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Braz. j. oral sci ; 20: e213400, jan.-dez. 2021. tab
Article in English | LILACS, BBO | ID: biblio-1254527


Aim: In this cross-sectional study, we evaluated the oral hygiene habits, oral health conditions, and the perception about the influence of oral health conditions on the physical performance of youth and professional volleyball and soccer athletes. Methods: A total of 96 male athletes participated: 48 volleyball players (25 youth and 23 professional players); and 48 soccer players, of whom 22 were youth, and 26 were professional players. We analyzed the oral hygiene and oral health condition (daily toothbrush, flossing, mouthwash, dental plaque, orthodontic treatment, dental/facial trauma, temporomandibular dysfunction, malocclusion, and the athletes' perception about the influence of oral health conditions on the physical performance (yes or no)). Comparisons were made between the youth and professional athletes for each sport (volleyball and soccer). According to each variable, we applied the Chi-square, Fisher's Exact, and Mann-Whitney tests. Results: For soccer athletes, we found significant differences between youth and professionals for: flossing (p=0.014), orthodontic treatment (p=0.028), dental/facial trauma (p=0.041), and the athletes' perception about oral health and physical performance (p<0.001). Considering the category (youth and professional) regardless of the type of sport, we found significant differences for dental plaque (p=0.024) and dental/facial trauma (p=0.005). According to the sport (volleyball and soccer), independent of the category, we found significant differences for daily brushing, dental/facial trauma (p=0.005), and the athletes' perception about oral health and physical performance (p=0.006). Conclusion: We concluded that the surveyed athletes had good oral health and believed that oral health can influence sports performance

Humans , Male , Oral Hygiene , Sports , Oral Health , Athletic Performance
Braz. j. oral sci ; 20: e219280, jan.-dez. 2021. ilus
Article in English | LILACS, BBO | ID: biblio-1254266


Aim: To evaluate the effect of manual (M), electric (E) and ultrasonic (US) toothbrushes on the removal of oral biofilm and control of gingivitis. Also, the roughness and tooth wear production were evaluated in vitro. Methods: For the in vitro analyses, thirty bovine dentin specimens were submitted to a 3-month brushing simulation (9 minutes) with the three types of toothbrushes (n = 10). Subsequently, a randomized controlled clinical trial was performed with 36 patients divided into 3 groups according to the toothbrushes used (n = 12). Gingival index, visible plaque index and the volume of crevicular fluid were evaluated at baseline and 3 months after the beginning of the toothbrush use. Furthermore, the performance of the biofilm removal per brushing cycle of 1 and 3 minutes with each toothbrush was made monthly until the end of the experiment. Results: The US group had the highest dentin wear. Clinically, the US group had a lower plaque index at 3 months than the M group. The M group also showed less biofilm removal efficiency from the second month of follow-up and more worn bristles at the end of the 3 month period than the E and US groups. Conclusion: The ultrasonic, electric and manual toothbrushes showed no differences in gingivitis control in the present study. The ultrasonic and electric toothbrushes had a more significant effect on biofilm removal than a manual toothbrush, but the ultrasonic toothbrush promoted greater dentin tissue wear

Humans , Male , Female , Oral Hygiene , Toothbrushing , Gingivitis
Arq. ciências saúde UNIPAR ; 25(3): 237-244, set-out. 2021.
Article in Portuguese | LILACS | ID: biblio-1348220


Trata-se de um relato de experiência, que descreve, sob estratégia narrativo-argumentativa, as significâncias político-pedagógicas atreladas ao planejamento estratégico de ações de educação em saúde bucal vivenciadas em um ambiente escolar e experimentadas por acadêmicos estagiários de um curso de Odontologia. Após análise detalhada, algumas inferências se destacaram: o reconhecimento do ambiente escolar como território fértil para o desenvolvimento de ações promotoras de saúde; a efetividade do instrumento "TPC" (Teorizar-Praticar-Criticar) no direcionamento dos acadêmicos estagiários no planejamento estratégico de atividades de educação em saúde bucal; a importância de se disseminar, em espaços científicos, os aprendizados advindos de experimentações práticas de estágios.

This is a report on an experience that describes, under a narrative-argumentative strategy, the political-pedagogical significance linked to the strategic planning of oral health education actions experienced in a school environment and experienced by university trainees from a Dentistry course. After a detailed analysis, some inferences were observed: the recognition of the school environment as a fertile territory for the development of health-promoting actions; the effectiveness of the "TPC" (Theorize-Practice-Criticize) instrument in directing university trainees in the strategic planning of oral health education activities; the importance of disseminating, in scientific spaces, the learning from practical experimentation during internships.

Humans , Male , Female , Child, Preschool , Play and Playthings , Strategic Planning/standards , Health Education, Dental/methods , Oral Hygiene/education , Students, Dental , Training Support/methods , Health Policy, Planning and Management/organization & administration , Oral Health/education , Scientific and Technical Activities , Health Promotion/methods , Learning
Invest. educ. enferm ; 39(3): 63-76, 15 octubre del 2021. Tab
Article in English | LILACS, BDENF, COLNAL | ID: biblio-1348092


Objective. This work sought to evaluate the impact of an educational intervention on oral hygiene care aimed at nursing care staff, on the incidence of Ventilator-Associated Pneumonia (VAP) in adults from an ICU in Colombia. Methods. Quasi-experimental study pre- and post-educational intervention aimed at nursing staff in which theoretical-practical sessions were conducted during 12 weeks to explain different oral hygiene techniques according to the oral conditions of patients. The study gathered sociodemographic, clinical, and characteristic variables of the oral and dental care received. The VAP was diagnosed according with international criteria. Results. The educational intervention received participation from 60 individuals (40 nurses and 20 nursing aides), 80% were women. The work collected data from 171 patients, 70 (40.9%) cared for after the educational intervention. Daily oral and dental care by the staff increased from 29.6% to 92.8% after the intervention. Although the accumulated incidence of VAP diminished from 8.9% to 2.8% and the rate of incidence dropped from 9 to 3.5 cases per 1,000 days of intubation, these changes were not statistically significant. Conclusion. The educational intervention aimed at the nursing staff in oral care reduced the incidence of VAP in adults connected to ventilator in ICU; although this decrease was not statistically significant, it was a clinically relevant result for the institution, which is why it is necessary to continue the educational strategies on oral health studied in this staff.

Objetivo. Evaluar el impacto de una intervención educativa sobre los cuidados de higiene oral dirigida a personal asistencial de enfermería, en la incidencia de Neumonia Asociada a Ventilador (NAV) en adultos de una UCI en un hospital de Pereira, Colombia. Métodos. Estudio cuasiexperimental pre y posintervención educativa dirigida a personal de enfermería en la que se realizaron sesiones teórico-prácticas durante 12 semanas para explicar diferentes técnicas de higiene oral según la condición bucal de los pacientes. Se recolectaron variables sociodemográficas, clínicas y características de la atención bucodental recibida. Se diagnosticó la NAV de acuerdo con criterios internacionales. Resultados. En la intervención educativa participaron 60 personas (40 enfermeros y 20 auxiliares de enfermería), 80% eran mujeres. Se recolectaron datos de 171 pacientes, 70 (40.9%) atendidos después de la intervención educativa. La atención bucodental diaria por parte del personal se incrementó de 29.6% a 92.8%, después de la intervención. Aunque la incidencia acumulada de NAV disminuyó de 8.9% a 2.8% y la tasa de incidencia bajó de 9 a 3.5 casos por 1000 días de intubación, estos cambios no fueron estadísticamente significantes. Conclusión. La intervención educativa dirigida al personal de enfermería en cuidado oral redujo la incidencia de NAV en los adultos conectados a ventilador en UCI; si bien esta disminución no fue estadísticamente significativa, sí fue un resultado clínicamente relevante para la institución, por lo que deben continuarse las estrategias educativas estudiadas en salud bucal.

Objetivo. Avaliar o impacto de uma intervenção educacional sobre cuidados de higiene bucal dirigida a profissionais de enfermagem sobre a incidência de Pneumonia Associada à Ventilação (PAV) em adultos ventilados em uma UTI na Colômbia. Métodos. Estudo quase experimental antes e após intervenção educativa dirigido a trabalhadores de enfermagem em que foram realizadas sessões teórico-práticas durante 12 semanas para explicar as diferentes técnicas de higiene bucal de acordo com a condição bucal dos pacientes. Foram coletadas variáveis sociodemográficas, clínicas e características dos cuidados bucais recebidos. A PAV foi diagnosticada de acordo com critérios internacionais. Resultados. Na intervenção educativa, participaram 60 pessoas (40 enfermeiras e 20 auxiliares de enfermagem), 80% eram mulheres. Os dados foram coletados de 171 pacientes, 70 (40.9%) compareceram após a intervenção educativa. A higiene bucal diária pela equipe aumentou de 29,6% para 92.8% após a intervenção. Embora a incidência cumulativa de VAP tenha diminuído de 8.9% para 2.8% e a taxa de incidência tenha diminuído de 9 para 3,5 casos por 1000 dias de intubação, essas alterações não foram estatisticamente significativas. Conclusão. A intervenção educativa direcionada à equipe de enfermagem em higiene bucal reduziu a incidência de PAV em adultos conectados a um ventilador na UTI; embora essa redução não tenha sido estatisticamente significativa, foi um resultado clinicamente relevante para a instituição, portanto, as estratégias educacionais em saúde bucal estudadas nessas pessoas devem ser mantidas.

Humans , Oral Hygiene , Health Education, Dental , Pneumonia, Ventilator-Associated , Intensive Care Units , Nursing Staff , Incidence
Rev. ADM ; 78(4): 189-194, jul.-ago. 2021. ilus, tab
Article in Spanish | LILACS | ID: biblio-1292408


Introducción: La salud oral en pacientes con síndrome de Down (SD) es un reto, ya que las alteraciones en la motricidad ocasionadas por la discapacidad intelectual (DI) hacen que tareas como la remoción del biofilm oral o placa dentobacteriana (PDB) con el cepillado sea deficiente. La efectividad de los cepillos eléctricos (CE) comparada con los manuales (CM) en afectados con SD sigue siendo un tema debatible ya que no se ha encontrado una homogeneidad de resultados. Es conveniente mayor investigación sobre el tema, debido a que el SD es considerada la alteración cromosómica más frecuente y la causa principal de DI en el mundo. Objetivo: Conocer la efectividad del CE en comparación con el CM para la remoción de PDB en pacientes mexicanos con SD de entre seis y 14 años. Material y métodos: Estudio transversal experimental, con emparejamiento de sujetos con SD de ambos géneros según la edad (seis a 14 años), asignando el cepillo a utilizar (grupo 1 CM o grupo 2 CE). Se realizó educación dental y método de cepillado con la técnica de Fones, así como control de PDB antes y después el efectuado por medio del índice de O'Leary durante tres días. Se analizaron los resultados utilizando estadística descriptiva e inferencial (prueba de normalidad Lilliefors, prueba t para variables independientes y dependientes). Se aceptó un análisis de significancia p < 0.05. Resultados: La utilización de la t para muestras independientes presentó una mejoría en incremento de dicho marcador de O'Leary en el conjunto total en los tres días de seguimiento respectivamente (t = 6.9, p < 0.00002; t = 8.4, p < 0.00000; y t = 9.5, p < 0.00000). Al comparar por prueba t aplicada a muestras dependientes el índice de O'Leary basal versus cada una de las evaluaciones de seguimiento también se observaron diferencias significativas en los dos conjuntos (grupo 1: p = 0.003, p = 0.0006 y p = 0.0017; grupo 2: p = 0.007, p = 0.0006 y p = 0.0002). Conclusión: La instrucción dental y motivación del paciente fueron determinantes hacia el buen desempeño del cepillado de los dientes y remoción de placa en el par de colectivos, es decir, la reafirmación de la técnica de Fones incrementa gradualmente la mejoría de la forma de uso del cepillo en niños con SD. Ambos métodos con CM y con CE fueron efectivos a fin de remover significativamente la placa, observándose una mayor mejoría en el grupo con CE, sugiriendo que éste disminuye la dificultad de la higiene bucal en personas con SD. Esta línea de investigación es importante en el beneficio de la condición oral de esta población (AU)

Introduction: Oral health in patients having Down syndrome (DS) is a challenge since the changes in motor skills caused by intellectual disability (ID) deteriorate tasks such as the removal of biofilm or dental plaque (DP) with brushing. The effectiveness of electric toothbrushes (ET) compared to manual toothbrushes (MT) in DS patients remains debatable since no homogeneity of results has been found. Further research on the subject is advisable as DS is considered the most frequent chromosomal alteration and the leading cause of ID in the world. Objective: To know the effectiveness of the ET in contrast to the MT for the removal of DP in Mexican DS patients between six and 14 years old. Material and methods: Experimental cross-sectional study, with the pairing of DS subjects of both genders according to age (six to 14 years), assigning the brush to be used (group 1 MT or group 2 ET). Dental education and brushing were performed employing the Fones technique and DP control before and after brushing employing the O'Leary index for three days. The results were analyzed using descriptive and inferential statistics (Lilliefors normality test, t-test for independent and dependent variables). A significance test p < 0.05 was accepted. Results: The t-test for independent samples showed an improvement in the increase of the O'Leary index in the complete group in the three days of follow-up respectively (t = 6.9, p < 0.00002; t = 8.4, p < 0.00000; and t = 9.5, p < 0.00000). When comparing by t-test for dependent samples the baseline O'Leary index versus each of the follow-up evaluations, significant differences were also observed in both groups (group 1: p = 0.003, p = 0.0006 and p = 0.0017; group 2: p = 0.007, p = 0.0006 and p = 0.0002). Conclusion: The dental education and motivation of the patient were decisive for the good performance of tooth brushing and removal of the plaque in both groups. The reaffirmation of the Fones technique gradually increases the improvement of the brushing technique in DS children. Both brushings using MT and ET were effective in removing the biofilm significantly. However, a greater improvement was observed in the group with ET, suggesting that it reduces their difficulty with tooth brushing. This line of research is important to benefit the oral condition of this population (AU)

Humans , Male , Female , Child , Adolescent , Toothbrushing , Dental Plaque Index , Down Syndrome , Dental Care for Disabled , Oral Hygiene , Effectiveness , Health Education, Dental , Cross-Sectional Studies , Statistical Analysis , Biofilms , Motor Skills
Rev. ADM ; 78(4): 205-208, jul.-ago. 2021.
Article in Spanish | LILACS | ID: biblio-1292587


El maltrato infantil es un tema polémico en la actualidad, y se caracteriza por realizar acciones u omisiones intencionales destinadas a menoscabar o afectar la integridad física y/o psicológica de un menor. Frecuentemente se considera a la caries en niños como un indicador objetivo de maltrato infantil. La caries es una enfermedad extremadamente común en la población infantil en México y en el mundo, por lo que su relación con el maltrato infantil carece de un sustento real. El desarrollo de caries en niños no es un evento premeditado ni intencional, es más bien la consecuencia de malos hábitos higiénicos y dietéticos que el odontólogo tiene la obligación de corregir y erradicar para asistir a los pacientes pediátricos a recuperar su salud bucodental. El objetivo del presente artículo es debatir la relación entre la caries temprana de la infancia y el maltrato infantil (AU)

Child abuse is currently a controversial issue and is characterized by intentional actions or omissions intended to undermine the physical and/or psychological integrity of a minor. Caries in children is often considered an objective indicator of child abuse. Caries is an extremely common disease in the child population in Mexico and in the world, so its relationship with child abuse lacks any real support. The development of cavities in children is not a premeditated or intentional event, it is rather the consequence of poor hygienic and dietary habits that the dentist has the obligation to correct and eradicate in order to assist pediatric patients to regain their oral health. The aim of this article is to discuss the relationship between early childhood caries and child abuse (AU)

Humans , Infant, Newborn , Infant , Child, Preschool , Child Abuse , Dental Care for Children , Dental Caries/etiology , Oral Hygiene , Parent-Child Relations , Bottle Feeding/adverse effects , Health Education, Dental , Diet, Cariogenic/adverse effects
Rev. cuba. estomatol ; 58(2): e3156, 2021. graf
Article in Spanish | LILACS, CUMED | ID: biblio-1289395


Introducción: La caries es una de las enfermedades bucodentales más frecuentes y, por ser las primeras en emerger, los primeros molares permanentes son las piezas más susceptibles a esta afección. Objetivo: Estimar la prevalencia de caries y factores asociados a esta en los primeros molares permanentes en escolares de segundo grado de primaria. Métodos: Estudio transversal, en estudiantes de segundo grado en 17 de 67 escuelas públicas de Acapulco, Guerrero. Un cuestionario autoadministrado se utilizó para obtener datos sociodemográficos y hábitos de higiene dental. La caries y la presencia de placa dentobacteriana se midieron a través de índices epidemiológicos, el CPOD (diente cariado, obturado y perdido) y el O'Leary. Se estimó la razón de momios e intervalo de confianza de 95 por ciento, ajustada por conglomerado, como medida de la fuerza de asociación mediante análisis multivariado. Resultados: Se revisaron 3332 primeros molares permanentes, el 21 por ciento tuvo caries, el 6 por ciento tuvo obturaciones y el 1 por ciento ya se había extraído. El índice CPOD de caries grupal fue 0,27. Cinco factores estuvieron asociados a la caries de los primeros molares permanentes: higiene dental deficiente (RMa = 2,87), técnica de cepillado dental inadecuada (RMa = 1,70), tomar alguna bebida dulce antes de ir a dormir (RMa = 1,68), visitar al dentista (RMa = 0,67) y aplicación de flúor (RMa = 0,61). Conclusiones: La prevalencia de caries en los primeros molares permanentes fue 21 por ciento dentro del rango reportado en otros estudios. Fueron identificados cinco factores asociados a la caries: higiene dental deficiente, técnica de cepillado inadecuado, consumo de azúcares antes de dormir, visitas al dentista y aplicación de flúor. Estos factores orientan sobre qué medidas preventivas se deben promover en los escolares para la preservación de sus piezas dentales(AU)

Introduction: Caries is the most frequent oral disease and the first permanent molars are very susceptible to this condition because they are the first teeth to emerge. Objective: To estimate the prevalence of caries its associated factors in the first permanent molars in second grade primary school children. Methods: A cross-sectional study was carried out in second grade students in 17 out of 67primary public schools in Acapulco, Guerrero. We applied a self-administered questionnaire to obtain sociodemographic data and dental hygiene habits. Caries and the presence of dentobacterial plaque were measured through epidemiological indices, CPOD (decayed, blocked and lost tooth) and O'Leary index. The odds ratio and 95 percent confidence interval, adjusted by cluster, were estimated as a measure of strength of association through multivariate analysis. Results: We reviewed 3 332 permanent first molars, 21 percent had cavities, 6 percent had seals and 1 percent had already been removed. The CPOD index of group caries was 0,27. We found five factors associated with caries of the first permanent molars: deficient dental hygiene (RMa=2,87), inadequate tooth brushing technique (RMa=1,70), drinking a sweet drink before bedtime (RMa=1,68), visiting the dentist (RMa=0,67) and fluoride application (RMa=0,61). Conclusions: Prevalence of caries in the first permanent molars was 21 percent, within the range reported in other studies. Five factors associated with caries were identified: poor dental hygiene, inadequate brushing technique, consumption of sugars before going to sleep, visits to the dentist and application of fluoride. These factors guide what preventive measures should be promoted in schoolchildren for the preservation of their teeth(AU)

Humans , Child , School Health Services , Toothbrushing/methods , Dental Caries/epidemiology , Molar/injuries , Oral Hygiene/methods , Cross-Sectional Studies
Rev. colomb. gastroenterol ; 36(supl.1): 112-115, abr. 2021. graf
Article in Spanish | LILACS | ID: biblio-1251558


Resumen La lengua negra pilosa (LNP) es una alteración benigna caracterizada por coloración oscura e hipertrofia con hiperqueratosis en las papilas filiformes de la superficie de la lengua. Han sido implicados varios factores intrínsecos y extrínsecos como causales, entre ellos la pobre higiene dental, el tabaquismo, la ingesta de bebidas oscuras, el uso de antibióticos y algunas patologías malignas. Reportamos el caso de un paciente con carcinoma escamocelular avanzado de esófago medio conjunto con LNP, asociación no encontrada previamente en la literatura.

Abstract Black hairy tongue (BHT) is a benign disorder characterized by dark coloration and hypertrophy with hyperkeratosis in filiform papillae on the surface of the tongue. Several intrinsic and extrinsic factors, including poor dental hygiene, smoking, drinking dark beverages, indiscriminate use of antibiotics, and some malignant diseases, have been proposed as potential causes. This is the case of a patient with advanced squamous cell carcinoma of the mid esophagus in conjunction with BHT, a previously unknown association.

Humans , Female , Aged , Tongue , Carcinoma, Squamous Cell , Esophagus , Oral Hygiene , Association , Tobacco Use Disorder , Smoking
Rev. cient. odontol ; 9(1): e044, ene.-mar. 2021. tab, graf
Article in Spanish | LILACS, LIPECS | ID: biblio-1254248


Objetivo: Relacionar el número de cepillados por día y la autopercepción periodontal en escolares de 12 años de la parroquia Machángara, en Cuenca (Ecuador) en 2016. Materiales y métodos: Se realizó un estudio descriptivo, retrospectivo a nivel relacional. La muestra estuvo constituida por 205 fichas de escolares de 12 años residentes de la parroquia Machángara, que pertenecen al mapa epidemiológico de Salud Bucodental de Cuenca, realizado por la Universidad Católica de Cuenca. Para el análisis de los datos se empleó estadística descriptiva con frecuencias y porcentajes para cada una de las variables y la prueba estadística Tau-b de Kendall, con el fin de determinar la correlación entre las variables principales del estudio, según una significancia de 0,05. Resultados: El 50,7% de los adolescentes fueron del sexo masculino; el 49,3%, del sexo femenino, y el 94,1% estudiaban en escuelas fiscales. Se halló que el 50,2% se cepillaban tres veces por día, frecuencia que se cumple en el 51,5% del sexo femenino y el 48,1% del sexo masculino. La prevalencia de autopercepción periodontal fue del 85,4%; de este total, el 86,1% correspondió a las mujeres y el 84,6% a los hombres. Se encontró una correlación negativa inversa y significativa entre el número de cepillados por día y la autopercepción periodontal (Tau-b: -0,178; p = 0,004). La frecuencia del cepillado presentó una correlación inversa y significativa con el autorreporte periodontal para el sexo femenino (tau-b: -0,197; valor p = 0,030) y no significativa en el sexo masculino. Conclusión: Existe una correlación negativa inversa y significativa entre la frecuencia del cepillado diario y la autopercepción periodontal. Es necesario aplicar estrategias educativas respecto de la salud oral en los adolescentes de la parroquia Machángara de Cuenca. (AU)

Objective: To determine the number of brushings per day and periodontal self-perception in 12-year-old schoolchildren from the Machángara parish, in Cuenca Ecuador in 2016. Materials and methods: A descriptive, retrospective, relational level study was conducted. The sample consisted of 205 records of 12-year-old schoolchildren residing in the Machángara parish, which belongs to the epidemiological map of oral health in Cuenca, performed by the Catholic University of Cuenca. For analysis of the data, descriptive statistics were used with frequencies and percentages for each of the variables and the Kendall Tau-b statistical test was performed to determine the correlation between the main variables of the study, according to a significance of 0.05. Results: 50.7% of adolescents were male, 49.3% female, and 94.1% were in public schools. It was found that 50.2% of the study population brushed three times a day, being 51.5% among females and 48.1% among males. The prevalence of periodontal self-perception was 85.4%: 86.1% in girls and 84.6% in boys. An inverse and significant negative correlation was found between the number of brushings per day and periodontal self-perception (Tau-b: -0.178; p: 0.004). Brushing frequency had an inverse and significant negative correlation with periodontal self-reporting for females (tau-b: -0.197; p value: 0.030) and a non significant correlation for males. Conclusion: There is an inverse and significant negative correlation between the frequency of daily brushing and periodontal self-perception. Educational strategies regarding oral health are needed for adolescents from the Machángara parish of Cuenca.

Humans , Male , Female , Child , Oral Hygiene , Periodontal Diseases , Toothbrushing , Epidemiology, Descriptive , Retrospective Studies , Ecuador
J. oral res. (Impresa) ; 10(1): 1-8, feb. 24, 2021. graf, tab
Article in English | LILACS | ID: biblio-1282811


Objective: Describe the demographic characteristics of the population attending the dental emergency services in health Center Juan Petrinovic, located in Santiago, Chile, and examine the effectiveness of dental treatment given to this population. Material and Methods: Before-after study, where 45 patients were surveyed twice, first, before their dental care and then in phone call follow-up. Patients completed interviewer-administered surveys that asked about patients' self-reported pain level, oral health-related quality of life, and demographic information. Demographic information collected included age, sex, educational level, type of health insurance, and municipal district where patients lived. Self-reported pain level was measured using a Visual Analogue Scale (VAS), and oral health quality of life was measured using the Dental Health Status Quality of Life Questionnaire (DS-QoL). Statistical descriptive analyses were performed, and statistical tests were applied to determine if the care given was effective on pain relief and increased quality of life status. Results: Most of the patients seeking care at the dental emergency service were female (67%), adults (average age 46 years), with high school education (58%), and FONASA health insurance (98%). The most common reason for using dental emergency services was pain (51%). Dental treatment given to the patients was effective in relieving pain (reduction in VAS score was 34.34 between pre and post attention) and improving their oral health status (reduction in DS-QoL score was 3.18 between pre and post attention). Conclusion: This dental emergency service was effective in reducing pain and improving the quality of life of the patient.

Objetivo: Describir las características demográficas de la población que asiste a los servicios de emergencia odontológica en el Centro de Salud Juan Petrinovic, ubicado en Santiago de Chile, y examinar la efectividad del tratamiento odontológico que se le brinda a esta población. Material y Métodos: Estudio antes-después, donde se encuestó a 45 pacientes en dos ocasiones, primero, antes de su atención odontológica y luego en seguimiento telefónico. Los pacientes completaron encuestas administradas por el entrevistador que preguntaban sobre el nivel de dolor autoinformado por los pacientes, la calidad de vida relacionada con la salud bucal y la información demográfica. La información demográfica recopilada incluyó edad, sexo, nivel educativo, tipo de seguro médico y distrito municipal donde vivían los pacientes. El nivel de dolor autoinformado se midió mediante una escala analógica visual (EVA) y la calidad de vida de la salud bucal se midió mediante el Cuestionario de calidad de vida del estado de salud dental (DS-QoL). Se realizaron análisis estadísticos descriptivos y se aplicaron pruebas estadísticas para determinar si la atención brindada fue efectiva para aliviar el dolor y mejorar el estado de la calidad de vida. Resultados: La mayoría de los pacientes que acudieron al servicio de urgencias odontológicas fueron mujeres (67%), adultos (edad promedio 46 años), con estudios secundarios (58%) y seguro médico FONASA (98%). La razón más común para utilizar los servicios de emergencia dental fue el dolor (51%). El tratamiento dental administrado a los pacientes fue eficaz para aliviar el dolor (la reducción de la puntuación EVA fue de 34,34 entre la atención previa y posterior) y la mejora de su estado de salud bucal (la reducción de la puntuación DS-QoL fue de 3,18 entre la atención previa y posterior). Conclusión: Este servicio de urgencias odontológicas fue eficaz para reducir el dolor y mejorar la calidad de vida del paciente.

Humans , Male , Female , Adolescent , Adult , Middle Aged , Aged , Aged, 80 and over , Young Adult , Dental Care , Community Health Centers , Health Services Accessibility , Oral Hygiene , Chile/epidemiology , Oral Health , Surveys and Questionnaires , Emergencies , Emergency Medical Services
J. oral res. (Impresa) ; 10(1): 1-9, feb. 24, 2021. tab
Article in English | LILACS | ID: biblio-1282808


Introduction: The application of a scale can be particularly useful for the epidemiological studies comparing different populations and for analysis of the influence of distinct aspects of oral health on the development of certain health conditions. The aim of this study consists in the creation of a scale to classify the level of perception of the oral health behaviors applicable to a sample of Portuguese adolescents. Material and Methods: An observational cross-sectional study was designed with a total of 649 adolescents between the ages of 12 and 18 years old from five public schools in the Viseu and Guarda districts, in Portugal. Data was collected by the application of a self-administered questionnaire and, after analysis of data collection, the newly Universidade Católica Portuguesa (UCP) oral health perception scale was created. Statistical analysis was performed using SPSS-IBM software version 24.0 (IBM SPSS, Chicago, Il., USA). In the descriptive statistical analysis, absolute and descriptive frequencies were used for variables with nominal measurement level, mean as a measure of central tendency and standard deviation as a measure of dispersion for interval variables. Results: Oral health behaviors perception respecting the assumptions defined by the present scale has been elaborated. The result showed that 67% of the sample presented a poor perception of their oral health behaviors, 23.9% intermediate/sufficient, while 8.2% refer having good perception, respecting the assumptions defined for the elaboration of the present scale. Conclusion: For this purpose, through the scale to classify the level of oral health behaviors applicable to the sample of portuguese adolescents, it is possible to compare the data of several samples and understand what are the most frequent oral or eating habits among adolescents

Introducción: La aplicación de una escala puede ser particularmente útil para los estudios epidemiológicos que comparan diferentes poblaciones y para el análisis de la influencia de distintos aspectos de la salud bucal en el desarrollo de determinadas condiciones de salud. El objetivo de este estudio consiste en la creación de una escala para clasificar el nivel de percepción de las conductas de salud bucal aplicable a una muestra de adolescentes portugueses. Material y Métodos: Se diseñó un estudio observacional transversal con un total de 649 adolescentes de entre 12 y 18 años de cinco escuelas públicas de los distritos de Viseu y Guarda, en Portugal. La recolección de datos se realizó mediante la aplicación de un cuestionario autoadministrado y, tras el análisis de la recolección de datos, se creó la nueva escala de percepción de salud bucal de la Universidad Católica Portuguesa (UCP). El análisis estadístico se realizó utilizando el software SPSS-IBM versión 24.0 (IBM SPSS, Chicago, Il., EE. UU.). En el análisis estadístico descriptivo se utilizaron frecuencias absolutas y descriptivas para variables con nivel de medida nominal, media como medida de tendencia central y desviación estándar como medida de dispersión para variables de intervalo. Resultados: ha elaborado la percepción de conductas de salud bucal respetando los supuestos definidos por la presente escala. El resultado mostró que el 67% de la muestra presentó mala percepción de sus conductas de salud bucal, el 23,9% intermedia / suficiente, mientras que el 8,2% refiere tener buena percepción, respetando los supuestos definidos para la elaboración de la presente escala. Conclusión: Para ello, a través de la escala para clasificar el nivel de conductas de salud bucal aplicable a la muestra de adolescentes portugueses, es posible comparar los datos de varias muestras y comprender cuáles son los hábitos orales o alimentarios más frecuentes entre los adolescentes.

Humans , Male , Female , Child , Adolescent , Oral Hygiene , Oral Health , Perception , Portugal/epidemiology , Behavior , Surveys and Questionnaires
J. oral res. (Impresa) ; 10(1): 1-7, feb. 24, 2021. tab, ilus
Article in English | LILACS | ID: biblio-1178777


Oral hygiene is an important step in the control of the biofilm, a factor related to diseases such as gingivitis and tooth decay. The systematization of oral hygiene in children is a set of measures that seeks to achieve sequential learning, thus guaranteeing a better elimination of the biofilm. Objetive: To show a sequence of systematized steps in oral hygiene in a pediatric patient with a definitely positive behavior. Case Report: Six year old female patient, without relevant medical history. On clinical intraoral examination presented biofilm accumulation and swollen gums. The presumptive diagnosis was marginal gingivitis associated with biofilm, the treatment included a preventive phase with motivation and education. The control of the disease evolution was carried out with a card of Systematization Technique of Oral Hygiene, the methodology included the recording of the educational sessions using videos and photographs. Results: the adequate use of the amount of toothpaste was achieved, the integrity was improved to 100%, the brushing time increased from 24 to 120 seconds and it was possible to add tongue brushing and not rinsing after brushing within the oral hygiene routine. Conclusion: The patient was able to clean all dental surfaces, using homogeneous times for each surface, following an orderly sequence in toothbrushing, as well as to acquire knowledge regarding the amount of toothpaste to use, tongue brushing and not rinsing after toothbrushing. The systematization of oral hygiene allowed us to achieve these achievements in six sessions.

La higiene oral es un paso importante para el control de la biopelícula, la cual es un factor relacionado con enfermedades como gingivitis y caries dental. La sistematización de la higiene oral en niños es un conjunto de medidas que buscan lograr un aprendizaje secuencial, garantizando así una mejor eliminación del biofilm. Objetivo: Mostrar una secuencia de pasos sistematizados en la higiene oral en un paciente pediátrico con comportamiento definitivamente positivo. Reporte de un Caso: Paciente femenino de 6 años, sin antecedentes médicos relevantes. Al examen clínico intraoral presentó acumulación de biofilm y encías inflamadas. El diagnóstico presuntivo fue gingivitis marginal asociada a biofilm, el tratamiento incluyó una fase preventiva con motivación y educación. El control de la evolución se realizó con una ficha sobre la Técnica de Sistematización de Higiene oral, la metodología incluye el registro de las sesiones educativas usando vídeos y fotografías. Resultados: se logró el uso adecuado de la cantidad de dentífrico, se mejoró la integridad al 100%, el tiempo de cepillado pasó de 24 a 120 segundos y se consiguió integrar el cepillado de la lengua y el no enjuague post cepillado dentro de su higiene oral. Conclusión: La paciente consiguió realizar la limpieza de todas las superficies dentales, tiempos homogéneos para cada superficie, una secuencia ordenada en su cepillado dental, así como adquirir conocimientos en la cantidad de dentífrico utilizado, el cepillado de la lengua y el no enjuagarse después del cepillado dental. La sistematización de la higiene oral permitió conseguir estos logros en 6 sesiones.

Humans , Female , Child , Oral Hygiene/education , Toothbrushing/methods , Pediatric Dentistry/education , Periodontal Diseases , Toothpastes/therapeutic use , Dental Plaque
Rev. Ciênc. Plur ; 7(1): 124-146, jan. 2021. ilus, tab
Article in Portuguese | LILACS, BBO | ID: biblio-1147718


Introdução: Oacompanhamento odontológico das gestantes pode propiciar inúmeros benefícios para a mãe e o bebê. Entretanto, ainda não são todas as gestantes que têm acesso ao pré-natal odontológico no Brasil, embora a atenção à saúde de forma integral seja uma prioridade no período gestacional. Objetivo: Identificar os aspectos gerais da atenção à saúde bucal das gestantes brasileiras atendidas na Atenção Básica de saúde disponíveis nas publicações científicas. Metodologia: Trata-se de um estudo de revisão integrativa da literatura. A busca dos artigos foi realizada via Medline, Lilacs, BBO e SciELO, sem restrição de idiomas, entre 2010 e 2020. Resultados: Foram selecionados 17 artigos científicos, cujo conteúdo foi categorizado em quatro conjuntos: Conhecimento das gestantes acerca da saúde bucal, Hábitos de higiene bucal das gestantes, Condição de saúde bucal das gestantes e Atenção à saúde bucal das gestantes. Existe desconhecimento de muitas gestantes sobre o que é o pré-natal odontológico e sua importância. Estudos apontam que algumas não são orientadas durante o pré-natal a realizar consultas com o cirurgião-dentista. As gestantes usam a escova e creme dental habitualmente, mas o fio dental não faz parte da rotina de higienização. Cárie e doença periodontal sãoos problemas bucais encontrados com maior frequência, principalmente entre gestantes que possuem menor renda e menor nível de escolaridade. Foi mais comum as gestantes estarem inseridas em ações de educação em saúde. Conclusão: Conclui-se que as gestantes atendidas na Atenção Básica do Sistema Único de Saúde possuem poucas informações sobre saúde bucal, convivem com os mitos odontológicos e apresentam medo de se submeter atratamentos odontológicos durante o período gestacional. Ademais, apresentam saúde bucal precária e encontram barreiras no acesso aos serviços de saúde bucal (AU).

Introduction:Dental care for pregnant women can provide many benefits for the mother and baby. However, not all pregnant women have access to dental prenatal care in Brazil, although comprehensive health care is a priority during pregnancy. Objective:Toidentify the general aspects of oral health care for Brazilian pregnant women attended in Primary Health Care available in scientific publications. Methodology:This is an integrative literature review study. The studiessearch wascarried out onMedline, Lilacs, BBO and SciELO,with no language restriction, from 2010 and 2020. Results:17 scientific articles were selected, whose content was categorized into four sets: Pregnant women 's knowledge of oral health, Pregnant women's oral hygiene habits, Pregnant women 's oral health condition and Pregnant women's oral health care. There is still a lack of knowledge among many pregnant women about what dental prenatal care is and its importance. Studies indicate that some are not advised during prenatal care to consult with the dentist. Pregnant women use the brush and toothpaste routinely, butdental floss is not part of routine oral hygiene. Caries and periodontal disease are the most frequent oral problems, especially among pregnant women who have a lower income and a lower level of education. It was more common for pregnant women to be inserted in health education actions. Conclusions:It is concluded that pregnant women attended in Primary Health Care of the Unified Health System have little information about oral health, live with dental myths and are afraid to dental treatment during pregnancy. In addition, they have poor oral health and find barriers to accessing oral health services (AU).

Introducción: El cuidado dental para mujeres embarazadas puede brindar muchos beneficios para la madre y el bebé. Sin embargo, no todas las mujeres embarazadas tienen acceso a la atención odontológica prenatal en Brasil, aunque la atención integral es una prioridad durante el embarazo. Objetivo: Identificar aspectos generales de la atención de salud bucal de las gestantes brasileñas atendidas en Atención Primaria de Salud disponibles en publicaciones científicas. Metodología: Es una revisión integradora de la literatura.La búsqueda de artículos se realizóvíaMedline, Lilacs, BBO y SciELO, sin restricción de idiomas, entre 2010 y 2020.Resultados: Se seleccionaron 17 artículos científicos, cuyo contenido se categorizó en cuatro conjuntos: Conocimientos de la mujer embarazada sobre salud bucal, Hábitos de higiene bucal de la mujer embarazada, Estado de salud bucal de la mujer embarazada y Atención a la salud bucal de la mujer embarazada. Aún existe desconocimiento entre muchas mujeres embarazadas sobre qué es el cuidado dental prenatal y su importancia. Los estudios indican que algunas mujeres no reciben orientación para consultar con el dentista durante el período prenatal. Las mujeres embarazadas usan el cepillo y la pasta de dientes con regularidad, pero el hilo dental no es parte de la higiene de rutina. La caries y la enfermedad periodontal son los problemas bucales más frecuentes, especialmente entre mujeres embarazadas que tienen menores ingresos y menor nivel de educación. Era más común que las embarazadas se insertaran en acciones de educación en salud. Conclusiones: Se concluye que las gestantes atendidas en Atención Primaria del Sistema Único de Salud tienen poca información sobre salud bucal, viven con mitos dentales y tienen miedo de recibir tratamientos dentales durante el embarazo. Además, tienen mala salud bucal y encuentran barreras para acceder a los servicios de salud bucal (AU).

Humans , Female , Pregnancy , Primary Health Care , Brazil , Oral Health , Dental Care , Pregnant Women , Oral Hygiene , Prenatal Care , Health Services Accessibility
Article in English | WPRIM | ID: wpr-878409


OBJECTIVES@#To investigate caries status and its impact factors in preschool children in plateau and to provide reference for caries prevention in highlands.@*METHODS@#Examination of caries was performed on 1 597 children aged 3-5 years old in 11 kindergartens in Changdu, Xizang, in accordance with the 4th National Oral Health Survey standards and methods. Their parents were surveyed with the questionnaire regarding oral hygiene habit and consciousness about oral health and related factors. All the data were collected and analyzed.@*RESULTS@#The prevalence of caries among children aged 3-5 years old in Changdu was 52.85%, with dmft index of 2.44. The caries rate and dmft of children aged 3 years old were lower than those of children aged 4 and 5 years old (@*CONCLUSIONS@#The prevalence of ca-ries in children aged 3-5 years old in Changdu increases with aging. Good oral hygiene and eating habits and regular oral examination can reduce the rate of caries.

Child, Preschool , Cross-Sectional Studies , DMF Index , Dental Caries/prevention & control , Dental Caries Susceptibility , Female , Humans , Male , Oral Health , Oral Hygiene , Prevalence
Braz. dent. sci ; 24(1): 1-6, 2021. tab, ilus
Article in English | LILACS, BBO | ID: biblio-1145417


Objectives: Poor oral health is an important determinant of general health in patients with mental illnesses. The present study was conducted to evaluate the dental and periodontal status of hospitalized female psychiatric patients in Jazan city, Saudi Arabia. Material and Methods: This study included 82 subjects: 37 psychiatric female patients, and 45 age- and gender- matched healthy controls. Dental caries experience (decayed, missing, and filled teeth index ( DMFT ) and periodontal health status were recorded. SPSS version 21 was used for data analysis, and p-value < 0.05 was considered statistically significant. Results: The mean ages were comparable among the two groups. Psychiatric patients showed poor oral hygiene practices, with only 56.6% reported regularly brushing their teeth as compared with 82.2% of controls (P < 0.05). Control subjects had significantly higher DMFT mean scores than psychiatric female patients. However, psychiatric patients had significantly higher mean scores of missing teeth (M component) and lower restored teeth (F component) as compared with controls. Moreover, the mean attachment loss scores were significantly higher in the psychiatric group (0.76±1.58) compared with controls (0.23; 0.44 p < 0.01). Conclusion: Psychiatric patients showed poor oral hygiene practices and a high prevalence of untreated dental caries and periodontal diseases. Effective oral health promotion strategies need to be implemented to improve the oral health and oral health practices of this group of people. (AU)

Objetivo: A má saúde bucal é um importante determinante da saúde geral em pacientes com doenças mentais. O presente estudo foi realizado para avaliar o estado dentário e periodontal de pacientes psiquiátricos do sexo feminino hospitalizados na cidade de Jazan, Arábia Saudita. Material e Métodos: Este estudo incluiu 82 indivíduos: 37 pacientes psiquiátricas do sexo feminino e 45 controles saudáveis pareados por idade e gênero. A experiência de cárie dentária (índice de dentes cariados, perdidos e obturados (CPOD) e o estado de saúde periodontal foram registrados. O progama SPSS versão 21 foi usado para a análise dos dados, e o valor de p <0,05 foi considerado estatisticamente significativo. Resultados: As médias das idades foram comparáveis entre os dois grupos. Pacientes psiquiátricos mostraram práticas de higiene bucal precárias, sendo que apenas 56,6% relataram escovar os dentes regularmente, em comparação com 82,2% dos controles (P <0,05). Os indivíduos controle tiveram pontuações médias de CPOD significativamente mais altas do que as pacientes psiquiátricas. Os pacientes tiveram escores médios significativamente maiores de dentes perdidos (componente P) e dentes restaurados menores (componente O) em comparação com os controles. Além disso, os escores médios de perda de inserção foram significativamente maiores no grupo psiquiátrico (0,76 ± 1,58) em comparação com os controles (0,23 ± 0,44;p <0,01). Conclusão: Pacientes psiquiátricos apresentaram práticas inadequadas de higiene bucal e uma alta prevalência de cárie dentária e doença periodontal não tratada. Estratégias eficazes de promoção da saúde bucal precisam ser implementadas para melhorar a saúde bucal e as práticas de saúde bucal desse grupo de pessoas (AU)

Humans , Female , Oral Hygiene , Periodontal Diseases , Mentally Ill Persons
Rev. enferm. UFSM ; 11: e18, 2021. tab
Article in English, Portuguese | LILACS, BDENF | ID: biblio-1177617


Objetivo: comparar conhecimentos e atitudes dos profissionais de enfermagem atuantes em hospital público e privado sobre higiene bucal em pacientes críticos. Método: estudo transversal, realizado em duas Unidades de Terapia Intensiva Adulto, uma pública e outra privada no período entre dezembro de 2018 e janeiro de 2019 por meio de um questionário estruturado e autoaplicável. Resultados: a taxa de conhecimento dos profissionais do hospital público foi de 76,6% e a atitude foi de 62,7%, enquanto no hospital privado essas taxas foram de 81,8% e 67,1%, respectivamente. Houve diferença significativa quanto à existência de protocolo (p< 0,006), participação em treinamento (p< 0,004), uso de escova de dentes com cerdas macias e sucção (p< 0,001) no hospital privado. Conclusão: o nível de conhecimento foi mais elevado e as atitudes sobre higiene bucal foram mais positivas entre os profissionais de enfermagem do hospital privado em comparação com os profissionais do hospital público.

Objective: to compare the knowledge and attitudes of nursing professionals working in public and private hospitals on oral hygiene in critically ill patients. Method: a cross-sectional study carried out in two adult Intensive Care Units, one public and the other one private, between the period of December 2018 and January 2019, using a structured and self-administered questionnaire. Results: the knowledge rate of professionals in the public hospital was 76.6% and the attitude was 62.7%, while in the private hospital, these rates were 81.8% and 67.1%, respectively. There were significant differences regarding the existence of a protocol (p <0.006), participation in training (p <0.004), and the use of a toothbrush with soft bristles and suction (p <0.001) in the private hospital. Conclusion: the knowledge level was higher, and the attitudes toward oral hygiene were more positive among nursing professionals at the private hospital compared to the professionals at the public hospital.

Objetivo: comparar los conocimientos y actitudes de los profesionales de enfermería que laboran en un hospital público y privado sobre higiene bucal en pacientes críticos. Método: estudio transversal, realizado en dos Unidades de Cuidados Intensivos de Adultos, una pública y otra privada, entre diciembre de 2018 y enero de 2019, mediante un cuestionario estructurado y autoadministrado. Resultados: la tasa de conocimiento de los profesionales del hospital público fue del 76,6% y la actitud del 62,7%, mientras que en el hospital privado estas tasas fueron del 81,8% y 67,1%, respectivamente. Hubo diferencia significativa con respecto a la existencia de protocolo (p <0,006), participación en entrenamiento (p <0,004), uso de cepillo de dientes con cerdas blandas y succión (p <0,001) en el hospital privado. Conclusión: el nivel de conocimiento fue mayor y las actitudes sobre higiene bucal más positivas entre los profesionales de enfermería del hospital privado en comparación con los profesionales del hospital público.

Humans , Oral Hygiene , Health Knowledge, Attitudes, Practice , Cross-Sectional Studies , Nursing , Intensive Care Units
Rev. Fundac. Juan Jose Carraro ; 24(44): 26-31, 2021. ilus
Article in Spanish | LILACS | ID: biblio-1223237


Los cepillos interproximales son una herramienta de higiene interdental que tiene variadas indicaciones y múltiples beneficios. Pacientes con enfermedad periodontal, con papilas que no llenan el espacio interdentario, portadores de aparatología ortodóncica, prótesis fija o de implantes entre otros casos, pueden beneficiarse con su utilización. El presente artículo tiene como objetivo dar una orientación de su uso clínico basado en la evidencia científica disponible. Los resultados apoyan su utilización en combinación con el hilo dental para la prevención y tratamiento de las enfermedades bucales más prevalentes, con un efecto marcado sobre el control del biofilm y la inflamación gingival (AU)

Interproximal brushes are an interdental hygiene tool with diverse indications that have, multiple benefits. Among other uses, they are indicated in patients with periodontal disease, with papillae that do not fill the interdental space, patients with orthodontic appliances, fixed prosthesis or implant-supported prosthesis. The aim of this article is provide guidance on their clinical use based on the available evidence. The results support their use in combination with dental floss for preventing and treating the most prevalent oral diseases, with a significant effect on biofilm control and gingival inflammation (AU)

Humans , Oral Hygiene/methods , Dental Devices, Home Care , Periodontal Diseases/prevention & control , Dental Caries/prevention & control , Dental Plaque/prevention & control , Evidence-Based Dentistry , Gingival Diseases/prevention & control
Dental press j. orthod. (Impr.) ; 26(1): e2119248, 2021. tab, graf
Article in English | LILACS, BBO | ID: biblio-1154063


ABSTRACT Objective: The aim of this study was to compare three teaching methods' time and personnel requirements, and their effects on plaque and gingival indices. Methods: This study was a single-blind randomized controlled trial on fixed orthodontic appliance candidates (n = 90), assigned into a control group (n = 30) and two different study groups (n = 30 each). The control group received standard printed educational material and was assisted with verbal information. The study groups either received video-assisted or hands-on training about fixed orthodontic appliance and oral hygiene. The time requirements for all three educational interventions was recorded during the initial visit. The adequacy of oral hygiene was documented through plaque and gingival indices during the initial visit and eighth week of the treatment. The continuous variables were analyzed using 1-way ANOVA. Tukey HSD and Student t-tests were used for post-hoc comparisons (α?#8197;= 0.05). Also, a chi-square test was used for the analysis of categorical variables. Results: Standard education failed to maintain the plaque and gingival indices at the eighth week of the treatment. Although both video-assisted and hands-on training took a considerable amount of time, they served well in preserving both of the indices at the eighth week. The longer the educational intervention was, the better the preservation of the plaque and gingival indices. Conclusion: Educational intervention, either with video-assisted or hands-on programs, provided better results in oral hygiene depending on the time and personnel constraints of the orthodontist.

RESUMO Objetivo: O objetivo do presente estudo foi comparar a duração e os pré-requisitos de equipe de três métodos de orientação ao paciente, e seus efeitos sobre os índices de placa e de sangramento gengival. Métodos: Esse foi um estudo controlado aleatório cego em candidatos (n=90) a tratamento ortodôntico fixo, que foram divididos em um grupo controle (n=30) e dois grupos de estudo (n= 30 cada). O grupo controle recebeu material educacional impresso e foi orientado com informações verbais. Os grupos de estudo receberam treinamento em formato de vídeo ou treinamento hands-on sobre o tratamento com Ortodontia fixa e higiene bucal. O tempo necessário para cada um dos três tipos de treinamento foi registrado durante a visita inicial. A qualidade da higiene bucal foi avaliada por meio dos índices de placa e de sangramento gengival durante a visita inicial e na oitava semana de tratamento. As variáveis contínuas foram analisadas utilizando-se one-way ANOVA. Os testes HSD de Tukey e t de Student foram utilizados para comparações post-hoc (α?#8197;= 0,05), e o teste qui-quadrado foi utilizado para análise das variáveis categóricas. Resultados: O método de ensino convencional fracassou em manter os índices de placa e de sangramento gengival até a oitava semana de tratamento. Apesar de tanto o método de treinamento com vídeos e de treinamento hands-on demandarem um tempo considerável, eles conseguiram manter ambos os índices até a oitava semana. Quanto mais longa a orientação realizada, melhor foi a manutenção dos índices de placa e de sangramento gengival. Conclusão: Tanto o método de treinamento com vídeo quanto no formato hands-on obtiveram melhores resultados de higiene bucal, mas dependem do tempo e das limitações de equipe de cada ortodontista.

Humans , Oral Hygiene , Dental Plaque , Orthodontic Appliances , Single-Blind Method , Periodontal Index , Dental Plaque Index , Dental Plaque/prevention & control
Arq. odontol ; 57: 189-198, jan.-dez. 2021. ilus
Article in Portuguese | LILACS, BBO | ID: biblio-1344707


Objetivo:Analisar a percepção sobre a saúde bucal de idosos durante o período de internamento hospitalar na perspectiva de usuários, acompanhantes hospitalares e técnicos de enfermagem. Métodos: Trata-se de um estudo qualitativo realizado no Hospital Universitário Regional dos Campos Gerais, Ponta Grossa, Paraná, Brasil, entre os anos de 2018 e 2019. A seleção dos participantes foi realizada por meio de análise da Escala de Coma de Glasgow, com o auxílio do prontuário eletrônico do paciente, e da aplicação do Mini Exame do Estado Mental (MEEM) em pacientes e acompanhantes. Indivíduos considerados aptos e que concordaram com a pesquisa foram entrevistados individualmente por dois pesquisadores apoiados por roteiro-guia. As entrevistas foram gravadas e o método de saturação utilizado para o encerramento da coleta de dados. A equipe técnica de enfermagem foi considerada em sua totalidade. Resultados:Foram entrevistados sete pacientes, cinco acompanhantes e quatorze técnicos de enfermagem. Emergiram da análise três categorias: valor atribuído à higiene bucal durante a internação; relação entre higiene bucal deficiente e saúde geral e sugestão de melhoria em saúde bucal durante a internação. Destas categorias, oito subcategorias também foram observadas. Os resultados apontaram percepções comuns e isoladas dos entrevistados, sendo a importância da manutenção de hábitos de higiene bucal durante o período de internação e a existência de desdobramentos negativos da higiene bucal deficiente sobre o bem-estar e a qualidade de vida do paciente, percepções apontadas por todas as categorias. Conclusão:O estudo evidenciou a necessidade de ampliação das ações do cirurgião-dentista nos espaços hospitalares.

Aim: This study sought to analyze the perception of elderly patients' oral health during their hospital stay from the perspective of patients, family members accompanying them, and nursing technicians Methods: This is a qualitative study conducted at the Regional University Hospital of Campos Gerais, Ponta Grossa, Paraná, Brazil, between 2018 and 2019. The selection of participants was performed by analyzing the Glasgow Coma Scale, with the aid of the patient's electronic medical record, and the application of the Mini-Mental State Examination (MMSE) to patients and family members. The technical nursing team was considered in its entirety. Individuals considered fit and who agreed with the terms of the study were interviewed individually by two researchers, following due guidelines. The interviews were recorded, and the saturation method was used to complete the data collection. Results: Seven patients, five family members, and fourteen nursing technicians were interviewed. Three categories emerged from the analysis: value attributed to oral hygiene during hospitalization, relationship between poor oral hygiene and general health, and suggestions for improvement in oral health during hospitalization. Of these categories, eight subcategories were also observed. The results showed common and isolated perceptions of the interviewees, with the importance of maintaining oral hygiene habits during the hospitalization period and the existence of negative consequences of poor oral hygiene on the patient's well-being and quality of life, perceptions pointed out in all categories. Conclusion: This study illustrated the need to expand the actions of dentists within hospital spaces.

Aged , Aged, 80 and over , Oral Hygiene , Oral Health , Dental Care for Aged , Health Promotion , Health Services for the Aged , Hospitalization , Quality of Life
Arq. odontol ; 57: 208-217, jan.-dez. 2021. ilus, tab
Article in Portuguese | LILACS, BBO | ID: biblio-1348090


Objetivo: Avaliar a experiência de cárie dentária e fatores relacionados em adolescentes de 15 a 19 anos de uma escola pública de Manaus-AM. Métodos: O delineamento do estudo foi do tipo transversal, cuja amostra foi constituída por 103 escolares. Para avaliar a cárie dentária foram realizados exames clínicos utilizando o Índice CPO-D (cariados, perdidos, obturados por dente) para avaliar presença de cárie dentária em ficha individual. Também foram aplicados dois questionários referentes aos hábitos de higiene bucal e à percepção da presença de dor dentária nos últimos seis meses e impacto das condições de saúde bucal na vida diária. O Índice Significant Caries Index (SIC) foi utilizado para avaliar a presença da doença cárie dentária em um terço da população com maior CPO-D. Para análise dos dados foram utilizados os programas Microsoft Excel®e Statistical Package for the Social Sciences (SPSS), adotando o nível de significância de 0,05. Para verificar a hipótese de associação entre variáveis foi utilizado o teste Qui-quadrado de Pearson. Resultados: A média do índice CPO-D encontrada foi de 1,2 considerada baixa; sendo o componente cariado (C) o responsável pela maior parte do Índice CPO-D. O Índice SIC foi de 4,4 evidenciando que um terço da amostra apresentava Índice CPO muito superior à média encontrada, mostrando desigualdade na distribuição da doença no grupo estudado. A frequência de escovação por 3 vezes ao dia foi relatada pela maioria dos adolescentes (57,3%). No entanto, sobre a frequência de consulta dos adolescentes ao cirurgião-dentista, constatou-se que 48,6% dos estudantes nunca procuraram atendimento. Houve relação estatisticamente significante entre presença de cárie dentária e irritabilidade causada pelos dentes (p = 0,011) e dificuldade para falar (p = 0,007). Conclusão: Este estudo apontou baixa experiência de cárie dentária, sendo a frequência de escovação por 3 vezes ao dia relatada pela maioria dos adolescentes. Houve relação estatisticamente significante entre presença de cárie dentária e as questões sobre incômodo ao escovar os dentes e dificuldade para falar.

Aim:To evaluate the experience of tooth decay and its associated factors in teenagers ranging from 15 to 19 years of age in a public high school in Manaus, Amazonas, Brazil. Methods: This study used a cross-sectional design, whose sample amount was a total of 103 students. To evaluate tooth decay, clinical exams were performed using the DMF-T index (decayed, missing, and filled teeth) to assess the presence of tooth decay (DMF-T) on an individual data record. Two questionnaires were applied regarding oral hygiene habits, perception of the presence of dental pain in the last six months, and impact of oral health conditions on daily life. The Significant Caries Index (SIC Index) was used to assess the presence of tooth decay disease in one third of the population with the highest DMF-T. For data analysis, the Microsoft Excel® and Statistical Package for the Social Sciences (SPSS) programs were used, adopting a significance level of 0.05. Pearson's chi-square test was used to verify the hypothesis of association between variables. Results:The DMF-T index was 1.2, which is considered low, while the carious component (C) was the most prevalent of the DMF-T Index. The SIC Index was 4.4, showing that one third of the sample had a DMF-T Index that was much higher than the average, revealing an unequal distribution of the disease within the studied group. The frequency of brushing teeth 3 times a day was reported by most teenagers (57.3%). However, regarding the frequency of visits to the dentist, it was found that 48.6% of the students had never sought out dental care. There was a statistically significant relationship between the presence of tooth decay and questions about irritability caused by teeth (p = 0.011) and difficulty in speaking (p = 0.007). Conclusion:This study showed a low experience of tooth decay, with the frequency of brushing 3 times a day reported by most adolescents. There was a statistically significant relationship between the presence of tooth decay and difficulty in speaking.

Adolescent , Oral Hygiene , Toothache , DMF Index , Adolescent , Dental Caries , Cross-Sectional Studies , Surveys and Questionnaires