmitificado en la odontología, y que la cirugía-dentista pueda integrarse con las acciones volcadas a la salud gestacional. Por ello, el objetivo es informar sobre la atención prenatal odontológica y abordar la contribución de la Estrategia de Salud Familiar (ESF) en este contexto, la actuación multidisciplinar y la importancia de la educación y la formación para desmitificar la atención a las embarazadas. Para ello, se realizó un estudio bibliográfico en las bases de datos electrónicas Scielo, portal BVS y Google Acadêmico. Aún así, se observa una baja adhesión de las gestantes a la atención odontológica, aunque hay una notable representación del FSE en la universalización de este cuidado. El equipo multidisciplinar en la atención a la mujer embarazada parece colaborar a la motivación de los cuidados, y basar las acciones estratégicas interdisciplinares. También es importante destacar que el conocimiento de los aspectos orientativos del embarazo desempeña un papel fundamental en la desmitificación de la atención odontológica y la preparación de los profesionales. Se infiere que el prenatal odontológico viene ganando expresividad, donde las acciones de la ESF, la actuación del equipo multidisciplinario y la ampliación del conocimiento sobre el tema pueden influir positivamente en la adherencia de este grupo.

2.
Arq. ciências saúde UNIPAR ; 26(3): 927-948, set-dez. 2022.
Article in Portuguese | LILACS | ID: biblio-1399509

ABSTRACT

Cuidados paliativos são um conjunto de procedimentos ofertados ao paciente por uma equipe multidisciplinar com objetivo de garantir bem-estar, autonomia,conforto e alívio de sintomas decorrentes de doença ou tratamento quando a cura é impossibilitada. O câncer representa uma das doenças que possuem chances de evoluir o paciente ao estágio terminal, momento em que cuidados paliativos são indicados e necessários. Dentro da equipe responsável, o cirurgião-dentista atua na prevenção, diagnóstico e tratamento de lesões expressas no sistema estomatognático que se manifestam estimuladas pelo câncer ou pelos tratamentos utilizados. O objetivo desta pesquisa é destacar a função do odontólogo dentro da equipe multidisciplinar paliativista para pacientes oncológicos. Trata-se de uma revisão bibliográfica sistemáticada literatura. Foram feitas buscas nas plataformas Biblioteca Virtual em Saúde (BVS) e Scientific Electronic Library Online (SciELO) e após aplicação dos critérios de inclusão e exclusão foram selecionados 14 artigos. A literatura evidencia que alterações orais estão relacionadas com o curso da neoplasia ou seu tratamento; as lesões mais descritas foram: mucosite, xerostomia, candidíase, cárie, periodontite e osteorradionecrose. Isso faz com que o paciente sofra limitações em realizar atividades básicas, alterando negativamente a sua qualidade de vida. A complexidade da manifestação oral pode interromper o tratamento antineoplásico. As medidas de enfrentamento mais empregadas para a saúde bucal do paciente oncológico são a laserterapia, bochechos com clorexidina 0,12%, instrução de higiene oral, uso de anti-inflamatórios, analgésicos e antifúngicos. A atuação do odontólogo na equipe multidisciplinar oncológica paliativista é indispensável para o controle das manifestações orais.


Palliative care comprises a set of procedures offered by a multidisciplinary team to patients who cannot be cured, aiming to restore and ensure well-being, autonomy, independence, comfort and relief from symptoms resulting from illness or treatments. Cancer commonly leads the patient to the terminal stage, and at this stage palliative care is indicated and necessary. Composing the multidisciplinary team, the dentist works in the prevention, diagnosis and treatment of injuries that arise in the stomatognathic system, which manifest themselves due to cancer or its treatments. The objective of this research was to highlight the work of the dentist in the multidisciplinary team of palliative care for cancer patients. This is a systematic bibliographic review of the literature, with an integrative character. Study searches were performed in the Virtual Health Library (VHL) and Scientific Electronic Library Online (SciELO). After applying the inclusion and exclusion criteria, 14 articles were selected. Results showed that oral alterations are completely related to the development of the neoplasm or its treatment; the most described lesions were: mucositis, xerostomia, candidiasis, osteoradionecrosis, radiation caries and periodontitis. These injuries make the patient suffer limitations to perform basic activities, such as eating or communicating, negatively altering their quality of life. The complexity of the oral manifestation can determine the interruption of the anticancer treatment. The most used coping measures for the oral healthof cancer patients are: low- potency laser therapy, mouthwash with 0.12% chlorhexidine, instructionin oral hygiene and use of anti-inflammatory, analgesic and antifungal drugs. The role of dentists in the multidisciplinary palliative oncology team is essential for the control of oral lesions.


Los cuidados paliativos son un conjunto de procedimientos ofrecidos al paciente por un equipo multidisciplinar con el objetivo de garantizar el bienestar, la autonomía, el confort y el alivio de los síntomas derivados de la enfermedad o del tratamiento cuando la curación es imposible. El cáncer representa una de las enfermedades que tienen posibilidades de evolucionar al paciente hasta la fase terminal, momento en el que los cuidados paliativos son indicados y necesarios. Dentro del equipo responsable, el cirujano dentista actúa en la prevención, diagnóstico y tratamiento de las lesiones expresadas en el sistema estomatognático que se manifiestan estimuladas por el cáncer o por los tratamientos utilizados. El objetivo de esta investigación es destacar la función del odontólogo dentro del equipo paliativo multidisciplinar para pacientes oncológicos. Se trata de una revisión bibliográfica sistemática. Se realizaron búsquedas en las plataformas Virtual Health Library (BVS) y Scientific Electronic Library Online (SciELO) y tras aplicar los criterios de inclusión y exclusión, se seleccionaron 14 artículos. La literatura muestra que las alteraciones orales están relacionadas con el curso del cáncer o su tratamiento; las lesiones más comúnmente descritas fueron: mucositis, xerostomía, candidiasis, caries, periodontitis y osteorradionecrosis. Esto hace que el paciente sufra limitaciones para realizar actividades básicas, alterando negativamente su calidad de vida. La complejidad de la manifestación oral puede interrumpir el tratamiento antineoplásico. Las medidas de afrontamiento más utilizadas para la salud bucodental de los pacientes con cáncer son la terapia láser, los enjuagues bucales con clorhexidina al 0,12%, las instrucciones de higiene bucodental y el uso de fármacos antiinflamatorios, analgésicos y antifúngicos. La actuación del odontólogo en el equipo multidisciplinar de oncología paliativa es fundamental para el control de las manifestaciones orales.


Subject(s)
Palliative Care , Dentists , Medical Oncology/instrumentation , Patient Care Team/organization & administration , Radiotherapy/instrumentation , Stomatitis/complications , Stomatitis/diagnosis , Stomatognathic System , Mouth Neoplasms/diagnosis , Mouth Neoplasms/drug therapy , Mouth Neoplasms/radiotherapy , Oral Medicine/instrumentation , Drug Therapy/instrumentation
3.
Arq. ciências saúde UNIPAR ; 26(3): 892-900, set-dez. 2022.
Article in Portuguese | LILACS | ID: biblio-1399500

ABSTRACT

As Práticas Integrativas e Complementares (PICs) apresentam-se como métodos coadjuvantes, auxiliando na obtenção de sucesso em determinados tratamentos clínicos e/ou cirúrgicos, atuando na prevenção, auxiliando na cura e no equilíbrio psicossomático com a finalidade de reestabelecer concordância entre mente e corpo. O Conselho Federal de Odontologia (CFO) regulamentou práticas como acupuntura, hipnose, terapia floral e fitoterapia, entretanto, suas aplicabilidades dependem da emissão de uma habilitação e seu devido registro no Conselho (Resolução CFO 82/2008). Para a Odontologia, as PICs proporcionam novas ferramentas para exercer um atendimento integral do ser humano. Neste trabalho, propõe-se fazer uma revisão de literatura sobre as PICs e Odontologia. Esta revisão de literatura foi realizada por meio de busca de artigos na base de dados Scielo, PubMed e Scholar Google no período de 2000 a 2021. Foram encontrados artigos sobre as seguintes PICs atuando conjuntamente com a Odontologia: terapias florais, acupuntura, hipnodontia, ozonioterapia, laserterapia, fitoterapia, homeopatia e odontologia antroposófica. Essas práticas apresentam grande valia, pois promovem o bem-estar sem causar dano ao indivíduo, apresentando poucos ou nenhum efeito colateral possibilitando maior segurança aos pacientes, além de favorecer a relação entre paciente e cirurgião-dentista, otimizando o tempo de trabalho no consultório odontológico e reduzindo custos.


Integrative and Complementary Practices (PICs) are presented as supporting methods, helping to achieve success in certain clinical and/or surgical treatments, acting in prevention, assisting in healing and psychosomatic balance in order to reestablish agreement between mind and body. . The Federal Council of Dentistry (CFO) has regulated practices such as acupuncture, hypnosis, floral therapy and herbal medicine, however, their applicability depends on the issuance of a license and its proper registration with the Council (Resolution CFO 82/2008). For Dentistry, PICs provide new tools to provide comprehensive care to human beings. In this work, we propose to review the literature on PICs and Dentistry. This literature review was carried out by searching articles in the Scielo, PubMed and Scholar Google databases from 2000 to 2021. Articles were found on the following PICs working together with Dentistry: floral therapies, acupuncture, hypnodontics, ozone therapy , laser therapy, phytotherapy, homeopathy and anthroposophic dentistry. These practices are of great value, as they promote well-being without causing harm to the individual, presenting few or no side effects, allowing greater safety for patients, in addition to favoring the relationship between patient and dentist, optimizing working time in the dental office and reducing costs.


Las Prácticas Integrativas y Complementarias (PIC) se presentan como métodos coadyuvantes, ayudando a obtener el éxito en determinados tratamientos clínicos y/o quirúrgicos, actuando en la prevención, ayudando en la cura y en el equilibrio psicosomático con el fin de restablecer la concordancia entre mente y cuerpo. El Consejo Federal de Odontología (CFO) ha regulado prácticas como la acupuntura, la hipnosis, la terapia floral y la fitoterapia, sin embargo, su aplicabilidad depende de la emisión de un título y su correcto registro en el Consejo (Resolución CFO 82/2008). Para la odontología, los PIC aportan nuevas herramientas para la atención integral del ser humano. En este trabajo, nos proponemos hacer una revisión bibliográfica sobre los PIC y la Odontología. Esta revisión bibliográfica se realizó mediante la búsqueda de artículos en las bases de datos Scielo, PubMed y Scholar Google desde el año 2000 hasta el 2021. Se encontraron artículos sobre los siguientes CFP que actúan conjuntamente con la Odontología: terapias florales, acupuntura, hipnodoncia, ozonoterapia, terapia láser, fitoterapia, homeopatía y odontología antroposófica. Estas prácticas tienen un gran valor porque promueven el bienestar sin causar daño al individuo, presentando pocos o ningún efecto secundario, proporcionando mayor seguridad a los pacientes, y favoreciendo la relación entre el paciente y el dentista, optimizando el tiempo de trabajo en el consultorio y reduciendo los costos.


Subject(s)
Oral Health , Dentistry/methods , Dentists/education , Anthroposophy/history , Anxiety/therapy , Complementary Therapies/methods , Acupuncture Therapy/instrumentation , Cure in Homeopathy , Laser Therapy/instrumentation , Ozone Therapy , Floral Therapy , Hypnosis/instrumentation , Phytotherapy/instrumentation
4.
Rev. flum. odontol ; 3(59): 85-106, set.-dez. 2022. ilus
Article in Portuguese | LILACS, BBO | ID: biblio-1382228

ABSTRACT

Introdução: O Cymbopogon citratus (capim-limão) é uma espécie herbácea pertencente à família Poaceae, que engloba aproximadamente 500 gêneros e 8.000 espécies. Objetivos: Analisar as evidências científicas disponíveis sobre as aplicações terapêuticas de Cymbopogon citratus (capim-limão) na Odontologia durante os últimos dez anos. Métodos: Trata-se de uma revisão integrativa da literatura, que envolveu as seguintes etapas: elaboração da pergunta norteadora, estabelecimento das palavras-chave e dos critérios de inclusão e exclusão de artigos, seleção e análise crítica dos artigos, resultados, discussão e conclusão. Resultados: 8% dos artigos encontrados e analisados nessa revisão de literatura integrativa demonstraram que o Cymbopogon citratus (capim-limão) apresenta potencial terapêutico no que se refere a suas propriedades antimicrobianas, sendo considerado benéfico e promissor na inibição de patógenos colonizadores bacterianos e fúngicos dentários, além de demonstrar baixa citotoxicidade. Conclusão: Apesar da existência de diversas pesquisas in vitro que demonstram eficácia e segurança do uso de diversos compostos de origem natural, nota-se que há poucos protocolos específicos que orientem o profissional cirurgião-dentista para o uso de terapias à base de plantas medicinais e/ou fitoterápicos, como no caso do Cymbopogon citratus (capim-limão). Portanto, são necessários mais estudos para explicar e fundamentar melhor os efeitos do capim-limão na odontologia.


Introduction: Cymbopogon citratus (lemon grass) is an herbaceous species belonging to the Poaceae family, which includes approximately 500 genera and 8,000 species. Objectives: To analyze the available scientific evidence about therapeutic applications of Cymbopogon citratus (lemon grass) in Dentistry over the past ten years. Methods: This is an integrative literature review, which involved the following steps: elaboration of the guiding question, establishment of keywords and criteria for inclusion and exclusion of articles, selection and critical analysis of articles, results, discussion, and conclusion. Results: 8% of the articles found and analyzed in this integrative literature review demonstrated that Cymbopogon citratus (lemon grass) has therapeutic potential because its antimicrobial properties, being considered beneficial and promising in the inhibition of bacterial and fungal dental colonizing pathogens, in addition presents low cytotoxicity. Conclusion: Despite the existence of several in vitro studies that demonstrate the efficacy and safety of natural compounds utilization, there are few specific protocols guiding the dental professional about using based therapies of medicinal and/or phytotherapeutic plants, as in the case of Cymbopogon citratus (lemon grass). Therefore, more studies are necessary to explain and provide a better validation of lemon grass effects in the dentistry practice.


Subject(s)
Plants, Medicinal , Oral Health , Cymbopogon , Dentistry , Therapeutic Uses
5.
Rev. flum. odontol ; 3(59): 75-84, set.-dez. 2022.
Article in Portuguese | LILACS, BBO | ID: biblio-1380721

ABSTRACT

As doenças periodontais provém de processo inflamatório instalado com concomitante destruição dos tecidos de proteção e de sustentação dos dentes. Comumente evidencia-se o acometimento em caráter reversível pela gengivite e em caráter irreversível pela periodontite. Algumas ocorrências relacionadas a doenças bucais provenientes das atividades laborais desempenhadas podem ocasionar manifestações bucais com o acometimento pelas doenças periodontais. O objetivo deste artigo foi evidenciar como as atividades desempenhadas no ato da execução do trabalho podem manifestar-se em âmbito odontológico, promovendo o acometimento pelas doenças periodontais. Realizou-se estudo de revisão narrativa de literatura com busca nas bases de dados: PubMED, LILACS, Google Acadêmico e levantamento de estudos e artigos que tratavam do aparecimento de doenças periodontais em trabalhadores advindas do seu ambiente laboral. No geral, muitos problemas bucais podem advir de atividades insalubres desempenhadas no ambiente de trabalho, estas que podem afligir tanto os tecidos duros como os tecidos moles dos elementos dentais, dentre os quais pode-se constatar a instalação de cárie dentária, neoplasias orais e pigmentação do tecido gengival, entre outras intercorrências. Na hipótese de ocorrer acometimento dos tecidos moles, uma das manifestações possíveis engloba a instalação e a progressão das doenças periodontais. Concluiu-se que uma abordagem odontológica precoce e preventiva atuante no ambiente laboral é imprescindível para que seja possível evitar-se agravantes que possam causar prejuízo ao estado de saúde bucal dos trabalhadores, incluindo o estado de saúde periodontal.


Periodontal diseases come from an inflammatory process installed with concomitant destruction of the protective and supporting tissues of the teeth. Commonly, reversible involvement by gingivitis and irreversible character by periodontitis is evident. Some occurrences related to oral diseases from work activities performed can cause oral manifestations with the involvement of periodontal diseases. The objective of this article was to show how the activities performed in the execution of the work can be manifested in the dental field, promoting the involvement of periodontal diseases. A narrative review of the literature was carried out with a search in the following databases: PubMED, LILACS, Google Scholar and a survey of studies and articles dealing with the appearance of periodontal diseases in workers arising from their work environment. In general, many oral problems can result from unhealthy activities performed in the work environment, which can affect both hard and soft tissues of the dental elements, among which dental caries, oral neoplasms and pigmentation can be seen. gingival tissue, among other complications. In the event of soft tissue involvement, one of the possible manifestations includes the onset and progression of periodontal diseases. It was concluded that an early and preventive dental approach active in the work environment is essential so that it is possible to avoid aggravating factors that may harm the oral health status of workers, including the periodontal health status.


Subject(s)
Periodontal Diseases , Workplace , Occupational Diseases , Occupational Dentistry
6.
Rev. flum. odontol ; 3(59): 8-13, set.-dez. 2022. ilus
Article in Portuguese | LILACS, BBO | ID: biblio-1380506

ABSTRACT

Obter corretamente a Fibrina Rica em Plaquetas (PRF) depende da execução de cada etapa de maneira protocolada. Nesse sentido, no Laboratório Associado de Pesquisa Clínica (LPCO), da Faculdade de Odontologia da Universidade Federal Fluminense (FO-UFF) é utilizado o sistema IntraSpin® de centrifugação do sangue coletado, que caracteriza o segundo passo para preparo deste material autólogo. O objetivo do presente trabalho é realizar uma descrição prática do correto manuseio da Centrífuga IntraSpin para garantir a obtenção do PRF e sua efetiva aplicabilidade clínica.


Obtaining Platelet Rich Fibrin (PRF) correctly depends on the execution of each step in a protocol manner. In this sense, at the Associated Clinical Research Laboratory (LPCO), of the Faculty of Dentistry in the Federal Fluminense University (FO-UFF) the IntraSpin® centrifugation system is used in the collected blood, that characterizes the second step to prepare this autologous material. The objective of this present work is to make a practical description of the correct handling of the IntraSpin Centrifuge to guarantee the PRF's biocompatibility and its effective clinical applicability.


Subject(s)
Centrifuges , Dentistry , Platelet-Rich Fibrin
7.
Rev. flum. odontol ; 3(59): 1-7, set.-dez. 2022. ilus
Article in Portuguese | LILACS, BBO | ID: biblio-1380373

ABSTRACT

A Fibrina Rica em Plaquetas (PRF) é caracterizada por sua abrangente aplicabilidade na Odontologia. Neste sentido, a venopunção é uma etapa fundamental para sua obtenção. Tal procedimento consiste na identificação das veias superficiais, localizadas na região da fossa antecubital dos membros superiores, para que através da utilização do sistema a vácuo de coleta seja obtido o sangue venoso do paciente. O objetivo deste trabalho é realizar um guia prático abordando cada etapa que compreende a coleta sanguínea para produção do PRF permitindo sua reprodutibilidade de forma segura e eficiente.


Platelet Rich Fibrin (PRF) is characterized by its wide applicability in Dentistry. In this sense, venipuncture is a fundamental step towards obtaining it. Such procedure consists of the identification of superficial veins, located in the region of the antecubital fossa of the upper limbs, so that through the use of the vacuum collection system, the patient's venous blood is obtained. The objective of this work is to carry out a practical guide covering each step that comprises the blood collection for the production of the PRF allowing its reproducibility in a safe and efficient way.


Subject(s)
Veins , Blood Specimen Collection , Dentistry , Platelet-Rich Fibrin
8.
Rev. Cient. CRO-RJ (Online) ; 7(1): 1-2, Jan-Apr 2022.
Article in Portuguese | LILACS, BBO | ID: biblio-1382115

ABSTRACT

In recent important days, social media have been communication tools for the new Guidelines for the Dental Clinic that are being used and disseminated by the Ministry of Health (MS) through the Secretariat of Primary Health Care (APS). This year, more precisely in May, the Guideline for clinical dental practice in Primary Health Care: treatment in pregnant women was published. The document was previously made available, still in 2021, in public consultation, and various sectors of society and the community were aware of their considerations and suggestions. This is a relevant strategy for validating the material, as it provides opportunities for the professional health teams to look at the use of the future Guideline. For those who are unaware, the General Coordination of Oral Health of the Ministry of Health, in partnership with the GODeC (Global Observatory for Dental Care) initiative of the Federal University of Pelotas, will make available in the year 2022, 22 clinical guidelines for the qualification of the caregiver. in health oral supply in Primary Health Care by the Unified Health System (SUS)


Subject(s)
Primary Health Care , Practice Guideline
9.
Odovtos (En línea) ; 24(2)ago. 2022.
Article in English | LILACS-Express | LILACS, SaludCR | ID: biblio-1386603

ABSTRACT

Abstract The aim of this in vitro study is to investigate the effects of acidic beverages on the discoloration of bulk-fill composites with different viscosities. 144 disc-shaped specimens (8mm diameter × 2mm thick) were prepared from four different composite resins including a nanohybrid (Filtek Ultimate), two packable bulk- fill (Filtek Bulk Fill, Tetric N Ceram Bulk Fill), and a flowable bulk-fill composite (Tetric N Flow Bulk Fill). The specimens of each group were divided into 3 subgroups and submerged in distilled water, orange juice and coke (n=12). Color difference (ΔE) were measured using CIELab color space and a compact spectrophotometer (VITA Easyshade) at baseline and after 30 days of immersion. Data were analyzed using two- way ANOVA and Tukeys HSD post-hoc tests (P2.7) was observed for all bulk-fill composites tested. It can be speculated that orange juice has a more negative effect on the color stability compared to coke. Additionally, flowable bulk-fill composite was more prone to discoloration than condensable bulk-fill composites.


Resumen El objetivo de este estudio fue investigar los efectos de las bebidas ácidas en la decoloración de resinas compuestas tipo Bulk con diferentes viscosidades. Se prepararon 144 muestras en forma de disco (8mm de diámetro x 2mm de grosor) a partir de cuatro resinas compuestas diferentes que incluyen un nanohíbrido (Filtek Ultimate), dos de pasta condensables tipo Bulk (Filtek Bulk Fill, Tetric N Ceram Bulk Fill) y una fluida (Tetric N Flow Bulk Fill). Las muestras de cada grupo se dividieron en 3 subgrupos y se sumergieron en agua destilada, jugo de naranja y Coca-Cola (n=12). La diferencia de color (ΔE) se midió utilizando el CIELab y un espectrofotómetro compacto (VITA Easyshade) al inicio y después de 30 días de inmersión. Los datos se analizaron mediante ANOVA bidireccional y pruebas post-hoc HSD de Tukey (P2,7) para todos los materiales resinosos. Se puede especular que el jugo de naranja tiene un efecto más negativo sobre la estabilidad del color en comparación con la Coca-Cola. Además, la resina fluida fue más propensa a la decoloración que las resinas condensables.


Subject(s)
Tooth Discoloration , Composite Resins , Food Coloring Agents
10.
Braz. j. otorhinolaryngol. (Impr.) ; 88(4): 633-641, July-Aug. 2022. tab, graf
Article in English | LILACS-Express | LILACS | ID: biblio-1394149

ABSTRACT

Abstract Introduction: Cocaine is one of the most often used psychoactive drugs worldwide, being extracted from the leaves of Erytroxylus coca plant. Its abusive use can trigger several consequences for the human body, including the oral cavity. Objective: To identify the oral disorders that are most commonly found in individuals who abuse cocaine, in addition to the main diagnostic and treatment methods. Methods: An integrative review was carried out on the databases: LILACS, BBO, LIS, MEDLINE, SciELO, Science Direct and PubMed. The following keywords were used: ‟Cocaína", ‟Boca", ‟Palato" and ‟Odontologia", together with their synonyms and variations in English, obtained from DeCS andMeSH. The inclusion criteria were original articles, articles in Portuguese, English and Spanish, studies involving individuals, without restriction related to the year of publication. Animal studies, literature reviews, book chapters, theses and dissertations were excluded. Results: In total, 1373 records were identified. Of these, 22 articles were selected to comprise the review. Several oral alterations caused by cocaine abuse were found, primarily perforation of the palate, predisposition to periodontal diseases, temporomandibular disorders, bruxism, damage to oral tissues, dental caries, destructive lesions of the facial midline, xerostomia and ageusia. Among the diagnostic methods used by the professionals, anamnesis, intraoral examinations and head and neck computed tomography were the most frequently mentioned. As for treatment, in patients with palatal perforation, the reconstruction of the affected area or the use of prosthetic obturators is carried out. Conclusion: The management of these patients is not an easy task, as many of the users do not even seek professional help. The health professionals must be able to recognize these manifestations and alterations to establish timely and accurate diagnosis and treatment planning. © 2021 Associação Brasileira de Otorrinolaringologia e Cirurgia Cérvico-Facial. Published by Elsevier Editora Ltda. This is an open access article under the CC BY license (https://creativecommons.org/licenses/by/4.0/). HIGHLIGHTS Integrative review aiming to detect oral changes in cocaine abusers. The main oral changes, methods of diagnosis and treatment were identified. Good anamnesis and qualified health professionals are necessary.


Resumo Introdução: A cocaína é uma das drogas psicoativas mais usadas no mundo, é extraída das folhas da Erytroxylus coca. Seu uso abusivo pode desencadear inúmeras consequências para o corpo humano, inclusive na cavidade oral. Objetivo: Identificar quais as alterações orais mais comumente encontradas nos indivíduos que fazem uso abusivo de cocaína, além das principais formas de diagnóstico e tratamento. Método: Fez-se uma revisão integrativa nas bases de dados Lilacs, BBO, LIS, Medline, Sci-ELO, Science Direct e PubMed. Foram usados os descritores ‟cocaína", ‟boca", ‟palato" e ‟odontologia" junto de seus sinônimos e variações em inglês, retirados do DeCS e MeSH. Os critérios de inclusão foram artigos originais, artigos nas línguas portuguesa, inglesa e espanhola, estudos que envolveram pessoas e sem restrição quanto ao ano de publicação. Foram excluídos estudos feitos em animais, revisões da literatura, capítulos de livros, teses e dissertações. Resultados: Foram identificados 1.373 registros. Desses, 22 artigos foram selecionados para compor a revisão. Diversas alterações orais causadas por uso abusivo de cocaína foram encontradas. As principais foram perfuração do palato, predisposição para doenças periodontais, desordens temporomandibulares, bruxismo, danos aos tecidos orais, cárie dentária, lesões destrutivas da linha média facial, xerostomia e ageusia. Entre as formas de diagnóstico usadas pelos profissionais, a anamnese, exames físicos intraorais e a tomografia computadorizada da região da cabeça e pescoço foram as mais mencionadas. Como tratamento, nos pacientes com perfuração palatina, é feita a reconstrução da área afetada ou o uso de obturadores protéticos. Conclusão: O manejo desses pacientes não é tarefa fácil, pois muitos usuários sequer procuram ajuda profissional. Os profissionais da saúde devem ser capazes de reconhecer tais alterações e manifestações para que sejam feitos diagnósticos e planejamentos de tratamentos oportunos e precisos. DESTAQUES Revisão integrativa que visa detectar alterações orais em usuários de cocaína. Identificaram-se as principais manifestações orais, formas de diagnóstico e tratamento. Necessidade da feitura de boa anamnese e profissionais da saúde capacitados.

11.
Rev. ADM ; 79(4): 193-197, jul.-ago. 2022. ilus, tab
Article in Spanish | LILACS | ID: biblio-1393292

ABSTRACT

Introducción: la prevención y control de infecciones (PCI) pretenden prevenir, detener y propagar enfermedades infecciosas en pacientes y trabajadores de la salud. Este enfoque debe comenzar con la formación y capacitación del profesional de la salud, inmunizaciones recomendadas y ejecución de medidas universales de protección. Objetivos: evaluar conocimientos, actitudes y prácticas en la prevención y control de infec- ciones de los estudiantes y pasantes de servicio social de la licenciatura en Estomatología de la UAM-X. Material y métodos: se realizó un estudio descriptivo, transversal y observacional mediante una encuesta anónima como instrumento para recolección de datos a una muestra de 108 alumnos y pasantes. Resultados: se encontró que al contestar el interrogatorio sobre «prevención y control de infecciones¼, 59.3% tuvo un nivel de conocimientos aceptable y 40.7% tuvo un nivel muy bueno. De los encuestados, 87% desinfecta y cambia las barreras de protección entre cada paciente, 9.3% al comenzar y finalizar el día; el restante 3.7%, cuando está visiblemente sucio o cuando hay derrame de sustancias de líquidos corporales. Conclusión: los encuestados tienen adecuados conocimientos y prácticas, lo que infiere que tienen el sustento teórico y habilidades para enfrentarse a la etapa postpandemia para la atención de pacientes (AU)


ntroduction: infection prevention and control (IPC) efforts to prevent, stopping and spreading infectious diseases in patients and healthcare workers. This approach should begin with education and training of the health professional, recommended immunizations and implementation of universal protective measures. Objectives: to evaluate knowledge, attitudes and practices in infection prevention and control stomatology career's students and social service interns UAM-X. Material and methods: a descriptive, cross-sectional and observational study was carried out using an anonymous survey as an instrument for data collection from a sample of 108 students and interns. Results: it was found that when answering the questionnaire on «infection prevention and control¼, 59.3% had an acceptable level of knowledge and 40.7% had a very good level. 87% of the respondents disinfect and change the protective barriers between each patient, 9.3% at the beginning and end of the day; the remaining 3.7% when visibly dirty or when there is spillage of body fluids. Conclusion: respondents have adequate knowledge and practices, inferring that they have the theoretical support and skills to face the post-pandemic stage of patient care (AU)


Subject(s)
Communicable Disease Control , Health Knowledge, Attitudes, Practice , Infection Control, Dental/methods , Protective Clothing , Schools, Dental , Students, Dental/psychology , Epidemiology, Descriptive , Cross-Sectional Studies , Surveys and Questionnaires , Data Interpretation, Statistical , Internship and Residency , Mexico
12.
Rev. ADM ; 79(4): 209-212, jul.-ago. 2022.
Article in Spanish | LILACS | ID: biblio-1395552

ABSTRACT

Deontology and bioethics regulate the professional actions of doctors and dentists from a human and moral point of view. The dentist collects private information from each of his patients during the interrogation or clinical examination, and it is the dentist's obligation to keep silent about everything he sees or hears during the dental practice about the private life of his patients. The disclosure of secrets without the full authorization of the patient could undoubtedly affect their person, honor and reputation. In addition, the dentist has another type of private information about patients, known as personal data, which must be handled with great care and discretion. Professional secrecy is an ethical obligation of every dentist and its omission may bring legal repercussions. The aim of this article is to analyze the concept of professional secrecy, its ethical, deontological and legal aspects in dental practice (AU)


La deontología y bioética norman el actuar profesional de los médicos y odontólogos desde el punto de vista humano y moral. El odontólogo recaba información privada de cada uno de sus pacientes durante el interrogatorio o la exploración clínica, y es obligación del odontólogo guardar silencio de todo aquello que ve o escucha durante la consulta sobre la vida privada de sus pacientes. La revelación de secretos sin la plena autorización del paciente, podría generar sin duda afectaciones a su persona, honorabilidad y reputación. Además, el odontólogo posee otro tipo de información privada sobre los pacientes, conocida como datos personales, mismos que debe manejar con mucha cautela y discre- ción. El secreto profesional es una obligación ética de todo odontólogo y su omisión puede traer consigo repercusiones legales. El objetivo de este artículo consiste en analizar el concepto de secreto profesional, sus aspectos deontológicos, bioéticos y legales en la práctica odontológica (AU)


Subject(s)
Humans , Male , Female , Bioethics , Confidentiality , Ethics, Dental , Legislation, Dental/standards , Medical Records/legislation & jurisprudence , Patient Rights/legislation & jurisprudence , Ethical Theory
13.
Rev. ADM ; 79(4): 213-217, jul.-ago. 2022.
Article in Spanish | LILACS | ID: biblio-1395859

ABSTRACT

La cardiopatía isquémica es un padecimiento que se caracteriza por la falta de oxígeno del músculo cardiaco y es la principal causa de infarto de miocardio. Existen múltiples factores que predisponen al desarrollo de ésta como la obesidad, la hiperlipidemia, el sedenta- rismo, tabaquismo, diabetes e hipertensión. Dadas las características que configuran la fisiopatología de la cardiopatía isquémica, existen diversas consideraciones que deben ser tomadas en cuenta toda vez que el estomatólogo brinde atención a un paciente con este padecimiento. El objetivo del presente artículo es conocer todo lo relacionado con la fisiopatología de la cardiopatía isquémica, sus manifestaciones clínicas, su tratamiento médico y lo más importante, las consideraciones que deben tomarse en el consultorio dental cuando se atienda a un paciente que padezca esta condición (AU)


Ischemic heart disease is a condition characterized by a lack of oxygen in the heart muscle and is the main cause of myocardial infarction. There are multiple factors that predispose to the development of this, such as obesity, hiyperlipidemia, sedentary lifestyle, smoking, diabetes and hypertension. Given the characteristics that make up the pathophysiology of ischemic heart disease, there are various considerations that must be taken into account whenever the stomatologist provides care to a patient with this condition. The objective of this article is to know everything related to the pathophysiology of ischemic heart disease, its clinical manifestation, its medical treatment and most importantly, the considerations that must be taken in the dental office when caring for a patient with this condition (AU)


Subject(s)
Humans , Myocardial Ischemia/etiology , Myocardial Ischemia/drug therapy , Dental Care for Chronically Ill/methods , Myocardial Infarction/complications , Cardiovascular Diseases/prevention & control , Risk Factors , Myocardial Ischemia/epidemiology , Adrenergic beta-Antagonists/therapeutic use , Sedentary Behavior , Fibrinolytic Agents/therapeutic use , Nitrates/therapeutic use
14.
Rev. ADM ; 79(4): 224-231, jul.-ago. 2022.
Article in Spanish | LILACS | ID: biblio-1396483

ABSTRACT

La OMS cataloga al cáncer como uno de los principales problemas en el ámbito mundial, los pacientes sometidos a terapia oncológica son más vulnerables a desarrollar complicaciones en los tejidos de la cavidad bucal entre las que tenemos: mucositis, infecciones, osteorradionecrosis. En el manejo endodóntico hay que tomar en consideración que los trata- mientos como yodoterapia, radioterapia y quimioterapia pueden generar efectos sobre el complejo dentinopulpar. El objetivo de este artículo es determinar el estatus del tejido pulpar postratamiento oncológico mediante la revisión sistemática en bases de datos de gran relevancia científica, como PubMed, Scielo, Medigraphic, Science direct. Se concluye que el sistema estomatognático es un receptor importante de estos efectos y secuelas en pacientes con terapia oncológica, el tejido pulpar no está libre de estas secuelas ya que genera daño celular, como la hipovascularidad, hipocelularidad e hipoxia la cual incrementa el riesgo de necrosis de la región (AU)


The WHO lists cancer as one of the main problems worldwide, patients undergoing oncological therapy are more vulnerable to developing complications in the tissues of the oral cavity among which we have: mucositis, infections, osteoradionecrosis. In endodontic management, it should be taken into consideration that treatments such as iodine therapy, radiotherapy, and chemotherapy can generate effects on the dentin-pulp complex. This article aims to determine the status of the pulp tissue after oncologic treatment. Through a systematic review in databases of great scientific relevance, such as PubMed, Scielo, Medigrafhic, Science direct. It is concluded that the stomatognathic system is an important receptor of these effects and sequelae in patients with oncological therapy, the pulp tissue is not free of these sequelae as it generates cellular damage because of the hypo vascularity, hypocellularity, and hypoxia which increases the risk of necrosis of the region (AU)


Subject(s)
Humans , Radiotherapy/adverse effects , Dental Pulp/physiopathology , Dental Pulp Diseases/etiology , Drug-Related Side Effects and Adverse Reactions , Neoplasms/complications , Osteonecrosis , Mucositis , Hypoxia
15.
Odovtos (En línea) ; 24(2)ago. 2022.
Article in Spanish | LILACS-Express | LILACS, SaludCR | ID: biblio-1386592

ABSTRACT

Resumen El objetivo del presente estudio fue relacionar el grado de satisfacción que tuvieron los graduados con el enfoque de supervisión durante el desarrollo de la tesis de licenciatura. Se diseñó un estudio transversal que incluyó 102 estudiantes graduados de la Facultad de Odontología de la Universidad Nacional Mayor de San Marcos. Lima. Perú. Se utilizó la técnica de la encuesta que recopiló información sobre la satisfacción de la supervisión (valorado en una puntuación de 1 a 6, donde puntajes mayores evidenciaron mayor satisfacción) de la tesis y el enfoque del supervisor. Se encontró que el 59% de los supervisores tuvieron un enfoque colaborativo, un 29,6% un enfoque no directivo. Los supervisores colaborativos obtuvieron una mayor puntuación de satisfacción (5,2±0,7) mientras que el enfoque directivo obtuvo la menor puntuación (3,3±0,5) (p<0,05). Las mujeres presentaron una mayor puntuación de satisfacción (5,4±0,2 vs 4,8±0,4) (p<0,05). Se concluye que existe una relación entre el estilo de supervisión colaborativo y una mayor satisfacción del estudiante con el proceso de la tesis. Los estudiantes indican que un estilo directivo presenta menor satisfacción con la supervisión de la tesis.


Abstract The objective of this study was to relate the degree of satisfaction that graduates had with the supervisory approach during the development of the undergraduate thesis. A cross-sectional study, including 102 graduate students from the Faculty of Dentistry of the Universidad Nacional Mayor de San Marcos. Lima. Peru. The survey technique was used to collect information on the satisfaction of the thesis supervision (valued on a score from 1 to 6, where higher scores showed greater satisfaction) and the supervisors approach. Results showed that 59% of supervisors had a collaborative approach, 29.6% a non-directive approach. Collaborative supervisors obtained a higher satisfaction score (5.2±0.7) while the directive approach obtained the lowest score (3.3±0.5) (p<0.05). Women presented a higher satisfaction score (5.4±0.2 vs 4.8±0.4) (p<0.05). There is a relationship between the collaborative supervision style and greater student satisfaction during the thesis process. Students indicated being less satisfied with the managerial supervision style of the thesis.


Subject(s)
Personal Satisfaction , Academic Dissertation , Faculty, Dental , Peru
16.
Odovtos (En línea) ; 24(2)ago. 2022.
Article in English | LILACS-Express | LILACS, SaludCR | ID: biblio-1386584

ABSTRACT

Abstract The aim was to determine the prevalence and types of the allergies present among dental professionals in Costa Rica. We performed a cross-sectional study on 664 dentists who completed a self-reported questionnaire. A descriptive cross-sectional study with inferential analysis was carried out. Dentists reported allergies prior to studying dentistry in 39% of cases, 36% reported chronic illnesses, and 61% of the dentists reported first-degree relatives with some type of allergic reaction. Different allergies had a similar prevalence among the dental professionals (ranging between 19%-26%), all allergic manifestations occurred within the first 120 minutes after exposure. The average time of exposure to dentistry-related environments was 16 years (95% CI) among all the dentists surveyed. There is a positive correlation between the presence of a chronic illness and the predisposition to develop allergic reactions among dentists. In addition, there is a directly proportional relationship between age, time of exposure to dental environments, and the risk of developing allergic conditions to dental materials. The main adverse reactions reported due to exposure to dental materials, medicines and/or food were gastrointestinal, skin, and respiratory problems.


Resumen El objetivo del estudio fue determinar la prevalencia y tipo de alergias presentes entre los odontólogos en Costa Rica. Se realizó un estudio transversal descriptivo en 664 dentistas que completaron un cuestionario, utilizando análisis inferencial para el procesamiento de los resultados. Los odontólogos reportaron alergias previo a estudiar odontología en un 39% de los casos, el 36% informó enfermedades crónicas y el 61% de los dentistas mencionó tener familiares en primer grado que habían presentado algún tipo de reacción alérgica. Diferentes tipos de alergias tuvieron una prevalencia similar entre los odontólogos (oscilando entre el 19% y el 26%), todas las manifestaciones alérgicas ocurrieron dentro de los primeros 120 minutos después de la exposición al alergeno. El tiempo medio de exposición a entornos relacionados con la odontología fue de 16 años (IC del 95%) entre todos los dentistas encuestados. Existe una correlación positiva entre la presencia de una enfermedad crónica y la predisposición a desarrollar reacciones alérgicas entre los dentistas. Además, existe una relación directamente proporcional entre edad, tiempo de exposición a entornos dentales, y el riesgo de desarrollar reacciones alérgicas a los materiales dentales. Las principales reacciones adversas notificadas posterior a la exposición a materiales dentales, medicamentos y/o alimentos fueron problemas gastrointestinales, cutáneos y respiratorios.


Subject(s)
Humans , Dental Materials , Dentistry , Hypersensitivity , Occupational Health , Costa Rica
17.
Rev. Círc. Argent. Odontol ; 80(231): 19-23, jul. 2022. ilus
Article in Spanish | LILACS | ID: biblio-1392286

ABSTRACT

En el campo de la odontología, prevalecen actualmente alternativas terapéuticas con una filosofía conservadora. Sin embargo, con el advenimiento de los tratamientos con células madre (CM), se amplían las posibilidades terapéuticas, que buscan la combinación y el equilibrio entre la intervención tradicional y las posibilidades de reposición de estructuras anatómicas dañadas, a través de la regeneración de tejidos utilizando células madre o sus derivados (AU)


In the dentistry field, therapeutic alternatives with a conservative philosophy currently prevail. However, with the advent of stem cell (SC) treatments, therapeutic possibilities are expanding, seeking a combination and balance between traditional intervention and the pos- sibility of replacing damaged anatomical structures through tissue regeneration, using stem cells or their derivatives (AU)


Subject(s)
Humans , Stem Cells , Tissue Engineering , Mesenchymal Stem Cells/physiology , Periodontal Ligament/physiology , Regeneration/physiology , Tooth/cytology , Tooth Germ/physiology , Biocompatible Materials/therapeutic use , Bone Regeneration/physiology , Dental Pulp/physiology , Tissue Scaffolds , COVID-19/therapy
18.
Rev. ADM ; 79(3): 152-155, mayo-jun. 2022. ilus, tab
Article in Spanish | LILACS | ID: biblio-1378580

ABSTRACT

La llegada del COVID-19 generó diversos cambios significativos en el área de la salud y particularmente en el área odontológica, donde se priorizaron los tratamientos de urgencia relegando los procedimientos menores y atención de citas a la vía virtual. Otras modificaciones se concentraron en el uso de equipos de protección personal y logística de atención tanto para el paciente como para el profesional, siguiendo las indicaciones de las normas diseñadas para esta función; adicionalmente se hicieron adecuaciones en las áreas de recepción y práctica odontológica, y se capacitó a los profesionales en temas relativos a la enfermedad. El objetivo del presente artículo es analizar las implicaciones generadas en la práctica odontológica durante la pandemia por COVID-19 en los ámbitos de triaje, infraestructura, normativa y capacitación (AU)


The arrival of COVID-19 produced a series of significant changes in the health area and particularly in the dental area where emergency treatments were prioritized, relegating minor procedures and appointment care to the virtual route, other modifications focused on the use of personal protective equipment and care logistics for both the patient and the professional following the indications of the standards designed for this function, additionally adjustments were made in the reception and dental practice areas, and professionals were trained on issues related to the disease. The objective of this article is to analyze the implications generated in dental practice during the COVID-19 pandemic in the areas of triage, infrastructure, regulations and training (AU)


Subject(s)
Humans , Triage , Infection Control, Dental/methods , Infrastructure , COVID-19 , Clinical Protocols , Dental Care/standards , Dental Offices , Videoconferencing , Health Human Resource Training , Interior Design and Furnishings
19.
Rev. ADM ; 79(3): 156-159, mayo-jun. 2022.
Article in Spanish | LILACS | ID: biblio-1378813

ABSTRACT

La seguridad social es un derecho encaminado a asegurar el bienestar de los ciudadanos que forman parte de una comunidad, y su objetivo principal es brindar a las personas aseguradas un conjunto de medidas públicas que ayuden a la protección de su salud por accidentes de trabajo o enfermedad laboral, desempleo, invalidez, vejez o muerte. De acuerdo con nuestra legislación, toda persona que preste servicios laborales a otro, tiene derecho a ser registrado ante el seguro social para que, en caso de accidente o enfermedad laboral, exista una ins- tancia que asista al trabajador afectado a recuperar su salud sin afectar su economía familiar. Es bastante frecuente que el odontólogo tenga trabajadores a su cargo, quien al fungir como patrón tiene obligaciones específicas ante el Instituto de Seguridad Social que de no cumplir, puede traer consigo sanciones y amonestaciones al profesional. El objetivo del presente artículo es informar al odontólogo sus derechos y obligaciones ante el seguro social mediante una revisión de las normas y leyes que lo imponen (AU)


Social security is a right aimed at ensuring the well-being of citizens who are part of community, and its main objective is to provide insured persons with a set of public measures that help protect their health, due to accidents at work and occupational disease, unemployment, disability, old age or death. In accordance with our legislation, any person who provides labor services to another has the right to registered with the social security so that, in the event of an accident or occupational disease, there is an instance that assists the affecter worker to recover his health without affecting his familiar economy. It is quite common for the dentist to have workers under his charge, who, acting as an employer, have specific obligations with the Social Security Institute, which, if not fulfilled, can bring sanctions and reprimands to the professional. The aim of this article is to inform dentists about their rights and obligations with the Social Security Institute through a review of the laws that impose it (AU)


Subject(s)
Humans , Social Security , Insurance, Dental , Legislation, Dental , Social Responsibility , Occupational Risks , Patient Rights/legislation & jurisprudence , Dental Staff/legislation & jurisprudence
20.
Article in English | LILACS-Express | LILACS | ID: biblio-1385891

ABSTRACT

ABSTRACT: The aim of this study was to evaluate the dental and periodontal condition of alcohol-dependents from a Brazilian Recovery Center. Sixty male individuals (30 alcoholic and 30 non-alcoholic) and aged between 32 and 72 years old were clinically evaluated. Interviews, dental and periodontal clinical examinations were obtained from all participants. The Pearson Chi-Square Test and Exact Fisher test were used to compare categorical data. The t-Student's test was adopted for non-categorical data. Multiple logistic regressions were used to evaluate the association of variables in the groups. The alcoholics were younger, consumed more tobacco, had lower frequency of tooth brushing and dental flossing, higher number of missing and decayed teeth, more residual root, and more teeth with presence of visible plaque index (OR = 0.5, 95 % Cl = 4.4 to 5.5), when compared to the non-alcoholics. Alcoholics at the Recovery Center performed poor oral hygiene, had higher number of sites with periodontal disease, and worse oral hygiene than non-alcoholic individuals. As regards professional follow-up, there was similarity between the groups evaluated.


RESUMEN: El objetivo de este estudio fue evaluar las condiciones dentales y periodontales de los alcohólicos de un Centro de Recuperación de Brasil. Sesenta hombres (30 alcohólicos y 30 no alcohólicos) y con edades comprendidas entre 32 y 72 años fueron evaluados clínicamente. Se obtuvieron entrevistas, exámenes clínicos dentales y periodontales de todos los participantes. La prueba de Chi-cuadrado de Pearson y la prueba exacta de Fisher se utilizaron para comparar datos categóricos. La prueba de t-Student se adoptó para datos no categóricos. Se utilizaron regresiones logísticas múltiples para evaluar la asociación de variables en los grupos. Los alcohólicos eran más jóvenes, consumían más tabaco, tenían menor frecuencia de cepillado dental y uso de hilo dental, mayor número de dientes perdidos y cariados, más raíz residual y más dientes con presencia de índice de placa visible (OR = 0,5, 95 % Cl = 4,4 a 5,5), en comparación con los no alcohólicos. Los alcohólicos en el Centro de Recuperación realizan una mala higiene bucal, tenían un mayor número de sitios con enfermedad periodontal y una peor higiene bucal que los no alcohólicos. En cuanto al seguimiento profesional, hubo similitud entre los grupos evaluados.

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