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1.
Acta odontol. Colomb. (En linea) ; 12(1): 29-39, 2022. tab 1 Distribución en frecuencia y porcentaje de la Tipificación del VPH, tab 2 Distribución por frecuencia y porcentaje de los tipos virales según el riesgo en los pacientes estudiados, tab 3 Distribución en frecuencia y porcentaje de manifestaciones clínicas de infección por VPH, ilus, tab 4 Distribución de los sitios en cavidad bucal, más afectados por infección de VPH, en frecuencia y porcentaje
Article in Spanish | LILACS, COLNAL | ID: biblio-1353791

ABSTRACT

Objetivo: describir las características clínicas epidemiológicas en cavidad bucal de la infección por VPH y la asociación con su tipificación molecular. Métodos: se realizó un estudio analítico de corte transversal en 52 pacientes que acudieron a los servicios de estomatología en la Facultad de Odontología de la Universidad de Cartagena y al Hospital Alemán de Buenos Aires, a quienes se les abrió historia clínica y se les practicó prueba de PCR en tiempo real para la tipificación del VPH. Resultados: el análisis de los datos se efectuó a través de frecuencia y porcentaje. En cuanto a la parte inferencial, se usó la prueba chi cuadrado con un nivel de confianza P<0,05. De los 52 pacientes analizados, 67.3% eran mujeres con un predominio de edad entre los 50-59 años. El serotipo mayormente encontrado fue VPH 6, seguido del VPH 11 y otros tipos de VPH. La lesión elemental más preponderante fue la verrugosidad y la ubicación de predominio, la lengua. Conclusión: las infecciones por VPH se manifiestan frecuentemente en cavidad bucal con verrugosidades en lengua. Su estudio epidemiológico, incluyendo su tipificación, permitiría encontrar lesiones características para un diagnóstico, seguimiento y tratamiento oportuno.


Objective: Analyze the most common epidemiological clinical characteristics of HPV infection in the oral cavity and its molecular typing. Methods: An observational, analytical, cross-sectional study was carried out in 52 patients who attended the stomatology services of the Universidad de Cartagena and the Hospital Alemán de Buenos Aires; a complete clinical history was carried out, including stomatological examination, biopsy, pathological study and real-time PCR test for HPV typing. Results: The data analysis was carried out by means of frequency and percentage. Regarding the inferential part, the chi-square test was used with a confidence level of P <0.05. Of the 52 studied patients 67.3% were women; with a predominant age between 50-59 years. The most common serotype found was HPV 6, followed by HPV 11 and other types of HPV. The predominant lesion was the wart and the predominant location, the tongue. Conclusion: The HPV infections are frequently manifested in oral cavity with Verrugosities in language and its typing, would allow a timely diagnosis of pharynx cancer.


Subject(s)
Humans , Papillomavirus Infections , Alphapapillomavirus , Mouth , Polymerase Chain Reaction , Genotype
2.
Braz. J. Pharm. Sci. (Online) ; 58: e18655, 2022. tab, graf
Article in English | LILACS | ID: biblio-1364423

ABSTRACT

Abstract Periodontitis is an oral disease associated with inflammation and pain with swollen and bleeding gums. In the present study, dental pastes containing NSAIDs, namely, diclofenac sodium and nimesulide (1 % w/w) were prepared to treat periodontitis. Dental pastes of diclofenac sodium and nimesulide (1 % w/w) were prepared with/without mucoadhesive hydrocolloid polymers such as sodium carboxy methyl cellulose (NaCMC), hydroxyl ethyl cellulose (HEC) and methyl cellulose (MC) by conventional trituration method. The pH, drug content, viscosity, tube spreadability and tube extrudability of these prepared dental pastes were measured. These dental pastes of diclofenac sodium and nimesulide (1 % w/w) were characterized by FTIR analyses for drug-excipient compatibility. The in vitro drug releases from these dental pastes in 6.4 pH phosphate buffer solution displayed sustained release over longer period and the drug release rate was found to be decreased when the concentration of mucoadhesive polymer was increased. These dental pastes displayed good adhesion to the oral mucosa revealing more retention time in mouth when tested for ex vivo mucoadhesion using bovine cheek pouch. The stability study results reveal that the DC3 and NC3 dental paste formulations were found stable enough over a longer period in different storage conditions. The present study revealed that the prepared mucoadhesive dental pastes of diclofenac sodium and nimesulide (1 % w/w) had good adhesion with the oral mucosa to maintain consistent release of drugs over prolonged time.


Subject(s)
Toothpastes/analysis , Pharmaceutical Preparations , Anti-Inflammatory Agents, Non-Steroidal/analysis , Mouth , Mouth Mucosa/abnormalities , Periodontitis , In Vitro Techniques/methods , Diclofenac/adverse effects , Disease/classification , Spectroscopy, Fourier Transform Infrared , Drug Liberation , Gingiva/abnormalities , Inflammation/complications
4.
Rev. Odontol. Araçatuba (Impr.) ; 42(3): 50-55, set.-dez. 2021.
Article in Portuguese | LILACS, BBO | ID: biblio-1291673

ABSTRACT

A pandemia gerada pelo SARS-CoV-2 gerou uma série de estudos sobre essa nova doença. Este cenário proporcionou mudanças na odontologia, modificando a forma de atendimento e a rotina do consultório. O conhecimento sobre as implicações desse vírus no sistema estomatognático pode fornecer informações valiosas no conhecimento sobre o mecanismo dessa doença na cavidade oral. Dessa forma, foi realizada uma revisão de literatura, a fim de discutir os efeitos do COVID-19 na cavidade oral. No entanto, há poucas evidências na literatura sobre a correlação da COVID-19 e manifestações orais. Pode-se concluir que o vírus possui reflexo na cavidade oral, apresentando diferentes alterações, tais como: úlceras, periodontite, alterações do paladar, infecções oportunistas, dentre outras. Ainda se faz necessária a realização de mais estudos, para compreensão dos mecanismos fisiopatológicos da doença. Além disso, o trabalho ressalta a importância do cirurgião-dentista no ambiente hospitalar, para diagnóstico e conduta no tratamento dessas manifestações na cavidade oral(AU)


The SARS-CoV-2 pandemic has spawned several studies on this new disease. This scenario provided changes in Dentistry by modifying the form of care and the routine of the office. The knowledge about the implications of this virus in the stomatognathic system can provide valuable information in the knowledge about the mechanism of this disease in the oral cavity. Thus, a literature review was carried out to discuss the effects of COVID-19 on the oral cavity. However, there is little evidence in the literature about the correlation between COVID-19 and oral manifestations. It can be concluded that the virus is reflected in the oral cavity, such as ulcers, periodontitis, changes in taste, opportunistic infections, among others. Further studies are still needed to understand the pathophysiological mechanisms of the disease. Besides, the work highlights the importance of the Dental Surgeon in the hospital environment for diagnosis and management in the treatment of these manifestations in the oral cavity(AU)


Subject(s)
Oral Manifestations , Dental Care , COVID-19 , Periodontitis , Ulcer , Opportunistic Infections , Stomatognathic System , Dentists , Mouth
5.
Medisan ; 25(5)2021. ilus
Article in Spanish | LILACS, CUMED | ID: biblio-1346549

ABSTRACT

Las manifestaciones clínicas en los pacientes con la COVID-19 han sido notificadas en numerosas investigaciones; sin embargo, respecto a la cavidad bucal es escasa la información. En este artículo se abordan las manifestaciones bucales más frecuentes y su localización. Asimismo, se considera que no puede establecerse la relación causa - efecto entre la infección por coronavirus y la aparición de lesiones bucales, puesto que estas lesiones pueden estar relacionadas con la inmunosupresión; además, se presentan como coinfecciones y manifestaciones secundarias con múltiples aspectos clínicos.


The clinical signs in patients with COVID-19 have been notified in numerous investigations; however, there is lack of information regarding the oral cavity. The most frequent oral manifestations and their localization are approached in this work. Also, it is considered that the cause-effect relationship between the infection by coronavirus and the emergence of oral lesions cannot be established, since these lesions can be related to the immunosupression; also, they are presented as coinfections and secondary signs with multiple clinical aspects.


Subject(s)
COVID-19 , Mouth/injuries , SARS-CoV-2
6.
Rev. cuba. estomatol ; 58(3): e3116, 2021. graf
Article in Spanish | LILACS, CUMED | ID: biblio-1347438

ABSTRACT

Introducción: El liquen plano pigmentoso es una lesión autoinmune de etiología desconocida, aunque tiene mayor incidencia en mujeres de mediana edad, a las que afecta principalmente la cara y el cuello y, en menor medida, la cavidad oral. Objetivo: Describir las características clínicas e histopatológicas de un caso de liquen plano pigmentoso en la cavidad oral. Presentación del caso: Mujer de 21 años, negra, que acudió al servicio quejándose de una mancha en la cavidad oral. Las lesiones presentaban un mes de evolución, crecimiento radial y sin síntomas dolorosos. Consistían en placas ennegrecidas de contorno regular con estrías blanquecinas en su periferia, forma redondeada, bordes afilados, en mucosa yugal bilateral, que medían aproximadamente 25 mm en el derecho y 13 mm en el lado izquierdo. Después de la biopsia incisional y el análisis histopatológico, se confirmó la sospecha de liquen plano pigmentoso oral. El tratamiento propuesto para las lesiones fue conservador mediante un estricto seguimiento clínico. Conclusiones: El diagnóstico del liquen plano pigmentoso, debido a su baja ocurrencia en la cavidad oral y sus características clínicas atípicas y semejantes a otras lesiones orales, es complejo. En este contexto, se ratifica la relevancia del examen histopatológico y se destaca la necesidad de otros estudios para aclarar los factores etiológicos involucrados en esta lesión(AU)


Introduction: Pigment lichen planus is an autoimmune lesion of unknown etiology, with preference for middle-aged women, which mainly affects the face and neck, being rare in the oral cavity. Objective: To report a case of pigment lichen planus in the oral cavity, with emphasis on its clinical and histopathological characteristics. Case report: 21 years old woman, black, who came to the service complaining about a spot in the oral cavity. The lesions presented a month of evolution, radial growth and no painful symptoms. They consisted of blackened plates of regular contour with whitish stretch marks on their periphery, rounded shape, sharp edges, on bilateral jugular mucosa, which measured approximately 13 mm on the left side and 25 mm on the right. After the incisional biopsy and histopathological analysis, the suspicion of oral pigment lichen planus was confirmed. The proposed treatment for the lesions was conservative through strict clinical follow-up. Conclusion: The importance and difficulty of the diagnosis of pigment lichen planus is emphasized, especially due to its low occurrence in the oral cavity and its atypical clinical characteristics and similar to other oral lesions. In this context, the relevance of the histopathological examination is ratified and the need for further studies to clarify the etiological factors involved in this pathology is highlighted(AU)


Subject(s)
Humans , Female , Adult , Hyperpigmentation/etiology , Lichen Planus/diagnosis , Mouth/injuries , Research Report , Lichen Planus/pathology
7.
Oncol. (Guayaquil) ; 31(2): 104-113, 31 de agosto 2021.
Article in Spanish | LILACS | ID: biblio-1284428

ABSTRACT

Introducción: La maxilectomía es la intervención quirúrgica recomendada para la exéresis de neoplasias faciales, esta técnica comprende la resección de los maxilares y de estructuras anatómicas adyacentes, y conlleva diferentes grados de alteración funcional. La reconstrucción de defectos medio faciales re-presenta un gran desafío, se utilizan diferentes técnicas desde el uso de prótesis obturadoras, colgajos locales, hasta colgajos libres, con la finalidad de la mayor recuperación de funciones sofisticadas como el habla, la deglución y la ventilación en vía área superior. Reporte de caso: Paciente hombre de 89 años de edad con 4 meses de evolución de masa tumoral decrecimiento progresivo y constante en la mitad del paladar superior y se extiende tomando el maxilar superior derecho. Al examen físico se observa la cavidad con deficiente cuidado de las piezas dentales y una masa tumoral de más de 15 cm de diámetro que deforma la cavidad oral. Evolución: Se realizó tumorectomía y vaciamiento ganglionar con preservación de nervio espinal, hipogloso, lingual, musculo esternocleidomastoideo, vena yugular interna, vena y arteria facial. Se realizó una reconstrucción de neopaladar con colgajo nasogeniano. La patología definitiva recibida en días posteriores reportó un carcinoma escamo celular pobremente diferenciado de estirpe epitelial con borde quirúrgico positivo para el tumor. Dentro del período postoperatorio el paciente presentó una neumonía asociada a los cuidados de la salud, acompañada con déficit neurológico, el cuadro involucionó hasta sepsis de origen pulmonar y fallece 21 días posteriores a la cirugía. Conclusiones: El crecimiento acelerado de una masa del maxilar en este paciente se asoció con la presencia de un carcinoma escamo celular pobremente diferenciado.


Introduction: Maxillectomy is the recommended surgical intervention for the excision of facial neoplasms. This technique includes the resection of the jaws and adjacent anatomical structures, and en-tails different degrees of functional alteration. The reconstruction of mid-facial defects represents a great challenge, different techniques are used from the use of obturator prostheses, local flaps, to free flaps, with the aim of greater recovery of sophisticated functions such as speech, swallowing and ventilation in via upper area. Case report: An 89-year-old male patient with a 4-month evolution of a tumor mass with progressive and constant growth in the middle of the upper palate and extending taking the right upper jaw. Physical examination revealed the cavity withpoor dental care and a tumor mass of more than 15 cm in diameter that deformed the oral cavity. Evolution: A lumpectomy and lymph node dissection were performed with preservation of the spinal, hypoglossal, lingual, sternocleidomastoid muscle, internal jugular vein, vein and facial artery. A neo-palatal reconstruction with a nasolabial flap was performed. The definitive pathology received in later days reported a poorly differentiated squamous cell carcinoma of epithelial lineage with a positive surgical border for the tumor. Within the postoperative period, the patient presented pneumonia associated with health care, accompanied by neurological deficit, the condition regressed to sepsis of pulmonary origin and died 21 days after surgery. Conclusions: The accelerated growth of a maxillary mass in this patient was associated with the pres-ence of a poorly differentiated squamous cell carcinoma.


Introdução: A maxilectomia é a intervenção cirúrgica recomendada para a excisão de neoplasias faciais, esta técnica inclui a ressecção da mandíbula e das estruturas anatômicas adjacentes e acarreta diferentes graus de alteração funcional. A reconstrução dos defeitos médios da face representa um grande desafio, diferentes técnicas são utilizadas desde o uso de próteses obturadoras, retalhos locais, até retalhos livres, com o objetivo de maior recuperação de funções sofisticadas como fala, deglutição e ventilação em via. . Relato do caso: Paciente do sexo masculino, 89 anos, com evolução de 4 meses de massa tumoral progressiva e constante decrescente em meio palato superior e extensão em maxilar superior direito. Ao exame físico, observa-se cavidade com mau atendimento odontológico e massa tumoral de mais de 15 cm de diâmetro que forma a cavidade oral. Evolução: Realizada lumpectomia e dissecção dos linfonodos com preservação da coluna vertebral, hipoglosso, nervo lingual, músculo esternocleidomastóideo, veia jugular interna, veia e artéria facial. Foi realizada reconstrução neo-palatina com retalho nasolabial. A patologia definitiva recebida em dias posteriores relatou um carcinoma de células escamosas pouco diferenciado de linhagem epitelial com uma borda cirúrgica positiva para o tumor. No pós-operatório, o paciente apresentou pneumonia associada aos cuidados de saúde, acompanhada de déficit neurológico, o quadro regrediu para sepse de origem pulmonar e faleceu 21 dias após a cirurgia. Conclusões: O crescimento acelerado de uma massa maxilar neste paciente foi associado à presença de um carcinoma espinocelular pouco diferenciado.


Subject(s)
Humans , Aged, 80 and over , Carcinoma, Squamous Cell , Free Tissue Flaps , Case Reports , Maxillary Neoplasms , Mouth
8.
Rev. cuba. estomatol ; 58(2): e3162, 2021. tab
Article in Spanish | LILACS, CUMED | ID: biblio-1289399

ABSTRACT

Introducción: Las enfermedades de la cavidad bucal en los pacientes con VIH/sida pueden verse agravadas dependiendo de la respuesta inmunitaria del paciente y los niveles de linfocitos. Objetivo: Relacionar los niveles de linfocitos T CD4 y las principales lesiones bucales en pacientes con el VIH/sida del Hospital Nacional Hipólito Unanue (Lima, Perú), durante el 2018. Métodos: Se realizó un estudio analítico y de corte transversal, entre julio y octubre del 2018, en 65 pacientes hospitalizados, a los cuales se realizó un examen clínico de la cavidad bucal. Se evaluó la presencia de manifestaciones bucales asociadas al VIH/sida; también se clasificó el nivel de linfocitos T CD4 en tres categorías (> 500 cel/mm3, entre 200-500 cel/mm3 y < 200 cel/mm3). Resultados: Un 70,8 por ciento de los pacientes no se encontraba con tratamiento antirretroviral al momento del examen. El nivel promedio de linfocitos T CD4 fue 237,65 cel/mm3, con mayor prevalencia en mujeres. El 56,9 por ciento de los pacientes presentaron lesiones bucales, el sexo masculino fue el más afectado (91 por ciento). La lesión más frecuente fue la candidiasis bucal (44,6 por ciento) y la categoría que presentó mayor frecuencia de lesiones bucales fue la < 200 cel/mm3 (38,5 por ciento; p < 0,05). Conclusiones: El sexo masculino presentó la mayor cantidad de lesiones bucales asociadas a bajos niveles de linfocitos T CD4. La mayor parte de lesiones bucales se presentaron en un nivel de linfocitos T CD4 < 200 cel/mm3. La candidiasis bucal fue la lesión que más se evidenció al momento de realizar el examen clínico(AU)


Introduction: Oral diseases may be aggravated in HIV/AIDS patients depending on their immune response and lymphocyte levels. Objective: Describe the relationship between CD4 T lymphocyte levels and the main oral lesions in HIV/AIDS patients from Hipólito Unanue National Hospital in Lima, Peru, during the year 2018. Methods: An analytical cross-sectional study was conducted of 65 hospitalized patients from July to October 2018. The patients underwent oral clinical examination. Evaluation was performed of the presence of HIV/AIDS-related oral manifestations, and CD4 T lymphocyte levels were classified into three categories: > 500 cell/mm3, 200-500 cell/mm3 and < 200 cell/lmm3. Results: Of the total patients studied, 70.8 percent were not under antiretroviral treatment at the moment of the examination. Average CD4 T lymphocyte level was 237.65 cell/mm3, with higher results among women. 56.9 percent of the patients had oral lesions. Males were more commonly affected (91 percent). The most frequent lesion type was oral candidiasis (44.6 percent), whereas the category presenting the highest frequency of oral lesions was < 200 cell/mm3 (38.5 percent; p < 0.05). Conclusions: Male patients presented the largest number of oral lesions associated to low CD4 T lymphocyte levels. Most of the oral lesions were found at a CD4 T lymphocyte level < 200 cell/mm3. Oral candidiasis was the lesion most commonly found by the clinical examination(AU)


Subject(s)
Humans , Male , Female , Candidiasis, Oral/etiology , T-Lymphocytes , Acquired Immunodeficiency Syndrome/epidemiology , Mouth/injuries , Cross-Sectional Studies
9.
Rev. cuba. estomatol ; 58(2): e3029, 2021. graf
Article in English | LILACS, CUMED | ID: biblio-1289409

ABSTRACT

Introduction: syphilis is a sexually transmitted disease with an annual incidence of 12 million people worldwide. In Brazil, there are increasing rates of infant mortality and incidence due to this disease. Objective: to report a case of primary syphilis with manifestation in the mouth. Case report: patient 50-years-old, male, homosexual with a complaint of an asymptomatic lesion on the lower left lip for about 2 months. In the intraoral physical examination, it was observed ulcerated lesion, with white-yellowish pseudomembrane, non-suppurative with hardened, elevated and badly-delimited edges measuring approximately 3 cm on the lower left lip. An incisional biopsy of the lesion was carried out and it was prescribed high doses of prednisolone, but without success. During follow-up, erythematous lesions target-shaped appeared in the palmar region and the resulting histopathological report showed ulcerated lichenoid cheilitis. Hematological exams confirmed positive for syphilis in the VDRL test. The treatment was penicillin G benzathine for 3 weeks. Conclusions: in the present case, the syphilitic lesion has clinical characteristics common to other diseases. Thus, dentists should know their clinical manifestations, that would aid in early diagnosis and treatment(AU)


Introducción: La sífilis es una enfermedad de transmisión sexual con una incidencia anual de 12 millones de personas en el mundo. En Brasil, hay crecientes tasas de incidencia y mortalidad infantil por esa enfermedad. Objetivo: Describir un caso de sífilis primaria con manifestación en cavidad oral. Presentación del caso: Paciente masculino de 50 años de edad, homosexual, con queja de lesión sin dolor en el labio inferior izquierdo que había comenzado aproximadamente dos meses antes de asistir a la consulta. En la inspección clínica intraoral se observó lesión ulcerada, que medía aproximadamente 3 cm en el labio inferior izquierdo, con seudomembrana blanco-amarillenta, no supurativa, con bordes indurados, elevados y mal delimitados. Se tomó una biopsia de la lesión y se prescribieron altas dosis de prednisolona, pero sin éxito. Durante el seguimiento, lesiones eritematosas en "tiro al blanco" aparecieron en la región palmar y el estudio histopatológico reveló queilitis liquenoide ulcerada. Los exámenes hematológicos confirmaron positividad para sífilis en la prueba VDRL. El tratamiento fue penicilina G benzatínica por tres semanas. Conclusiones: En el presente caso la lesión sifilítica tenía características clínicas comunes a otras enfermedades. Por lo tanto, los dentistas deben conocer sus manifestaciones clínicas, que ayudarían en el diagnóstico y tratamiento tempranos(AU)


Subject(s)
Humans , Male , Middle Aged , Syphilis/etiology , Sexually Transmitted Diseases/epidemiology , Cheilitis/therapy , Mouth/injuries , Penicillin G Benzathine/therapeutic use
10.
Odontol. Clín.-Cient ; 20(1): 55-61, jan.-mar. 2021. ilus
Article in Portuguese | LILACS, BBO | ID: biblio-1367857

ABSTRACT

O Líquen plano oral (LPO) é uma doença inflamatória crônica, caracterizada por uma resposta imune com agressão ao epitélio de revestimento, principalmente na camada basal. Por tratar-se de uma doença de etiopatogenia complexa, o LPO é comumente tratado com agentes anti-inflamatórios e corticosteroides tópicos, que buscam atenuar sinais e sintomas. Diante do exposto, este trabalho objetivou realizar uma revisão de literatura sobre o LPO, suas manifestações clínicas e opções terapêuticas. Foi realizada a busca eletrônica de publicações nas bases de dados Google Scholar, Pubmed e SciELO, utilizando os seguintes descritores: "líquen plano", "cavidade oral" e "estomatologia", e o operador booleano "AND". Em seguida, foi realizada análise a partir da leitura criteriosa dos artigos, realizou-se então a seleção de 60 trabalhos. Após o emprego dos critérios de elegibilidade, 29 artigos foram selecionados para o presente estudo. Os estudos demonstraram que o LPO possui etiologia indeterminada, tornando importante um amplo conhecimento de suas manifestações clínicas para melhor diagnóstico. Além dos corticosteroides, novas modalidades terapêuticas têm sido sugeridas e trazido bons resultados, como a laserterapia de baixa potência. Ademais, é importante para o cirurgião-dentista reconhecer suas diversas opções terapêuticas a fim de diminuir o agravo das lesões orais, visto que, a depender do quadro imunológico do paciente, poderão ocorrer remissões espontâneas... (AU)


Oral lichen planus (OLP) is a chronic inflammatory disease, characterized by an immune response with aggression to the lining epithelium, mainly in the basal layer. Since it is a disease of complex eti opathogenesis, OLP is commonly treated with anti-inflammatory agents and topical corticosteroids, which seek to decrease signs and symptoms. Thus, this study performed a literature review abour OLP, its clinical manifestations and therapeutic options. The electronic search for publications in the Google Scholar, Pubmed and SciELO databases was performed, using the following descriptors: "li chen planus", "oral cavity" and "stomatology", and the Boolean operator "AND". Then, an analysis was performed based on the careful reading of the articles, and then 60 articles were selected. After using the eligibility criteria, 29 articles were selected for the present study. Studies have shown that OLP has an undetermined etiology, making it important to have a broad knowledge of its clinical manifestations for a better diagnosis. In addition to corticosteroids, new therapeutic modalities have been suggested and brought good results, such as low-level laser therapy. In addition, it is important for the dentists to recognize their various therapeutic options to reduce the worsening of oral lesions, since, depending on the patient's immune status, spontaneous remissions may occur... (AU)


Subject(s)
Oral Medicine , Lichen Planus , Mouth
11.
Braz. dent. j ; 32(2): 53-63, Mar.-Apr. 2021. tab, graf
Article in English | LILACS, BBO | ID: biblio-1339327

ABSTRACT

Abstract The present study was a prospective, controlled, randomized, clinical short-term trial aiming to evaluate the clinical performance of adhesively luted, lithium disilicate and feldspathic glass-ceramics onlays over a period up to 2 years. A total of 11 patients (7 female, 4 male; age range: 18-60 years, mean age: 39 years) were selected for this study. Each patient received a maximum of two restorations per group in a split-mouth-design. LD: Eleven onlays, performed with lithium disilicate-based ceramic (IPS e.max CAD, Ivoclar Vivadent, Schaan, Liechtenstein), and FP: Eleven onlays, performed with feldspathic ceramic (Vita Mark II, Vita Zanhfabrik, Bad Säckingen). Recalls were performed at 2 weeks (baseline = R1), 1 year (R2) and 2 years (R3) after the cementation by three calibrated blinded independent investigators using mirrors, magnifying eyeglasses, probes and bitewing radiographs. The postoperative sensitivity, secondary caries, marginal integrity, marginal discoloration, color match, surface roughness, tooth integrity, and restoration integrity were evaluated. The Friedman test was used to determine if there was a statistically significant difference in time-to-time comparison of the parameters in the ceramics restorations. A total of 95.4% of the restorations were clinically acceptable at the 2-year recall, without a difference for any evaluation parameter for both ceramic materials. Based on the 2-year data, the CAD-CAM onlays manufactured with feldspathic and lithium-disilicate based ceramics showed similar clinical performance.


Resumo O presente estudo é um estudo clínico prospectivo, controlado, randomizado e de longo curto prazo, com o objetivo de avaliar o desempenho clínico de restauraç ões adesivas cerâmica vítrea reforçada com dissilicato de lítio e cerâmica feldspática por um período de até 2 anos. Um total de 11 pacientes (7 mulheres, 4 homens; faixa etária: 18-60 anos, idade média: 39 anos) foram inseridas para este estudo. Cada paciente recebeu duas restaurações por grupo em um delineamento de boca dividida. LD: Onze onlays, realizados com cerâmica à base de dissilicato de lítio (IPS e.max CAD, Ivoclar Vivadent, Schaan, Liechtenstein); e FP: Onze onlays, realizados com cerâmica feldspática (Vita Mark II, Vita Zanhfabrik, Bad Säckingen). Os retornos foram realizados em 2 semanas (linha de base = R1), 1 ano (R2) e 2 anos (R3) após a cimentação, por três investigadores independentes, cegos e calibrados, usando espelhos, óculos de aumento, sondas e radiografias interproximais. Foram avaliadas a sensibilidade pós-operatória, cárie secundária, integridade marginal, descoloração marginal, correspondência de cores, rugosidade da superfície, integridade dentária e integridade da restauração. O teste de Friedman (95%) foi utilizado para determinar se havia uma diferença estatisticamente significante na comparação periódica dos parâmetros nas restaurações cerâmicas. Um total de 95,4% das restaurações estava clinicamente aceitável no retorno de 2 anos, sem diferença para qualquer parâmetro de avaliação para ambos os materiais cerâmicos. Com base nos dados de 2 anos, as restaurações CAD-CAM fabricados com cerâmica feldspática e à base de dissilicato de lítio apresentaram desempenho clínico semelhante.


Subject(s)
Humans , Male , Female , Adolescent , Adult , Middle Aged , Young Adult , Inlays , Mouth , Prospective Studies , Dental Porcelain
12.
Rev. colomb. gastroenterol ; 36(supl.1): 85-90, abr. 2021. tab, graf
Article in Spanish | LILACS | ID: biblio-1251553

ABSTRACT

Resumen La enfermedad de Crohn (EC) es considerada una entidad inmunológicamente mediada que compromete el tracto digestivo. Su compromiso suele ser transmural y puede afectar cualquier parte del tubo digestivo, desde la cavidad oral hasta el ano. Aunque se sabe que su extensión es variable, es poco habitual ver un compromiso extenso y multiorgánico. Se presenta el caso de un paciente joven, quien debutó con síntomas pulmonares asociados con la EC y años más tarde se presentaron los síntomas digestivos y de la vía biliar. El tratamiento se basó en la terapia con anticuerpos contra el factor de necrosis tumoral alfa (TNF-α), con lo cual se obtuvo una respuesta clínica satisfactoria. La relevancia clínica de este caso es la forma de presentación clínica tan florida, tanto por el compromiso gastrointestinal extenso como por las manifestaciones extradigestivas tan infrecuentes.


Abstract Crohn's disease (CD) is considered an immunologically mediated entity that involves the digestive tract. It is characterized by transmural inflammation and can affect any part of the digestive tract, from the oral cavity to the anus. Although it is recognized that its severity varies, extensive and multiple organ failure is unusual. We present the case of a young patient, who initially presented with pulmonary symptoms associated with CD. Years later, digestive and bile duct symptoms appeared. Treatment was based on anti-tumor necrosis factor-alpha antibody therapy, resulting in a satisfactory clinical response. The clinical relevance of this case is its full-blown presentation, which includes extensive gastrointestinal involvement and rare extraintestinal manifestations.


Subject(s)
Humans , Male , Adult , Crohn Disease , Bile Ducts , Gastrointestinal Tract , Mouth
13.
Int. j. med. surg. sci. (Print) ; 8(1): 1-13, mar. 2021. tab, graf
Article in English | LILACS | ID: biblio-1151580

ABSTRACT

Objectives: Evaluate the agreement between the clinical and histopathological diagnosis of oral lesions in patients submitted to biopsies. Identify the most frequent oral lesions and their correlation with age, gender, and anatomical location. Methods: A retrospective study of 368 pathological examinations collected between 2008 and 2018, corresponding to biopsies performed at the Clínica Universitária Egas Moniz. A detailed analysis of the histopathological reports attached to the patients' files was made and the variables gender, age, anatomical site, clinical diagnosis, and histopathological diagnosis was evaluated. Results: The most affected gender was female (55%); the most common age group was 61-70 years old; The most biopsied anatomical location was the gum (23.9%); the five most common pathological entities were fibroma(26.4%),root cyst(8.7%),oral lichen planus(7.6%), hemangioma (6.3%) and oral leukoplakia (6.0%). On agreement, 74.5% of the cases were concordant and 25.5% discordant. The most concordant lesions were Radicular Cyst (90.6%), Traumatic Injury (87.5%), Hemangioma (82.6%), Fibroma (82.5%) and Mucocele (82.5%). Conclusion: this study proves a significant level of agreement between clinical and histopathological diagnosis in this particular area, consistently obtained in a ten years period of time.


Objetivos: Evaluar el nivel de acuerdo entre el diagnóstico clínico e histopatológico de lesiones orales en pacientes sometidos a biopsias. Identificar las lesiones orales más frecuentes y su correlación con la edad, el sexo y la ubicación anatómica. Métodos: Estudio retrospectivo de 368 exámenes patológicos recogidos entre 2008 y 2018, correspondientes a biopsias realizadas en la Clínica Universitária Egas Moniz. Se realizó un análisis detallado de los informes histopatológicos adjuntos a los archivos de los pacientes y se evaluaron las variables de género, edad, sitio anatómico, diagnóstico clínico y diagnóstico histopatológico. Resultados: El género más afectado fue femenino (55%); el grupo de edad más común fue de 61-70 años; La ubicación anatómica más biopsiada fue la encía (23,9%); las cinco entidades patológicas más comunes fueron fibroma (26,4%), quiste radicular (8,7%), liquen plano oral (7,6%), hemangioma (6,3%) y leucoplasia oral (6,0%). Según el grado de acuerdo, el 74,5% de los casos fueron concordantes y el 25,5% discordantes. Las lesiones más concordantes fueron Quiste Radicular (90,6%), Lesión Traumática (87,5%), Hemangioma (82,6%), Fibroma (82,5%) y Mucocele (82,5%). Conclusión: este estudio demuestra un nivel significativo de acuerdo entre el diagnóstico clínico e histopatológico en esta área en particular, obtenido consistentemente en un período de diez años de tiempo


Subject(s)
Humans , Male , Female , Biopsy , Clinical Diagnosis , Mouth/injuries , Mouth/pathology , Retrospective Studies , Sex Distribution , Age Distribution
14.
Rev. bras. med. esporte ; 27(1): 75-79, Jan.-Mar. 2021. tab, graf
Article in English | LILACS | ID: biblio-1156106

ABSTRACT

ABSTRACT Introduction Oral injuries are common traumas in combat sports due to the aggressive nature of both offense and defense. Sports mouth guards are made to reduce the risk of traumatic face and jaw injuries and concussions during sports activities. Objective The objective of this study was to determine the prevalence of oral injuries in combat sports and to examine the association between participation levels and percentage of injury occurrence. Methods One hundred and eight participants (mean age: 22.42 ± 2.162 years) who were involved in sparring events were recruited. Data were collected using a questionnaire consisting of 22 questions about the demographic profile of the athletes, their injury experience and type of injuries sustained, awareness and use of mouth guards in sports activities. Descriptive analysis, Chi-square test, and one-way analysis of variance (ANOVA) were applied for data analysis. Results Almost 77% of participants had experienced oral injuries during sports activities and nearly 90% were aware that oral injuries can be reduced by using mouth guards. In addition, 52.7% of participants complained that the mouth guard is not comfortable to use during sports activities. Findings revealed a significant moderate association between levels of participation and number of oral injuries ( p = 0.013). One-way ANOVA showed a significant mean difference in the rate of oral injury for the four levels of participation groups F (3, 104) = 6.21, p = 0.011. Post-hoc comparisons using the Bonferroni test indicated a significant mean difference between university-state levels ( p = 0.033) and university-national levels ( p = 0.028). Conclusion This study revealed that higher levels of participation in sports have a higher risk of injury. It was also found that the discomfort of using a mouth guard can be reduced if the coaches make the athletes wear proper mouth guards that follow the recommended specifications. Level of evidence IIIb; Case control study.


RESUMO Introdução As lesões orais são traumas comuns nos esportes de combate, devido à natureza agressiva tanto do ataque quanto da defesa. Os protetores bucais esportivos são feitos para diminuir o risco de lesões traumáticas na face e na mandíbula; e também de concussão durante as atividades esportivas. Objetivo Este estudo teve como objetivo determinar a prevalência de lesões orais em esportes de combate e examinar a associação entre níveis de participação e a porcentagem de ocorrência de lesões. Métodos Foram recrutados cento e oito participantes (média de idade: 22,42 ± 2,162 anos) envolvidos em eventos de combate. Os dados foram coletados por meio de um questionário composto por 22 perguntas sobre o perfil demográfico dos atletas, sua experiência com lesões e tipo de lesões sofridas, conhecimento e uso de protetores bucais em atividades esportivas. A análise descritiva, o teste do qui-quadrado e a análise de variância (ANOVA) foram aplicados para análise dos dados. Resultados Quase 77% dos participantes sofreram lesões orais durante atividades esportivas e quase 90% estavam cientes de que as lesões orais podem ser reduzidas com o uso de protetores bucais. Além disso, 52,7% dos participantes reclamaram que o protetor bucal não é confortável para uso durante as atividades esportivas. Os achados revelaram associação moderada significativa entre níveis de participação e número de lesões orais (p = 0,013). A ANOVA unilateral mostrou uma diferença média significativa na taxa de lesão oral nos quatro níveis dos grupos de participação F (3, 104) = 6,21, p = 0,011. As comparações post-hoc usando o teste de Bonferroni indicaram diferença média significativa entre os níveis universitário-estadual (p = 0,033) e os níveis universitário-nacional (p = 0,028). Conclusão Este estudo revelou que níveis mais altos de participação no esporte representam maior risco de lesões. Verificou-se também que a sensação de desconforto ao usar protetor bucal pode ser reduzida se os treinadores fizerem com que os atletas usem protetores bucais adequados, que sigam as especificações recomendadas. Nível de evidência IIIb; Estudo Caso-Controle .


RESUMEN Introducción Las lesiones orales son traumas comunes en los deportes de combate, debido a la naturaleza agresiva tanto del ataque como de la defensa. Los protectores bucales deportivos son hechos para disminuir el riesgo de lesiones traumáticas en el rostro y en la mandíbula; y también de concusión en las actividades deportivas. Objetivo Este estudio tuvo como objetivo determinar la prevalencia de lesiones orales en deportes de combate y examinar la asociación entre los niveles de participación y el porcentaje de ocurrencia de lesiones. Métodos Fueron reclutados ciento ocho participantes (promedio de edad: 22,42 ± 2,162 años) involucrados en eventos de combate. Los datos fueron colectados a través de un cuestionario compuesto por 22 preguntas sobre el perfil demográfico de los atletas, su experiencia con lesiones y tipo de lesiones sufridas, conocimiento y uso de protectores bucales en actividades deportivas. El análisis descriptivo, el test de chi-cuadrado y el análisis de varianza (ANOVA) fueron aplicados para el análisis de los datos. Resultados Casi 77% de los participantes sufrió lesiones orales durante las actividades deportivas y casi 90% tenía conocimiento de que las lesiones orales pueden ser reducidas con el uso de protectores bucales. Además, 51,7% de los participantes reclamaron que el protector bucal no es confortable para uso durante las actividades deportivas. Los hallazgos revelaron asociación moderada significativa entre niveles de participación y número de lesiones orales (p = 0,013). El ANOVA unidireccional mostró una diferencia promedio significativa en la tasa de lesión oral en los cuatro niveles de grupos de participación F (3,104) = 6,21, p = 0,011. Las comparaciones post hoc usando el test de Bonferroni indicaron una diferencia promedio significativa entre los niveles universitario-estatal (p = 0,033) y los niveles universitario-nacional (p = 0,028). Conclusión Este estudio reveló que niveles más altos de participación en el deporte representan mayor riesgo de lesiones. Se verificó también que la sensación de incomodidad al usar protectores bucales adecuados puede reducirse si los entrenadores hacen con que los atletas usen protectores bucales adecuados, que sigan las especificaciones recomendadas. Nivel de evidencia IIIb; Estudio Caso-Control.


Subject(s)
Humans , Male , Female , Young Adult , Athletic Injuries/epidemiology , Wrestling/injuries , Mouth/injuries , Wrestling/statistics & numerical data , Prevalence , Surveys and Questionnaires , Analysis of Variance
15.
Braz. dent. sci ; 24(3): 1-9, 2021. tab, ilus, graf
Article in English | LILACS, BBO | ID: biblio-1282061

ABSTRACT

Objective: The recycling of heat pressed lithium disilicate glass-ceramic leftover material has been reported to be done by dental laboratories. The effect of this procedure on the fracture resistance of single crowns is unknown, especially when it is functioning inside the oral cavity with subsequent exposure to temperature changes and cycles of mastication. Material and Methods: A total of 28 lithium disilicate glass-ceramic crowns (IPS emax Press) were constructed and randomly assigned into two groups (n = 14); Group (P): Included crowns fabricated from new e.max ingots. Group (R): Included crowns fabricated from repressed e.max buttons. Specimens of each group were divided into two equal subgroups (n = 7) according to whether the aging of specimens will be performed or not before fracture resistance testing. Subgroup (N), samples were subjected to fracture resistance without thermo-mechanical aging, while subgroup (A), samples were subjected to thermo-cycling and cyclic loading before being subjected to fracture strength testing. Different methods; SEM, XRD, EDAX were used to characterize the properties of lithium disilicate glass-ceramics before and after repressing. Results: The highest statistically significant fracture resistance value was recorded for the subgroup (RN) repressed/non-aged, followed by the subgroup repressed/aged (RA), while the lowest statistically significant mean value was recorded for the subgroup pressed/aged (PA). There was no significant difference between pressed/non-aged (PN) and repressed/aged (RA) subgroups. Conclusion: Repressing of leftover buttons may increase the fracture resistance of IPS emax Press crowns. Thermo-mechanical aging may negatively affect the fracture resistance of IPS emax Press crowns, yet Repressing may decrease this effect. Clinical implications:This is a novel approach that targets a point of research that has not been investigated before. It elaborates how repressing may decrease the effect of aging and increase the fracture resistance of lithium disilicate crowns. Thus, recycling of lithium disilicate glass ceramics might decrease its failure and prolong their serviceability (AU)


Objetivo: A reutilização de material residual de vitrocerâmicas de dissilicato de lítio prensadas a quente tem sido realizada pelos laboratórios de prótese. O efeito deste procedimento na resistência à fratura de coroas unitárias é desconhecido, especialmente quando estão em função na cavidade oral com subsequente exposição às variações de temperatura e ciclos mastigatórios. Material e Métodos: Vinte e oito coroas de dissilicato de lítio (IPS e.max Press) foram confeccionadas e divididas aleatoriamente em dois grupos (n = 14); Grupo (P): Incluiu coroas fabricadas de pastilhas novas de e.max; Grupo (R): Incluiu coroas fabricadas de e.max reprensado. As amostras de cada grupo foram divididas em dois subgrupos iguais (n = 7) de acordo com a realização de envelhecimento dos espécimes antes do teste de resistência à fratura. As amostras do subgrupo (N) foram submetidas ao teste de resistência à fratura sem envelhecimento termomecânico, enquanto as amostras do subgrupo (A) foram submetidas ao envelhecimento termomecânico antes do teste de resistência à fratura. Diferentes métodos (MEV, DRX e EDS) foram usados para caracterizar as propriedades da cerâmica de dissilicato de lítio antes e depois da reprensagem. Resultados: O maior valor de resistência à fratura estatisticamente significativo foi do subgrupo (RN) reprensado/não envelhecido, seguido pelo subgrupo reprensado/envelhecido (RA), enquanto o menor valor médio estatisticamente significativo foi do subgrupo prensado/envelhecido (PA). Não houve diferença estatística entre os subgrupos prensado/não envelhecido (PN) e reprensado/envelhecido (RA). Conclusão: A reprensagem de material residual pode aumentar a resistência à fratura de coroas de IPS e.max Press. O envelhecimento termomecânico pode afetar negativamente na resistência à fratura deste material, enquanto a reprensagem pode diminuir este efeito. Relevância clínica: Esta é uma nova abordagem que busca estudar um tema que não havia sido investigado anteriormente. Este estudo demonstrou como a reprensagem pode diminuir o efeito do envelhecimento e aumentar a resistência à fratura de coroas de dissilicato de lítio. Assim, a reutilização de vitrocerâmicas de dissilicato de lítio pode diminuir o risco à falha e aumentar o tempo de vida útil (AU)


Subject(s)
Crowns , Recycling , Flexural Strength , Mouth
16.
J. Health Biol. Sci. (Online) ; 9(1): 1-5, 2021. ilus, tab
Article in English | LILACS | ID: biblio-1362813

ABSTRACT

Objective: Verify whether there was a relationship between the occurrence of multidrug-resistant bacterial strains and the length of stay in the preoperative period. Methods: Clinical samples of the oral surfaces of the teeth and/or cheek mucosa were collected in the oral cavity of 37 patients who underwent elective cardiac surgery in the preoperative period from May to July 2019. The clinical samples collected were subjected to identification of colonies and antimicrobial sensitivity tests. Results: We observed that the patients who stayed for more than 60 days in that hospital had 17 times more likely to develop multi-resistant strains (Multi-Rs) than those that have not remained. Conclusions: We realized that the longer the patient stays in the hospital, the greater the chances of bacterial strains Multi-Rs. Therefore, it is important to try to reduce the length of hospital stay so that there is no increase in the occurrence of multiresistant strains in these patients


Objetivo: Verificar se houve relação entre a ocorrência de cepas bacterianas multirresistentes e o tempo de internação no pré-operatório. Métodos: Amostras clínicas das superfícies orais dos dentes e / ou mucosa jugal foram coletadas na cavidade oral de 37 pacientes submetidos à cirurgia cardíaca eletiva no período pré-operatório de maio a julho de 2019. As amostras clínicas coletadas foram submetidas à identificação de colônias e testes de sensibilidade antimicrobiana. Resultados: Observamos que os pacientes que permaneceram por mais de 60 dias naquele hospital tiveram 17 vezes mais chance de desenvolver cepas multirresistentes (Multi-Rs) do que os que não permaneceram. Conclusões: Percebemos que quanto mais tempo o paciente permanece internado, maiores são as chances de cepas bacterianas Multi-Rs. Portanto, é importante tentar reduzir o tempo de internação hospitalar para que não haja aumento na ocorrência de cepas multirresistentes nesses pacientes.


Subject(s)
Drug Resistance, Microbial , Patients , Residence Time , Microbiota , Hospitals , Anti-Infective Agents , Mouth , Mucous Membrane
17.
J. Health Biol. Sci. (Online) ; 9(1): 1-7, 2021. tab
Article in English | LILACS | ID: biblio-1362279

ABSTRACT

Objective: To assess the degree of knowledge of deaf and hard of hearing patients about oral health and relate it to clinical and demographic variables. Methods: The target population was schoolchildren from the 6th to the 9th grade of Elementary School and the 1st year of High School. Data collection took place through a structured questionnaire previously validated. The expressed as absolute and percentage frequencies it was analyzed using Fisher's exact test or Pearson's chi-square test (p <0.05). Results: Assessing the relationship between oral health and quality of life, to 53 students, 32.1% of students never reported pain in their teeth, mouth, or jaws, 55.8% never missed school due to problems with their teeth or dental treatments, 71, 2% never avoided smiling or laughing due to problems with teeth or dental treatments, 53.8% never avoided opening their mouths or talking due to problems with teeth or dental treatments. Conclusion: Professional and patient communication should be emphasized with the deaf and hard of hearing to intensify the importance of monitoring with the dental surgeon, carrying out activities to promote, prevent, cure, and rehabilitate oral health.


Objetivo: Avaliar o grau de conhecimento de pacientes portadores de deficiência auditiva sobre a saúde bucal, e relacionar com as variáveis clínicas e demográficas. Métodos: A população alvo foram escolares do 6º ao 9º ano do Ensino Fundamental e do 1º ano do Ensino Médio. A coleta de dados ocorreu de agosto a novembro de 2018, por meio de um questionário estruturado previamente validado. A análise dos dados foi realizada por meio do programa SPSS (Statistical Package of the Social Sciences) e expressos em forma de frequência absoluta e percentual e analisados pelo teste exato de Fisher ou qui-quadrado de Pearson (p<0,05). Resultados: Avaliando a relação da saúde bucal com a qualidade de vida de 53 alunos; 32,1% dos alunos nunca relataram dores nos dentes, na boca, ou nos maxilares, 55,8% nunca faltaram à escola devido problemas com os dentes ou tratamentos dentários, 71,2% nunca evitaram sorrir ou rir devido a problemas com os dentes ou tratamentos dentários, 53,8% nunca evitaram abrir a boca ou falar devido a problemas com os dentes ou tratamentos dentários. Conclusão: A comunicação profissional e paciente deve ser enfatizada com os portadores de deficientes auditivos, com o intuito de intensificar a importância do acompanhamento com o cirurgião dentista, realizando atividades de promoção, prevenção, cura e reabilitação à saúde bucal


Subject(s)
Oral Health , Patients , Population , Quality of Life , Students , Cure in Homeopathy , Education, Primary and Secondary , Disease Prevention , Hearing , Hearing Loss , Mouth
18.
Article in English | LILACS, BBO | ID: biblio-1287482

ABSTRACT

ABSTRACT Objective: To evaluate the efficacy of pre-cooling and the use of higher gauged needles in reducing pain during local anesthetic infiltration. Material and Methods: We conducted a split-mouth randomized controlled trial among 70 patients who require bilateral maxillary local anesthetic (LA) injections for dental treatment. After applying the topical anesthetic, each participant received four local anesthetic injections, two on buccal and two palatal sides. At each visit, the participants received one buccal and one palatal infiltration based on the randomization. On the buccal aspect, participants received LA with a 26G needle injection on one side (control) and a 31G needle (test) on the contralateral side. On the Palatal aspect, participants either received LA with a 31G needle on one side (control). In contrast, the opposite side was preceded by topical ice application (iced cotton swab) before LA with a 31G needle (test). Both the visits were spaced with a gap of 7-10 days based on the participants' feasibility. Participants were asked to rate the pain on a visual analog scale independently for buccal and palatal LA injections. Results: On the Buccal aspect, the mean pain scores were 2.74 ± 1.26 and 2.11 ± 1.26 for control and test groups, respectively (p=0.002). On the Palatal aspect, the mean pain scores were 4.14 ± 1.49 and 4.3 ± 1.80 for control and test groups, respectively (p=0.295). Conclusion: Significant lower pain scores were reported with higher gauge needles (31G) when compared to traditional (26G) needles on the buccal aspect. No significant difference was seen with pre-cooling the injection site on the palatal aspect when used with higher gauged needles (31G).


Subject(s)
Humans , Male , Female , Adult , Pain , Pain Measurement/instrumentation , Dental Anxiety/psychology , Visual Analog Scale , Anesthesia, Local/instrumentation , Efficacy , Analysis of Variance , Data Interpretation, Statistical , Randomized Controlled Trial , Cooling/methods , India , Mouth , Needles
19.
Rev. odontol. UNESP (Online) ; 50: e20210003, 2021. tab
Article in Portuguese | LILACS, BBO | ID: biblio-1289858

ABSTRACT

Resumo Introdução O bruxismo é uma condição prevalente e pode ser destrutivo à cavidade bucal, sendo amplamente abordado na Odontologia, especialmente por sua etiologia multifatorial e prevalência controversa. Objetivo Este estudo teve o objetivo de investigar a prevalência do autorrelato de bruxismo entre universitários e correlacionar a parafunção com a ansiedade e o estresse autopercebidos Material e método Utilizaram-se o autorrelato de bruxismo, Inventário de Ansiedade Traço-Estado (IDATE) e Inventário de Sintomas de Estresse de LIPP (LIPP) para avaliar a prevalência de bruxismo, ansiedade e estresse, respectivamente. Setecentos e quatorze estudantes de todos os cursos da universidade foram entrevistados, com idade entre 18 e 45 anos. Análises estatísticas descritivas foram realizadas por cálculos de frequências (absolutas e relativas), bem como medidas de tendência central e dispersão (média e desvio padrão). Quanto às análises estatísticas inferenciais, o teste qui-quadrado ou exato de Fisher foi utilizado na comparação de proporções e o teste t de Student ou ANOVA, como critério para comparar médias, todos com nível de significância de 5%. Resultado A prevalência de bruxismo foi 46,92%; houve diferença significante da proporão do bruxismo com a ansiedade estado (p = 0,00) e traço (p ≤ 0,0001) de personalidade. Conclusão Conclui-se que, apesar de o bruxismo não ter prevalecido entre estudantes, um elevado percentual de estudantes afirmou realizar essa atividade repetitiva e a proporção de bruxistas com ansiedade foi relevante, evidenciando a importância desse fator psicológico na fisiopatologia da parafunção.


Abstract Introduction Bruxism is a prevalent condition and can be destructive to the oral cavity, being widely addressed in dentistry, especially due to its multifactorial etiology and controversial prevalence. Objective This study aimed to investigate the prevalence of self-reported bruxism among university students and to correlate it with self-perceived anxiety and stress. Material and method Self-reported Bruxism, Trait-State Anxiety Inventory (STAI) and LIPP Stress Symptoms Inventory (LIPP) were used to assess the prevalence of bruxism, anxiety and stress, respectively. 714 students of all courses of a university were interviewed, they were between 18 and 45 years. Descriptive statistical analyzes performed by calculations of frequencies (absolute and relative), as well as measures of central tendency and dispersion (mean and standard deviation). About inferential statistical analyzes, the Chi-square or Fisher's exact test was used to compare proportions and the Student t test or ANOVA was a criterion for comparing means, all with a 5% significance level. Result The prevalence for bruxism was 46.92%; there was a significant difference in the proportion of bruxism with state anxiety (p = 0.00) and personality trait (p = <0.0001). Conclusion It is concluded that although bruxism did not prevail among students, a high percentage of students stated to perform this repetitive activity and the proportion of bruxists with anxiety was relevant, showing the importance of this psychological factor in the pathophysiology of parafunction.


Subject(s)
Humans , Male , Female , Adult , Anxiety , Association , Stress, Psychological , Bruxism , Cross-Sectional Studies , Self Report , Student Health , Prevalence , Analysis of Variance , Correlation of Data , Mouth
20.
Clin. biomed. res ; 41(4): 283-290, 20210000. tab, graf
Article in English | LILACS | ID: biblio-1349336

ABSTRACT

Introduction: Oral lesions are present in approximately 30% of the population worldwide. Although the mouth is an anatomical region that can be easily accessed for direct visual examination, most dentists of dental surgeons have reported difficulties in the diagnosis and management of oral diseases. The primary aim of this study was to assess the completeness of referral forms of the patients referred by dentists from the primary care basic health units to an Oral Medicine service. The secondary aim was to analyze if the complexity of the cases justify the referral to a specialist. Methods: Data from 131 referral forms of patients referred from June 2014 to April 2016 were retrieved from the records. The referral's completeness analysis comprised two stages. Stage 1 mainly comprised patient and applicant's information. In the Stage 2, the documents were scored according to amount of information, including the description of the lesion characteristics and the procedures required for the patients' diagnosis and management. The referral was considered justifiable if some procedures not available at primary care were required for diagnosis or treatment. Results: Five (9.8%) referral forms were considered well filled. Diagnosis agreement was 71.4%. Regarding the need of referral, 40,6% of the cases (n = 50) could be settle at the primary care. Conclusion: In conclusion, few referral forms had high-quality information and the many cases could be managed at primary care health services. (AU)


Subject(s)
Humans , Male , Female , Adult , Middle Aged , Aged , Referral and Consultation/statistics & numerical data , Oral Medicine , Primary Health Care , Mouth/physiopathology
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