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1.
Rev. Ciênc. Plur ; 10 (1) 2024;10(1): 34213, 2024 abr. 30. ilus
Article in Portuguese | LILACS, BBO | ID: biblio-1553617

ABSTRACT

Introdução: O processo de desmineralização proveniente da cárie leva à formação de manchas brancas que são a primeira manifestação visível da doença. Os infiltrantes resinosos surgem como uma alternativa para o tratamento dessas lesões não cavitadas, pois sãoresinas de baixa viscosidade e faz parte dos procedimentos que visam uma odontologia menos invasiva. Objetivo: Este estudo objetiva relatar a experiência clínica no uso de infiltrante resinoso, Icon, em lesões de mancha branca de etiologias cariosa e não cariosa em dois pacientes distintos, insatisfeitos com a estética do seu sorriso. Descrição do caso: Ao exame clínico foi observado nos pacientes com lesões brancas. No primeiro paciente, de 14 anos, verificou-se a presença da atividade de cárie e micro cavitações. Dessa forma, o plano de tratamento perpassou orientação de higiene oral supervisionada, aplicação de verniz fluoretado, Enamelast, semanal, adequação do meio com restaurações em resina, e só então o uso do infiltrante. A segunda paciente, de 11 anos, já possuía saúde bucal adequada e tinha queixa estética devido à lesão branca não cariosa, hipoplasia, cujo plano de tratamento foi à utilização do Icon apenas. Conclusões: Nos dois casos obteve-se melhoria estética considerável com este procedimento microinvasivo. Melhoria na saúde bucal, aliado à devolução da estética, pode ser observada com o uso de infiltrantes resinosos (AU).


Introduction: The process of demineralization resulting from caries leads to the formation of white spots that are the first visible manifestation of the disease. Resin infiltrants appear as an alternative for the treatment of these non-cavitated lesions, since they are low viscosity resins and are part of the procedures that aim at a less invasive dentistry.Objective:This study aims to report the clinical experience in the use of a resin infiltrant, Icon,in white spot lesions of carious and non-carious etiologies in two different patients who were dissatisfied with the esthetics of their smiles.Methodology: On clinical examination, white lesions were observed in both patients. In the first patient,14 years old,the presence of caries activity and micro cavitations was verified. Thus, the treatment plan included supervised oral hygiene guidance, weekly application of fluoride varnish,Enamelast, adaptation of the environment with resin restorations, and, onlythen, the use of the infiltrant, Icon. The second patient, 11 years old,already had adequate oral health and had an esthetic complaint due to a non-carious white lesion, hypoplasia, whose treatment plan consisted of the use of Icon only.Conclusions:In both cases considerable esthetic improvement was obtained with this microinvasive procedure. Improvement in oral health, combined with the return of esthetics, can be observed with the use of resin infiltrants (AU).


Introducción: El proceso de desmineralización resultante de la caries conduce a la formación de manchas blancas, que son la primera manifestación visible de la enfermedad. Losinfiltrantes de resina aparecen como una alternativa para el tratamiento de estas lesiones no cavitadas, pues se tratan de resinas de baja viscosidad y forman parte de los procedimientos que buscan una odontología menos invasiva. Objetivo:Este estudio tiene como objetivo relatar la experiencia clínica en el uso del infiltrante de resina,Iconen lesiones de mancha blanca de etiologías cariosas y no cariosas en dos pacientes diferentes, insatisfechos con la estética de sus sonrisas.Metodología: En el examen clínico se observaron lesiones blancas en ambos pacientes. En el primer paciente, 14 añosse verificó la presencia de actividad de caries y micro cavitaciones. De ese modo, el plan de tratamiento incluyó la orientación supervisada de la higiene bucal,la aplicación semanal de barniz de flúor (Enamelast), la adaptación del entorno con restauraciones de resina y, sólo después, el uso del infiltrante,Icon. La segunda paciente, 11 años,ya tenía una salud bucal adecuada y presentaba una queja estética debido a una lesión blanca no cariosa, hipoplasia, cuyo plan de tratamiento fue el uso exclusivo de Icon. Conclusiones: En ambos casos, se consiguió una mejora estética considerable con este procedimiento microinvasivo. La mejora de la salud bucal, unida a la recuperación de la estética, puede observarse con el uso de infiltrantes de resina (AU).


Subject(s)
Humans , Male , Female , Child , Adolescent , Dental Caries/prevention & control , Dental Enamel Hypoplasia , Conservative Treatment , Esthetics, Dental
2.
São Paulo; s.n; 20240222. 126 p.
Thesis in Portuguese | LILACS, BBO | ID: biblio-1531658

ABSTRACT

O uso do diamino fluoreto de prata (DFP) em lesões não fracamente cavitadas raramente é investigado. Esta dissertação apresenta resultados de um ensaio clínico controlado randomizado (ECR) delineado para avaliar se o DFP seria uma opção eficaz ao verniz fluoretado no tratamento dessas lesões na superfície oclusal de molares decíduos (NCT02789202). Além disso, trouxemos os resultados de uma revisão sistemática com meta-análise (CRD42020186245) sobre a percepção de responsáveis em relação ao uso do DFP e os resultado do ensaio sobre a aceitação deles ao tratamento de lesões de cárie não francamente cavitadas com DFP em crianças. No Capítulo 1, 109 crianças de 1 a 4 anos com pelo menos uma lesão de cárie ativa (ICDAS 1 a 3) em molares decíduos foram randomizadas em DFP e verniz fluoretado e acompanhadas por 24 meses. Análises por intenção de tratar adotando regressão logística multinível e regressão de Cox com fragilidade compartilhada foram realizadas. 309 molares foram incluídos e 239 reavaliados. DFP preveniu mais progressão (91%) do que o verniz (81%). As lesões tratadas com DFP apresentaram, em media, 69% menos chance de progressão quando o modelo foi ajustado pela severidade (lesões iniciais vs microcavitadas). A progressão demorou mais para ocorrer no grupo do DFP. Para o Capítulo 2, foi realizada uma busca nas bases de dados MEDLINE, Scopus, Web of Science, Embase e Open Grey até maio de 2020. Foram incluídos ECR, estudos clínicos não randomizados e estudos observacionais que avaliaram a percepção de responsáveis sobre compostos de prata no tratamento de lesões de cárie. O risco de viés foi avaliado utilizando uma ferramenta específica para estudos de atitutes e práticas. Para a meta-análise, os estudos foram separados considerando se os entrevistados receberam o DFP como tratamento de seus filhos ou não e se foram obtidos quanto a satisfação geral ou quanto, especificamente, a descoloração. Análises de subgrupo e meta-regressão foram realizadas para avaliar a influência de variáveis associadas ao instrumento na percepção e explorar possíveis fontes de heterogeneidade. 19 estudos foram incluídos na revisão sistemática e 12 na metaanálise. A aceitação geral do tratamento foi de moderada a bem aceita (26.9% a 100%) e variou de acordo com a metodologia utilizada. Em geral, responsáveis responderam mais positivamente quando a criança recebeu o tratamento (90%) do que quando a aplicação foi mostrada com uma foto (59%). Por fim, avaliou-se a percepção dos responsáveis sobre a saúde e estética em crianças que tiveram lesões em esmalte tratadas com DFP (Capítulo 3). Crianças incluídas em três ECR que tiveram as lesões em esmalte tratadas com DFP ou não foram consideradas. Um questionário padrão foi utilizado. Primeiramente, avaliamos a percepção geral e, em seguida, focada nos dentes tratados. Análise multiníveis foram realizadas para comparar a percepção de responsáveis de crianças tratadas vs não tratadas com DFP. Os níveis foram definidos conforme o dente e a criança/responsável. O tratamento com DFP não afetou a percepção geral dos responsáveis sobre as condições estética e de saúde bucal relacionadas a criança (85%). No entanto, quando a avaliação foi focada no dente tratado, a percepção naquelas crianças que receberam tratamento com DFP foi pior do que naquelas que não receberam. Concluindo, o DFP é uma opção eficaz no controle de lesões de cárie não francamente cavitadas. Além disso, geralmente, parece ser aceito de maneira adequada pelos cuidadores. No entanto, um padrão diferente de aceitação é observada quando destacamos o dente tratado, mostrando que a educação/informação é uma questão importante na indicação desse tratamento em crianças.


Subject(s)
Cariostatic Agents , Efficacy , Pediatric Dentistry , Dental Caries
3.
São Paulo; s.n; 20240222. 93 p.
Thesis in Portuguese | LILACS, BBO | ID: biblio-1531896

ABSTRACT

O objetivo desta tese foi avaliar a vitalidade pulpar de dentes decíduos com lesão de cárie profunda tratados com duas técnicas restauradoras. A taxa de sobrevivência da restauração foi avaliada como um desfecho secundário. Este volume apresenta um compilado do protocolo de pesquisa e os resultados de ensaio clínico randomizado (Clinicaltrials.gov registration NCT02903979) de não inferioridade com dois braços paralelos relatados pelas recomendações SPIRIT e CONSORT, respectivamente. Crianças de 4 a 8 anos com pelo menos uma lesão cariosa profunda oclusal ou ocluso-proximal em molares decíduos foram selecionadas na clínica odontológica da Universidade Ibirapuera. Cento e oito molares decíduos foram alocados em dois grupos: (1) restauração com cimento de hidróxido de cálcio seguido do cimento de ionômero de vidro de alta viscosidade (CHC + HVGIC) ou (2) restauração com HVGIC. A vitalidade pulpar e a sobrevivência da restauração foram avaliadas em 6, 12 e 24 meses. A análise por intenção de tratar foi usada para a vitalidade pulpar e a análise de sobrevida foi realizada com o método de Kaplan-Meier ( = 5%). Aos 24 meses, 86 restaurações foram avaliadas e 91 foram avaliadas pelo menos uma vez durante o estudo. A perda foi de 20%, e o número de participantes no início e no final do estudo foi semelhante entre os grupos (p = 0,872). Não houve diferença significativa entre os tratamentos restauradores em relação à vitalidade pulpar (CHC + HVGIC = 70% e HVGIC = 68,5%) (OR = 1,09; IC95% = 0,48-2,48). No entanto, as restaurações HVGIC (73%) apresentaram uma taxa de sobrevivência maior do que CHC + HVGIC (50%) (p = 0,021). Na análise de regressão de Cox apenas a variável tratamento apresentou p <0,20. Nesse sentido, a análise ajustada não foi realizada. Os dentes tratados com HVGIC tiveram 65% menos chance de falha do que aqueles tratados com CHC + HVGIC. Assim, pode-se sugerir que a aplicação de CHC é dispensável em lesões profundas de molares decíduos, visto que a longevidade da restauração é menor e a vitalidade pulpar não se altera com sua utilização.


Subject(s)
Dental Caries , Dental Pulp Capping , Glass Ionomer Cements
4.
Braz. j. oral sci ; 23: e243595, 2024. ilus
Article in English | LILACS, BBO | ID: biblio-1553396

ABSTRACT

Aim: Evaluate the longitudinal status of dental caries in the occlusal surface of first permanent molars (FPM) and to identify risk factors for the progression to cavitated caries lesions in a school oral health program. Methods: Children who were enrolled in the program between September 2017 and October 2019, 5 to 10 years-old, presenting the four FPM were included. Four calibrated examiners assessed dental caries according to Nyvad criteria. Descriptive analysis included frequency, mean, and standard deviation calculations. Chi-square test was used in the bivariate analysis and, logistic regression adjusted for cluster effect was used to identify significant risk factors for cavity among the following independent variables: gender, age in the baseline, deft, upper/lower molar, initial caries score, Molar Incisor Hypomineralization (MIH), fluorosis, occlusal sealing. Odds ratio (OR) and respective confidence intervals (CI) are presented. Results: From 174 children enrolled in the program between 2017/2019, 120 were reevaluated in 2022. Eleven (2.6%) FPM in 11 children (9.2%) presented cavitated caries in the follow up examination. Significant risk factors for cavity were caries experience in the primary teeth (OR = 5.59; CI: 1.4 ­ 22.3) and the presence of MIH (OR = 5.33; CI: 1.6 ­ 18.1). Most of the active lesions in the follow up were considered active in the baseline examination. Conclusions: The progression to cavity was relatively low, significantly influenced by past caries experience and MIH


Subject(s)
Humans , Male , Female , Child, Preschool , Child , Tooth, Deciduous , Risk Factors , Longitudinal Studies , Dental Caries , Molar Hypomineralization
5.
Braz. j. oral sci ; 23: e240322, 2024. ilus
Article in English | LILACS, BBO | ID: biblio-1553429

ABSTRACT

Aim: The study aimed to evaluate the association between oral health and academic performance and/or school absenteeism. Methods: Electronic searches were performed of the PubMed, Web of Science, SCOPUS and LILACS/BVS databases. We included observational studies that evaluated the association between dental caries, tooth loss, dental pain or oral health status with school absenteeism or academic performance. The studies had to contain a representative sample of the population: schoolchildren, children or adolescents. After the removal of duplicates, the electronic searches produced 3,789 articles. Of these, 25 studies were included in the systematic review and 13 in the meta-analysis. Results: Considering all the studies evaluated in the meta-analysis, seven articles satisfied 100% of the Joanna Briggs Institute Critical Appraisal checklist, and six contained between 90% and 75% positive answers. The pooled effects showed that the chances of school absenteeism were 31% higher in subjects with dental caries (OR 1.31; 95%CI 1.12-1.54). Students with fair/poor dental health had a 50% higher chance of suffering poor academic performance (OR 1.50; 95%CI 1.22-1.84) and 34% higher chance of having problems at school (OR 1.34; 95%CI 1.06-1.70). Students with a history of toothache had a 3.7 higher chance of being absent from school (OR 6.65; 95%CI 1.60-8.32) and 71% higher chance of missing class due to toothache (OR 1.71; 95%CI 1.15-2.56). Subjects with a history of toothache had a 2.5 times higher chance of suffering poor academic performance (OR 2.58; 95% CI 2.04-3.27). Conclusion: Therefore, students with oral problems were more likely to take time off school and present inferior academic performance


Subject(s)
Toothache , Oral Health , Dental Caries , Absenteeism , Academic Performance
6.
Braz. j. oral sci ; 23: e242840, 2024. ilus
Article in English | LILACS, BBO | ID: biblio-1553448

ABSTRACT

Aim: To evaluate the influence of notebook computers screens and undergraduate level of dental students in the radiographic detection of carious lesions. Methods: Bitewing digital radiographs were presented to 3rd and 5th year dental students in three different notebooks computers: Notebook 1 with anti-glare screen (1366×768 pixels), Notebook 2 without anti-glare screen (1366×768 pixels), and Notebook 3 with anti-glare screen (1920×1080 pixels). A reference standard based on a consensus analysis was set by three senior professors of Oral Radiology and Cariology. Sensitivity, specificity and accuracy values were measured and submitted to two-way ANOVA at a significance level of 5%. Results: Notebook 2 provided significantly lower sensitivity values (Mean 56.5% ± 2.94) than notebook 3 (71.1% ± 2.82) (p = 0.002). We found no statistically significant differences between the two undergraduate years (p > 0.05). Conclusion: The anti-glare screen of notebook computers screens can influence the radiographic detection of carious lesions, but the undergraduate level of dental students does not influence this diagnostic task


Subject(s)
Students, Dental , Computers , Diagnostic Imaging , Radiography, Dental, Digital , Dental Caries
7.
Article in English | LILACS, BBO | ID: biblio-1550595

ABSTRACT

ABSTRACT Objective: To assess the impact of Molar Incisor Hypomineralization (MIH) and confounding factors on oral health-related quality of life (OHRQoL) according to the perception of 8 to 10-year-old children and their parents/caregivers. Material and Methods: A cross-sectional study including 403 students aged 8-10 years was carried out, in which OHRQoL was measured using the Child Perceptions Questionnaire administered to both children and parents/caregivers. The diagnosis of MIH was performed according to the previously proposed index. Dental caries experience, malocclusion, and sociodemographic factors were evaluated as confounders. Cluster analysis and Poisson regression with robust variance (p<0.05) were performed. Results: The prevalence of MIH was 13.4%. Parents/caregivers of children with MIH in incisors showed a higher impact prevalence in the emotional well-being domain (PR=1.92; 95%CI=1.16-3.19). Children with hypoplasia had a higher prevalence of negative impact on OHRQoL in the oral symptoms domain (PR=1.51; 95%CI=1.03-2.23). According to the perception of parents/caregivers, dental caries experience had a negative impact on the quality of life of students in the emotional well-being domain (PR=4.19; 95%CI=1.06-16.49) and in the total questionnaire score (PR=3.21; 95%CI=1.06-9.71). Conclusion: According to the perception of parents/caregivers, children with MIH in incisors showed a greater impact on OHRQoL. Additionally, the presence of hypoplasia affected the self-perception of OHRQoL in children, and caries experience influenced the OHRQoL of children, as perceived by parents/caregivers.


Subject(s)
Humans , Male , Female , Child , Quality of Life/psychology , Oral Health , Tooth Demineralization , Molar Hypomineralization , Self Concept , Cross-Sectional Studies/methods , Multivariate Analysis , Surveys and Questionnaires , Regression Analysis , Dental Caries/epidemiology , Dental Enamel Hypoplasia/diagnosis , Prevalence Ratio , Population Studies in Public Health , Sociodemographic Factors
8.
Pesqui. bras. odontopediatria clín. integr ; 24: e220023, 2024. tab, graf
Article in English | LILACS, BBO | ID: biblio-1529146

ABSTRACT

Abstract Objective: To estimate the incidence of dental caries and associated factors in the school period from six/seven to ten years of age. Material and Methods: A longitudinal study involving 168 children was followed up between 2015 and 2019 in the municipality of Palhoça, Brazil. The dependent variable was the caries incidence rate in the mixed dentition. The independent variables included information regarding demographic and socioeconomic status. Multivariate analyzes were carried out using Poisson Regression with a robust estimator. Variables with p <0.20 in the bivariate analysis were included in the adjusted model. Relative risks were estimated, as well as 95% confidence intervals. Results: Of 168 followed schoolchildren, 32 developed the disease, providing an incidence rate of 19.0%. Female children had a 10% higher risk [RR = 1.10 (95% CI 1.03; 1.18)] of developing caries than males. Also, children born from fathers with ≤ 8 years of schooling at baseline had a 9% higher risk [RR = 1.09 (95% CI 1.01; 1.16)] of developing dental caries compared to fathers with higher education. Conclusion: The incidence of dental caries in a four-year period was 19.0%. Females and children born from fathers with a lower level of education showed higher incidence rates.


Subject(s)
Humans , Male , Female , Child, Preschool , Child , Risk Factors , Dental Caries/epidemiology , Dentition, Mixed , Socioeconomic Factors , Brazil/epidemiology , Regression Analysis , Cohort Studies , Longitudinal Studies
9.
Odovtos (En línea) ; 25(3): 162-173, Sep.-Dec. 2023. tab, graf
Article in English | SaludCR, LILACS | ID: biblio-1529075

ABSTRACT

Abstract The objective of this study is to determine the impact of oral conditions on the quality of life related to the oral health of preschool children in a rural and urban area of Cusco. The study was descriptive and cross-sectional, from a population of 179 preschoolers aged 3 to 5 years, from two public early childhood education institutions, and their respective parents or caregivers in the department of Cusco, Peru. We worked with the entire population that met the inclusion and exclusion criteria, seventy-four preschool children were selected for each area, deciding to have the same amount of children per group based on the smallest group. A clinical odonto-stomatological examination was carried out for oral conditions (dental caries, malocclusion, and dental trauma) according to the WHO's criteria and a survey that was used for sociodemographic characteristics. In addition, a validated Peruvian version of the ECOHIS questionnaire was used to obtain data on the impact on quality of life. All the variables of the total and individual scores of the ECOHIS domains were analyzed individually and the Kruskal-Wallis test was used to determine the association between variables. The oral conditions prevalence in preschool children in rural areas referring to dental caries was 100% (dmft index > 6), dental trauma 10.8%, and malocclusions 60.8%; for the urban area dental caries was 93.2% (dmft index > 6), dental trauma 9.5% and malocclusions 36.5%. Of the three oral conditions only the experience of dental caries was related to the OHRQOL of preschoolers in urban and rural areas.


Resumen El objetivo de este estudio es determinar el impacto de las alteraciones bucales en la calidad de vida relacionada con la salud bucal de niños preescolares de una zona rural y urbana de Cusco. El estudio fue descriptivo y transversal, de una población de 179 preescolares de 3 a 5 años de edad, de dos instituciones públicas de educación inicial, y sus respectivos padres o cuidadores en el departamento de Cusco, Perú. Se trabajó con toda la población que cumplió con los criterios de inclusión y exclusión, se seleccionaron setenta y cuatro niños preescolares por cada área, decidiendo tener la misma cantidad de niños por grupo en base al grupo más pequeño. Se realizó un examen clínico odonto-estomatológico para detectar alteraciones bucales (caries dental, maloclusión y trauma dental) según los criterios de la OMS y una encuesta que se utilizó para las características sociodemográficas. Además, se utilizó una versión peruana validada del cuestionario ECOHIS para obtener datos sobre el impacto en la calidad de vida. Todas las variables de los puntajes totales e individuales de los dominios ECOHIS fueron analizadas individualmente y se utilizó la prueba de Kruskal-Wallis para determinar la asociación entre variables. La prevalencia de alteraciones bucales en niños preescolares de zonas rurales referida a caries dental fue del 100% (índice dmft > 6), traumatismo dental 10,8% y maloclusiones 60,8%; para la zona urbana la caries dental fue del 93,2% (índice dmft > 6), el traumatismo dental 9,5% y las maloclusiones 36,5%. De las tres alteraciones bucales, sólo la experiencia de caries dental se relacionó con la OHRQOL de los preescolares de las zonas urbana y rural.


Subject(s)
Humans , Male , Female , Child, Preschool , Child Care , Rural Health/statistics & numerical data , Dental Health Services , Peru , Child Development , Dental Caries , Malocclusion/epidemiology
10.
Medicentro (Villa Clara) ; 27(4)dic. 2023.
Article in Spanish | LILACS | ID: biblio-1534845

ABSTRACT

Introducción: La Organización Mundial de la Salud define a la caries dental como un problema de salud mundial que afecta entre el 60 al 90% de la población. Se considera una enfermedad transmisible de origen multifactorial, que evoluciona de manera progresiva hasta ocasionar la destrucción de los tejidos duros. Objetivo: Determinar la relación entre dientes cariados, perdidos y obturados, y la limitación para socializar en escolares de Ecuador. Métodos: Se realizó un estudio descriptivo de tipo correlacional sobre una población de 154 escolares de 12 años de la parroquia el Batán, de Cuenca-Ecuador (2016); para el análisis estadístico los datos fueron ingresados al programa SPSS, donde se efectuó estadística descriptiva para cada una de las variables y la limitación para socializar. Resultados: Se logró constatar que la población objeto presentó un índice de CPOD muy bajo (32,5 %), de igual forma se evidenció que el 62,7% no presentó limitación a la hora de socializar. En cuanto a la correlación entre ambas variables, se mostró una asociación positiva con un nivel de significancia de p=0,002. Una de las principales limitaciones del estudio fue el escaso contacto con los participantes. Se recomienda, efectuar investigaciones epidemiológicas longitudinales con la finalidad de observar la variación del coeficiente de correlación de las variables en fases de pretratamiento y de postratamiento. Conclusión: Al finalizar el estudio, se demostró que existe correlación estadística entre el índice CPOD y la limitación en el desempeño socializar en los escolares de 12 años de la parroquia el Batán.


Introduction: the World Health Organization defines dental caries as a global health problem that affects between 60 and 90% of the population. It is considered a communicable disease of multifactorial origin, which evolves progressively until it causes the destruction of hard tissues. Objective: to determine the relationship between decayed, missing and filled teeth and the limitation to socialize in schoolchildren from Ecuador. Methods: a descriptive correlational study was carried out on a population of 154 schoolchildren aged 12 years from the El Batán parish, Cuenca-Ecuador (2016); data was entered into the SPSS program for the statistical analysis, where descriptive statistics were performed for each of the variables and for the limitation to socialize. Results: it was possible to verify that the target population had a very low DMFT index (32.5%); in the same way it was evidenced that 62.7% did not have limitations when socializing. A positive association, with a significance level of p=0.002, was shown regarding the correlation between both variables. One of the main limitations of the study was the limited contact with the participants. We recommend to carry out longitudinal epidemiological investigations in order to observe the variation of the correlation coefficient of the variables in the pre-treatment and post-treatment phases. Conclusion: we showed, at the end of the study, that there is a statistical correlation between the DMFT index and the limitation in socializing performance in 12-year-old schoolchildren from the El Batán parish.


Subject(s)
Activities of Daily Living , Dental Caries , Quality of Life , DMF Index , Oral Health
11.
Rev. ADM ; 80(4): 214-219, jul.-ago. 2023. ilus, tab
Article in Spanish | LILACS | ID: biblio-1526847

ABSTRACT

La microbiota oral está conformada por diversas especies bacterianas que en condiciones normales desempeñan una función protectora del huésped; sin embargo, cuando existe un desequilibrio en el ecosistema, estos microorganismos son capaces de producir diversas manifestaciones como lo es el caso de la caries dental, enfermedad infecciosa producida principalmente por Streptococcus mutans, patógeno capaz de desmineralizar los tejidos duros del diente mediante la fermentación de hidratos de carbono obtenidos de la dieta. Se ha identificado en la pared celular de este microorganismo ocho serotipos que intervienen en la adhesión, agregación y coagregación bacteriana. En los seres humanos S. mutans presenta los serotipos c, e y f, siendo el serotipo c el más prevalente a nivel mundial, el cual se conoce que está asociado a pacientes sanos, a diferencia del e y f que son capaces de invadir las células endoteliales de las arterias coronarias. No obstante, en los últimos años se ha logrado identificar el serotipo k que de igual manera presenta alta capacidad de invadir el endotelio humano, actuando en la patogénesis de las enfermedades cardiovasculares. El objetivo de la presente revisión bibliográfica es lograr cuantificar los serotipos prevalentes de S. mutans en América Latina (AU)


The oral microbiota is made up of various bacterial species that under normal conditions perform a protective function of the host, however, when there is an imbalance in the ecosystem, these microorganisms are capable of producing various manifestations such as caries, an infectious disease. produced mainly by Streptococcus mutans, a pathogen capable of demineralizing the hard tissues of the tooth through the fermentation of carbohydrates obtained from the diet. Eight serotypes involved in bacterial adhesion, aggregation and coaggregation have been identified in the cell wall of this microorganism. In humans, S. mutans presents serotypes c, e, and f, serotype c being the most prevalent worldwide, which is known to be associated with healthy patients, unlike e and f, which are capable of invading the endothelial cells of the coronary arteries. However, in recent years it has been possible to identify serotype k, which also has a high capacity to invade the human endothelium, acting in the pathogenesis of cardiovascular diseases. The objective of this literature review is to quantify the prevalent serotypes of S. mutans in Latin America (AU)


Subject(s)
Humans , Streptococcus mutans , Dental Caries/microbiology , Serogroup , Bacterial Adhesion , Latin America/epidemiology
12.
Rev. Odontol. Araçatuba (Impr.) ; 44(2): 13-17, maio-ago. 2023. ilus
Article in Portuguese | LILACS, BBO | ID: biblio-1427972

ABSTRACT

Entre as perdas precoces de um elemento dental ocorre em grande frequência a do primeiro molar permanente, que normalmente tem o seu irrompimento por volta dos 6 anos de idade, e são propensos a serem acometidos por lesões cariosas que se não cuidadas precocemente pode-se levar a perda do elemento dental. Há também outros agentes que ocasionam a perda do elemento como o trauma de baixa intensidade, tais como, os cálculos dentários, os hábitos bucais deletérios e principalmente a falta de motivação de higiene oral. Diante disto, este trabalho visa a apresentação de um caso clínico de um paciente de 9 anos de idade, sem alterações sistêmicas, com grande destruição coronária no dente 26. Os exames de imagens foram colaboradores para diagnóstico e definição da extração. Foi realizada a exodontia em campo aberto. O paciente foi instruído quanto à higiene bucal e futuramente encaminhado para um tratamento ortodôntico. Conclui-se que o Cirurgião Dentista tem papel fundamental no diagnóstico e tratamento dessas alterações dentais, enfatizando a importância do tratamento restaurador de lesões cariosas precocemente, remoção de qualquer agente irritante de baixa intensidade e na motivação da higiene bucal(AU)


Among the early loss of a dental element, the loss of the first permanent molar occurs very frequently, which usually has its eruption around the age of 6 years, and they are prone to be affected by carious lesions that, if not treated early, can if it leads to loss of the dental element. There are also other agents that cause the loss of the element, such as low-intensity trauma, such as dental calculi, deleterious oral habits and especially the lack of motivation for oral hygiene. Therefore, this work aims to present a clinical case of a 9-year-old patient, without systemic alterations, with great coronary destruction in tooth 26. The imaging exams collaborated for the diagnosis and definition of the extraction. The extraction was performed in an open field. The patient was instructed about oral hygiene and later referred for orthodontic treatment. It is concluded that the Dental Surgeon has a fundamental role in the diagnosis and treatment of these dental alterations, emphasizing the importance of an early restorative treatment of carious lesions, removal of any low-intensity irritant and in the motivation of oral hygiene(AU)


Subject(s)
Humans , Male , Child , Surgery, Oral , Molar , Oral Hygiene , Dental Caries , Dentists
13.
RFO UPF ; 27(1)08 ago. 2023. tab
Article in Portuguese | LILACS, BBO | ID: biblio-1516336

ABSTRACT

Introdução: A cárie dentária é uma doença multifatorial que compreende vários fatores biológicos e sociais. A superfície proximal dos dentes é uma região de difícil visualização que pode esconder pequenas lesões cariosas no esmalte dentário, impossibilitando o diagnóstico através de inspeções visuais e táteis. Objetivo: O objetivo deste trabalho foi avaliar a profundidade da cárie proximal nos exames radiográficos convencionais e digitais, comparando as profundidades das lesões consideradas nestes exames às do exame histológico. Método: Foram utilizados exames radiográficos interproximais de 40 dentes humanos, 20 pré-molares e 20 molares, com alterações clínicas em uma das superfícies proximais, como lesões de mancha branca ou acastanhada e pequenas cavitações. Três profissionais especializados em radiologia odontológica com mais de cinco anos de experiência clínica mediram a profundidade das lesões pelos exames radiográfico e digital das amostras. Para obter os resultados, utilizou-se a técnica de análise de variância (ANOVA). Resultados: Constatou-se um nível de significância de 5% nas mensurações dos exames radiográficos convencionais e digitalizados, mostrando a fidelidade das imagens radiográficas em relação a real profundidade da lesão. Conclusão: Conclui-se que os exames de imagem avaliados foram eficientes na determinação da profundidade das lesões de cárie proximal.


Introduction: Dental caries is a multifactorial disease that comprises several biological and social factors. The proximal surface of the teeth is a region of difficult visualization that can hide small carious lesions in the dental enamel, making diagnosis through visual and tactile inspection infeasible. Objective: The objective of this study was to evaluate the depth of proximal caries in the conventional and digitized radiographic examinations, comparing the depths of the lesions considered in these examinations to those of the histological examination. Method: Interproximal radiographic examinations of 40 human teeth, 20 premolars and 20 molars, with clinical alterations on one of the proximal surfaces, such as white or brown spot lesions and small cavitations, were used. Three professionals specialized in dental radiology with more than five years of clinical experience measured the depth of the lesions by radiographic examination of the samples. To obtain the results, we used the technique of analysis of variance (ANOVA). Results: A level of significance of 5% was found in conventional and digitized radiographic measurements, showing the fidelity of the radiographic images in relation to the actual depth of the lesion. Conclusion: It was concluded that the imaging tests evaluated were efficient in determining the depth of proximal caries lesions.


Subject(s)
Radiography, Bitewing/methods , Radiography, Dental, Digital/methods , Dental Caries/diagnostic imaging , Reference Values , Bicuspid/diagnostic imaging , Observer Variation , Analysis of Variance , Molar/diagnostic imaging
14.
Odontol. vital ; jun. 2023.
Article in Spanish | LILACS, SaludCR | ID: biblio-1431016

ABSTRACT

Introducción: La fluorosis dental es una patología endémica causada por la ingestión excesiva de fluoruros que pueden producir una alteración durante el desarrollo del esmalte, y es considerado un importante problema de salud pública porque afecta la salud bucal y sistémica de la población. Objetivo: Este estudio tuvo como idea principal determinar la frecuencia y los niveles de fluorosis dental en escolares de 12 a 15 años pertenecientes a dos instituciones educativas de Lima - Perú. Método: Se realizó un estudio descriptivo de tipo transversal, la muestra estuvo conformada por 252 estudiantes, entre 12 y 15 años de dos centros educativos de Lima. El muestreo fue por selección sistemática de elementos muestrales. La fluorosis dental se evalúo mediante el Índice de Dean. Para determinar la frecuencia y los niveles de fluorosis dental, se realizó un examen clínico bucal y se desarrolló un cuestionario validado previamente. Resultados: La frecuencia de fluorosis dental fue de 44,8% (n=113) afectando más a los varones en un 27,39% (n=69) y a los adolescentes de 13 años (15,1%). En relación con los niveles de fluorosis, predominó el tipo "muy leve" (34,9%). También se encontró una asociación entre la presencia y el nivel de fluorosis con el número de aplicaciones de flúor (p<0,05). Además, se dijo que el índice comunitario de fluorosis de Dean fue de 0,43. Conclusiones: En la población escolar evaluada, la frecuencia de fluorosis fue de 44,8% y el nivel predominante de fluorosis fue muy leve. Además, el índice comunitario fue de 0,43, el cual mostró un nivel límite de importancia para la salud pública. Por lo que se puede considerar que el número de aplicaciones tópicas de flúor recibido por la población sin una planificación adecuada se podría convertir en un factor de riesgo para causar fluorosis dental.


Introduction: Dental fluorosis is an endemic pathology caused by the excessive ingestion of fluorides that can produce an alteration during the development of the enamel and is considered an important public health problema because it affects the oral and systemic health of the population. Objective: The objective of this study was to determine the frequency and levels of dental fluorosis in school children between 12 and 15 years of age belonging to two educational institutions in Lima, Peru. Method: A descriptive cross-sectional study was carried out, the sample consisted of 252 students between 12 and 15 years of age from two educational centers in Lima. Sampling was by systematic selection of sample elements. Dental fluorosis was evaluated using the Dean Index. To determine the frequency and levels of dental fluorosis a clinical oral examination was carried out and a previously validated questionnaire was developed. Results: The frequency of dental fluorosis was 44.8% (n=113) affecting more males by 27.39% (n=69) and adolescents aged 13 years (15.1%). In relation to the levels of fluorosis, the "very mild" type predominated (34.9%). An association was also found between the presence and level of fluorosis with the number of fluoride applications (p<0.05). In addition, Dean's community fluorosis index was reported to be 0.43. Conclusions: In the school population evaluated, the frequency of fluorosis was 44.8% and the predominant level of fluorosis was very mild. In addition, the community index was 0.43, which indicated a borderline level of public health importance. Therefore, it can be considered that the number of topical fluoride applications received by the population without adequate planning could become a risk factor for causing dental fluorosis.


Subject(s)
Humans , Male , Female , Child , Adolescent , Dental Caries/drug therapy , Fluorosis, Dental/epidemiology , Peru
15.
Int. j. odontostomatol. (Print) ; 17(2): 160-166, jun. 2023. tab, ilus
Article in English | LILACS | ID: biblio-1440354

ABSTRACT

The objective of this study was to verify the impact of early childhood caries (ECC) and parental oral health literacy (OHL) on the use of oral health care services by preschool children. A population-based study was conducted with 449 dyads of preschool children aged 4-6 years and their parents/caregivers in the city of Ribeirão das Neves, Brazil. Two examiners performed the diagnosis of ECC using the International Caries Detection and Assessment System (ICDAS- Epi). The Brazilian version of the Hong Kong Oral Health Literacy Assessment Task for Pediatric Dentistry was administered to measure parents' OHL. Parents/caregivers answered the question "When was your child's last visit to the dentist?" to measure the use of oral health care services by the preschool children. The multiple logistic regression (p<0.05) revealed that children with presence of cavitated caries lesions were 1.82-fold more likely to use oral health care services (OR=1.82; 95%CI: 1.23-2.70) compared to those with absence of cavitated caries lesions. Children whose parents/caregivers had lower OHL were 34 % less likely to use oral health care services compared to those whose parents had higher OHL (OR=0.66; 95%CI: 0.45-0.99). Preschool children Dental services are used more by preschool children with presence of cavitated caries lesions and whose parents/caregivers have higher scores of OHL.


El objetivo de este estudio fue verificar el impacto de la caries de la primera infancia (CPI) y la alfabetización en salud oral de los padres (ASB) en el uso de los servicios de salud oral por parte de los niños en edad preescolar. Se realizó un estudio de base poblacional con 449 díadas de preescolares de 4 a 6 años y sus padres/cuidadores en la ciudad de Ribeirão das Neves, Brasil. Dos examinadores realizaron el diagnóstico de CPI utilizando el Sistema Internacional de Evaluación y Detección de Caries (ICDAS-Epi). Se administró la versión brasileña de Hong Kong Oral Health Literacy Assessment Task for Pediatric Dentistry para medir la ASB de los padres. Los padres/cuidadores respondieron la pregunta "¿Cuándo fue la última visita de su hijo al dentista?" medir la utilización de los servicios de salud oral por parte de los preescolares. La regresión logística múltiple (p<0,05) reveló que los niños con presencia de lesiones de caries cavitadas tenían 1,82 veces más probabilidades de utilizar los servicios de salud oral (OR=1,82; IC95%: 1,23-2,70) en comparación con aquellos con ausencia de lesiones de caries cavitadas. Los niños cuyos padres/cuidadores tenían un ASB más bajo tenían un 34 % menos de probabilidades de utilizar los servicios de atención de la salud bucodental en comparación con aquellos cuyos padres tenían un ASB más alto (OR = 0,66; IC del 95%: 0,45-0,99). Los servicios dentales para niños en edad preescolar son utilizados con mayor frecuencia por niños preescolares con presencia de lesiones cariosas cavitadas y cuyos padres/cuidadores tienen puntuaciones más altas de ASB.


Subject(s)
Humans , Male , Female , Child, Preschool , Child , Oral Health , Dental Caries/prevention & control , Health Literacy/methods , Family Health , Father-Child Relations
16.
Rev. Cient. CRO-RJ (Online) ; 8(1): 58-64, Jan.-Apr 2023.
Article in Portuguese | LILACS, BBO | ID: biblio-1512087

ABSTRACT

Objetivo: relatar o uso do diamino fluoreto de prata (DFP) para tratamento da cárie na primeira infância em paciente não colaboradora de 3 anos. Relato do caso: ao exame clínico inicial, realizado com auxílio da estabilização protetora, notou-se que a paciente estava na fase de dentição decídua, possuía excessivo acúmulo de biofilme visível, sem sensibilidade ou qualquer outro sintoma, porém apresentando múltiplas lesões de cárie ativas em todos os dentes, exceto nos incisivos inferiores. Optou-se pelo uso do DFP 30% (Cariestop®) para o tratamento das lesões de cárie e também como alternativa para o manejo do comportamento, que foi classificado usando a Escala Comportamental de Frankl. Já na consulta inicial foi realizada a primeira aplicação, durante 2 minutos, diretamente sobre as lesões cavitadas em dentina dos dentes do hemiarco superior esquerdo, após profilaxia dentária prévia. Na segunda consulta, foi realizada a aplicação do produto nas lesões do hemiarco superior direito, enquanto no terceiro atendimento foi aplicado o DFP nos molares e caninos inferiores. Em todas as consultas foi realizada instrução de higiene bucal e de dieta com a responsável. Resultados: no decorrer do tratamento a paciente apresentou expressiva melhora no comportamento, que havia sido definitivamente negativo na primeira consulta. Ela sentou-se sozinha na cadeira e não precisou da estabilização protetora na última consulta, apresentando comportamento positivo. Verificou-se também a paralisação das lesões de cárie em decorrência do uso do DFP. Conclusão: o uso de DFP para tratamento de lesões cavitadas de cárie em pacientes não colaboradores foi considerado uma estratégia eficaz tanto para paralisação das lesões quanto para auxílio no condicionamento do comportamento.


Objective: to report the use of silver diamine fluoride (SDF) for the treatment of caries in early childhood in a 3-year-old non-collaborating patient. Case report: at the initial clinical examination, performed with protective stabilization, it was verified that the patient was in the primary dentition period, had excessive accumulation of visible biofilm, no dental sensibility or any other symptom, but had multiple active caries lesions in all teeth except the lower incisors. It was decided to use SDF 30% (Cariestop®) for the treatment of caries lesions and also as an alternative for managing behavior, which was classified using the Frankl Behavioral Scale. In the initial consultation, the first application was performed, for 2 minutes, directly on the dentin cavitated lesions of the teeth of the upper left hemiarch, after previous dental prophylaxis. In the second appointment, the product was applied into the lesions on the upper right hemiarch, while in the third visit, the SDF was applied to the lower molars and canines. In all consultations, instructions on oral hygiene and diet were given to the guardian. Results: during the treatment, the patient showed a significant improvement in behavior, which had been definitely negative in the first consultation. She sat alone in the dental chair and did not need protective stabilization at her last visit, showing positive behavior. There was also an arrest of carious lesions due to the use of DFP. Conclusion: The use of SDF for the treatment of cavitated carious lesions in non- collaborating patients was considered an effective strategy both for arresting the lesions and for improving the condition behavior.


Subject(s)
Female , Child, Preschool , Dental Caries , Cariostatic Agents , Behavior Control
17.
Rev. enferm. Inst. Mex. Seguro Soc ; 31(2): 45-50, 10-abr-2023. tab, graf
Article in Spanish | LILACS, BDENF | ID: biblio-1518755

ABSTRACT

Introducción: la caries dental ocasiona dolor y alteración de la salud. La calidad de vida se refiere a la percepción de uno con base en su situación física, emocional y social. Objetivo: analizar la percepción de la calidad de vida en un grupo de escolares con caries. Metodología: 270 escolares de 6-8 años de edad con y sin experiencia de lesiones cariosas contestaron con sus padres un cuestionario basado en la Scale of Oral Health Outcomes (SOHO). Las respuestas se registraron con escala de tipo Likert. Se obtuvieron frecuencias, porcentajes, promedios y desviación estandar. Se compararon los grupos con chi cuadrada y t de Student, y se calculó la razón de momios (RM). Resultados: el 58% presentó experiencia de caries. El 64% de los escolares con caries informó que tenía antecedentes de dolor dentario y la media en los dominios sobre funciones bucales y relación familiar fue mayor para los escolares con caries (p = 0.001). Tener caries fue determinante para presentar dificultades para comer: RM 8.7 (intervalo de confianza del 95% [IC 95%] 4.7-16); beber: RM 5.9 (IC 95% 3.4-10); dormir: RM 5.3 (IC 95% 3.1-9); jugar: 5.2 (IC 95% 2.7-10), p < 0.001. Desde la autopercepción del escolar, el 87% manifestó no sentirse contento por la presencia de caries. Conclusiones: la percepción de los escolares y padres del grupo con experiencia de caries dental mostró deterioro en la calidad de vida.


Background: Dental caries causes pain and alteration of integral health. Quality of life refers to oneself's perception of their physical, emotional and social situation. Objective: To analyze the perception of quality of life in a group of schoolchildren with caries. Methodology: 270 schoolchildren aged 6-8 years with and without experience of carious lesions, with their parents, answered a questionnaire based on the Scale of Oral Health Outcomes (SOHO). The answers were recorded with a Likert-type scale. Frequencies, percentages, averages and standard deviation were obtained. The groups were compared with chi squared and Student's t test, and odds ratios (OR) were calculated. Results: 58% presented caries experience. 64% of schoolchildren with caries reported antecedents of dental pain, and the mean in the domains on oral functions and family relationship was higher for schoolchildren with caries (p = 0.001). Having caries was determinant for eating difficulties: OR 8.7 (95% CI 4.7-16); drink: OR 5.9 (95% CI 3.4-10); sleeping: OR 5.3 (95% CI 3.1-9); play: OR 5.2 (95% CI 2.7-10), p < 0.001. From schoolchildren auto-perception 87% said they did not feel happy about their decayed teeth. Conclusions: The perception of the schoolchildren and parents belonging to the group with experience of dental caries showed deterioration in the quality of life.


Subject(s)
Humans , Male , Female , Child , Quality of Life/psychology , Oral Health/statistics & numerical data , Dental Caries/psychology , Aptitude , Family Relations/psychology
18.
ABCS health sci ; 48: e023202, 14 fev. 2023. tab
Article in English | LILACS | ID: biblio-1414589

ABSTRACT

INTRODUCTION: The growth of the Brazilian older adult population has influenced the increased demand for institutionalization for this public, which usually has poor oral health conditions such as edentulism. OBJECTIVE: To characterize the oral health conditions and verify the variables related to the edentulism of institutionalized older adults and verify the relation of the time of institutionalization with oral health. METHODS: It was a cross-sectional study conducted with 512 institutionalized older adults in which the sociodemographic profile, general health conditions, and oral health care and conditions were evaluated by clinical exams, consultations of medical records, and structured questionnaires. The data were analyzed in the Statistical Package for Social Sciences using the Pearson Chi-square and Fisher's Exact tests and a logistic regression model using a 95% confidence level. RESULTS: A high DMFT (29.4), high prevalence of complete edentulism (61.3%), high need for maxillary (73.6%), and mandibular oral rehabilitation (56.8%) were observed. Edentulism was associated with older age (p<0.001), lower schooling (p<0.001) and non-retirement (p=0.031). It was found that longer institutionalization time remained associated with edentulism even when adjusted by sociodemographic and general health variables (p=0.013). It was also associated with the absence of brushing (p=0.024) and a lower frequency of tooth, gum, and prosthesis brushing (p<0.001). CONCLUSION: It is suggested to establish oral health care routines within long-term institutions for the effective maintenance of oral health throughout the institutionalization time.


INTRODUÇÃO: O crescimento da população idosa brasileira tem influenciado no aumento da procura por institucionalização para esse público, que costuma apresentar precárias condições de saúde bucal como o edentulismo. OBJETIVO: Caracterizar as condições de saúde bucal e verificar as variáveis relacionadas ao edentulismo de idosos institucionalizados, além verificar a relação do tempo de institucionalização com a saúde bucal. MÉTODOS: Trata-se de um estudo transversal realizado com 512 idosos institucionalizados em que o perfil sociodemográfico, as condições gerais de saúde e os cuidados e condições de saúde bucal foram avaliados por meio de exames clínicos, consultas a prontuários e questionários estruturados. Os dados foram analisados no Statistical Package for the Social Sciences por meio dos testes Qui-quadrado de Pearson e Exato de Fisher e um modelo de regressão logística com nível de confiança de 95%. RESULTADOS: Observou-se alto CPOD (29,4), alta prevalência de edentulismo total (61,3%), alta necessidade de reabilitação oral maxilar (73,6%) e mandibular (56,8%). O edentulismo esteve associado a maior idade (p<0,001), menor escolaridade (p<0,001) e ausência de aposentadoria (p=0,031). Verificou-se que o maior tempo de institucionalização permaneceu associado ao edentulismo mesmo quando ajustado por variáveis sociodemográficas e de saúde geral (p=0,013). Além disso, também esteve associado à ausência de escovação (p=0,024) e menor frequência de escovação de dentes, gengivas e próteses (p<0,001). CONCLUSÃO: Sugere-se estabelecer rotinas de atenção à saúde bucal nas instituições de longa permanência para a manutenção efetiva da saúde bucal ao longo do tempo de institucionalização.


Subject(s)
Humans , Male , Female , Aged , Aged, 80 and over , Oral Health , Mouth, Edentulous/epidemiology , Health of Institutionalized Elderly , Homes for the Aged , Periodontal Diseases , Self Care , Cross-Sectional Studies , Dental Prosthesis , Dental Caries , Social Determinants of Health , Sociodemographic Factors
19.
Rev. estomatol. Hered ; 33(1): 26-33, ene. 2023. tab
Article in English | LILACS, LIPECS | ID: biblio-1441863

ABSTRACT

Objective : To analyze the oral health status and its relationship with the quality of life of Andean children of the community of Paucarbamba in Huancavelica, Peru. Material and Methods : The observational, cross-sectional, and correlational study was conducted on a sample of 120 children aged 3-5 years. Early childhood caries was considered using the dmft index. In addition, presence and type of malocclusion were assessed. The oral health-related quality of life was measured by The Early Childhood Oral Health Impact Scale (ECOHIS) questionnaire. Univariate and bivariate analysis were performed. Linear regression and Spearman correlation were conducted to identify the factors that most explained the ECOHIS score. Results : Multiple linear regression by least squares method did not consider gender, age, malocclusion, and simplified oral hygiene index as significant. This analysis only included dmft index as significant (p<0.05) to explicate the ECOHIS score. The estimated regression model was ECOHIS score = 11.67 + 0.79*dmft, in which the score increased by 0,79 for each unit obtained of the dmft index, and the dmft in a R2 = 30% (p<0.001) explained the variability of the ECOHIS score achieved. Conclusions : There is a negative impact of dental caries on the quality of life of preschool children and their families in an Andean community in Paucarbamba, Peru.


Objetivo : Analizar el estado de salud bucal y su relación con la calidad de vida de los preescolares de una comunidad andina y vulnerable del Perú. Material y Métodos : El estudio observacional, correlacional y transversal se realizó en una muestra de 120 niños de 3 a 5 años. La caries de la primera infancia se determinó mediante el índice ceod. También se consideró la presencia y el tipo de maloclusión. El cuestionario Early Childhood Oral Health Impact Scale (ECOHIS) midió la calidad de vida relacionada con la salud bucal. Los factores y variables orales se analizaron de manera univariada y bivariada. Se realizó un análisis de correlación de Spearman y regresión lineal para identificar los factores y en qué medida explicaban la puntuación del cuestionario. Resultados : El análisis de regresión lineal múltiple por el método de mínimos cuadrados solo incluyó como significativa (p <0,05) la contribución de ceod para explicar la puntuación del cuestionario, dejando de lado variables como el sexo, la edad, la maloclusión y el índice de higiene bucal simplificado. El modelo de regresión estimado fue Puntuación del Cuestionario = 11,67 + 0,79*ceod, donde la puntuación del cuestionario aumentó en 0,79 por cada unidad ganada de ceod, y la variabilidad de las puntuaciones obtenidas se explica por el ceod en un R2 = 30% (p<0,001). Conclusiones : Existe un impacto de la caries dental en la calidad de vida de los preescolares de uma comunidade andina del Perú y sus familias.


Subject(s)
Humans , Child, Preschool , Peru , Quality of Life , Oral Health , Dental Caries , Health Impact Assessment , Malocclusion , Child, Preschool , Observational Study
20.
Natal; s.n; 27 jan. 2023. 55 p. ilus, tab.
Thesis in Portuguese | LILACS, BBO | ID: biblio-1532244

ABSTRACT

Introdução: os selantes resinosos possuem atividade preventiva e terapêutica da cárie dentária oclusal através da criação de uma barreira física que impede a adesão de biofilme. Não existem relatos destes materiais com propriedades antimicrobianas e, neste ensejo, a adição de princípios ativos obtidos de fitoterápicos configura como uma opção possível para resolver esta limitação. Objetivos: avaliar o potencial antimicrobiano do selante Fluroshield® enriquecido com o extrato do caule de Schinopsis brasiliensis (Braúna), bem como, a liberação do princípio ativo, grau de conversão, resistência de união imediata ao esmalte e padrão de falha dos materiais experimentais. Metodologia: trata-se de um estudo experimental in vitro. As cascas da Braúna foram secas a 40 ± 1 °C e o extrato etanólico foi obtido por percolação do pó da casca da Schinopsis brasiliensis. O selante comercial Fluroshield® (Dentsply) foi enriquecido com as proporções em massa (g) [0% (Controle), 20%, 10%, 5%, 2,5% e 1,25%]. Foi realizada a avaliação da Atividade antimicrobiana, a liberação do princípio ativo foi aferida através de Ultra Cromatografia Líquida de Alta Performance (UHPLC), o grau de conversão (GC) através do Micro-Raman, a resistência de união (RU) imediata ao esmalte foi avaliada através do microcisalhamento e padrão de fratura através de análise em estereomicroscópio. Os valores finais foram submetidos aos testes de normalidade Shapiro-Wilky (p > 0,05) e Levene. Os dados paramétricos foram submetidos a análise de variância (ANOVA one-way) com pós-teste de Tukey (p <0,05) e os não paramétricos através do teste de Kruskal-Wallis com pós-teste de Dunn's através do software GraphPad Prism 8 e Microsoft Excel 2018. Resultados: materiais com maior % de extrato apresentaram menor GC, não houve diferença estatisticamente significativa para RU entre os diferentes grupos, o padrão de fratura predominante foi adesiva, houve liberação do princípio ativo em meio aquoso em todos os materiais e os grupos com 20% e 10% de extrato em massa foram capazes de inibir a formação de biofilme de maneira semelhante ao controle positivo (clorexidina 0,12%). Conclusão: a adição do extrato de Schinopsis brasiliensis em concentrações entre 10% e 20% apresenta-se como uma alternativa promissora para a obtenção de propriedades antimicrobianas em selantes resinosos (AU).


Introduction: dental sealants have a preventive and therapeutic activity in the prevention and treatment of dental caries. However, there are no reports of these materials with antimicrobial properties and the addition of phytotherapy molecules would be an option to solve this limitation. Objectives: to evaluate the antimicrobial properties of the Fluroshield™ sealant with the addition of the stem extract of Schinopsis brasiliensis (Braúna), as well as the potential for releasing the active ingredient, degree of conversion and immediate enamel bond strength. Methodology: this is an experimental in vitro study. Braúna barks were dried at 40 ± 1 °C and the ethanolic extract was obtained by percolation of Schinopsis brasiliensis bark powder. The commercial sealant Fluroshield™ was enriched with the proportions by mass (g) [0% (Control), 20%, 10%, 5%, 2.5% and 1.25%]. The evaluation of the Inhibition of Biofilm Formation was carried out, the release of the active principle was measured with Ultra High Performance Liquid Chromatography (UHPLC), the immediate bond strength (BS) to the dental tissue was evaluated with microshear and the degree of conversion (DC) with Micro-Raman. Final values were submitted to Shapiro-Wilky (p > 0.05) and Levene normality tests. Parametric data were submitted to analysis of variance (one-way ANOVA) with Tukey's post-test (p <0.05) and nonparametric data through the Kruskal-Wallis test with Dunn's post-test using the GraphPad Prism software 8 and Microsoft Excel 2018. Results: materials with a higher % of extract had a lower DC, there was no statistically significant difference for BS between the different groups, there was release of the active principle in all materials and groups with 20% and 10 % of extract by mass were able to inhibit biofilm formation similarly to the positive control (0.12% chlorhexidine). Conclusion: the addition of Schinopsis brasiliensis extract in concentrations between 10% and 20% is a promising alternative for obtaining antimicrobial properties in resin sealants (AU).


Subject(s)
Pit and Fissure Sealants/therapeutic use , Dental Caries/therapy , Phytotherapeutic Drugs , Anti-Infective Agents/therapeutic use , Analysis of Variance , Dental Caries/prevention & control
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