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1.
Rev. Odontol. Araçatuba (Online) ; 43(1): 31-40, jan.-abr. 2022. ilus
Article in Portuguese | LILACS, BBO | ID: biblio-1361656

ABSTRACT

Introdução: A Doença Periodontal tem caráter multifatorial, já que depende de condições microbiológicas, imunogenéticas e sistêmicas do hospedeiro. Representa inflamação crônica das estruturas de suporte e proteção dental. Desencadeia uma complexa estimulação imunológica, bem como a produção de citocinas inflamatórias, que mediam a destruição óssea e de tecido conjuntivo, provocando perda dental e complicações à distância. A compreensão da etiopatogênese, permitiu os conceitos de modulação, que referem-se às modificações dos aspectos danosos da resposta inflamatória. Objetivo: O presente artigo tem como objetivo realizar uma revisão dos estudos sobre as principais terapêuticas adjuvantes na modulação da resposta imune frente à doença periodontal. Revisão de Literatura: Foi realizada uma revisão da literatura, onde foram selecionados artigos científicos em inglês, publicados entre os anos 2005 a 2020, por meio das bases de dados PubMed e ScienceDirect. No decorrer das buscas, foram utilizadas as palavraschaves "Inflamation", "Periodontal Disease", "Subantimicrobial Dose of Doxycycline", "Periodontal Disease", "Host Response Modulation". Resultados e Conclusão: A literatura é bem promissora em relação à terapia de controle complementar da doença periodontal. Dessa forma, novas pesquisas nessa área podem trazer inúmeros beneficos aos pacientes, sendo, assim, um novo caminho para o contorno da resistência bacteriana(AU)


Introduction: Periodontal disease has a multifactorial character, depending on the host's microbiological, immunogenetic and systemic conditions. It represents chronic inflammation of dental support and protection structures. It triggers a complex immune stimulation, as well as the production of inflammatory cytokines, which mediate bone and connective tissue destruction, causing tooth loss and complications at a distance. The understanding of etiopathogenesis allowed the concepts of modulation, which refers to the modifications of the harmful aspects of the inflammatory response. This article has the escape of conducting a review of studies on the main mechanisms of modulation against periodontal disease. Objective: This article aims to rev iew the studies on the main modulation mechanisms in the face of periodontal disease. Literature Review: A literature review was carried out in which scientific articles were selected in English, published between 2005 and 2020, through the PubMed and ScienceDirect databases. During the searches, the keywords "Inflammation", "Periodontal Disease", "Subantimicrobial Dose of Doxycycline", "Periodontal Disease", "Host Response Modulation". Results and Conclusion: The literature is very promising with complementary control therapy for periodontal disease. Thus, new research in this area can bring countless benefits to patients, thus being a new way to bypass bacterial resistance(AU)


Subject(s)
Periodontal Diseases/therapy , Doxycycline , Periodontal Diseases , Periodontitis , Prostaglandins E , Dinoprostone , Fatty Acids, Omega-3 , Aspirin , Probiotics , Matrix Metalloproteinases , Matrix Metalloproteinase Inhibitors
2.
Braz. dent. sci ; 25(2): 1-8, 2022. tab, ilus
Article in English | LILACS, BBO | ID: biblio-1363026

ABSTRACT

Objetivo: O sucesso da terapia periodontal requer um relacionamento adequado entre o clínico geral e o periodontista. O objetivo deste estudo foi determinar, por meio de um questionário, o padrão de encaminhamento de pacientes por dentistas clínicos gerais a periodontistas em Yazd, Irã. Material e Métodos: Este estudo transversal descritivo foi realizado na forma de uma pesquisa incluindo 145 dentistas licenciados em Yazd. Foi elaborado um questionário composto por sete questões com subquestões. Resultados: 89% dos cirurgiões-dentistas encaminham o paciente ao periodontista. A recessão gengival foi o motivo mais frequente de encaminhamento (69,7%), enquanto o sangramento gengival foi o menos frequente (13,1%). Em termos de procedimentos cirúrgicos, os procedimentos mais frequentes para encaminhamentos foram terapias de periimplantite e aumento de rebordo. O encaminhamento realizado por dentistas do gênero feminino foi de 95,9% e pelo gênero masculino foi de 81,7%. O número de pacientes encaminhados por dentistas que atuavam simultaneamente em clínicas privadas e públicas foi maior do que aqueles que atuavam apenas em clínicas privadas ou públicas. O maior percentual de encaminhamento foi no grupo de cirurgiões-dentistas com menos de 5 anos de experiência, com ligeira diferença daqueles com mais de 10 anos de experiência. Apenas 26,1% dos entrevistados relataram ter participado de programas de reciclagem. Conclusão: É necessário que os dentistas gerais considerem os sinais primários da doença periodontal e encaminhem os pacientes mais graves em estágios iniciais para fornecer um resultado ideal a longo prazo para os pacientes.(AU)


Objective: The successful periodontal therapy needs a proper relationship between general dentist and periodontist. The aim of this study was to determine the referral pattern of patients to periodontists by general dentists in Yazd, Iran, by means of a questionnaire. Material and Methods: This descriptive cross-sectional study was carried out in the form of a survey among 145 licensed general dental practitioners in Yazd, Iran. A questionnaire comprising of seven questions with sub-questions was prepared. Results: 89% of dentists have referred patient to periodontist. Gingival recession was the most frequent reason for referring (69.7%) and the least was gingival bleeding (13.1%). The most frequent surgical procedure for what patients have been referred were peri-implantitis therapy and ridge augmentation. Referral status to periodontist for female dentists was 95.9% and for male dentists was 81.7%. The number of referred patients form the dentists who were practicing simultaneously at both private and public clinics was higher than those who were practicing only at private or public clinics. The most referral percentage was in the group of dentists with less than 5 years of experience with a slight difference from those with more than 10 years of experience. Only 26.1% of the respondents have participated in retraining programs. Conclusion: There is a need for general dentists to consider the primary signs of periodontal disease and necessity of referring the patients in early stages more serious, to provide an optimal long-term outcome for patients. (AU)


Subject(s)
Humans , Periodontal Diseases , Periodontal Index , Dentists , Peri-Implantitis , Alveolar Ridge Augmentation , Gingival Recession
3.
Medisan ; 25(6)2021. tab, graf, ilus
Article in Spanish | LILACS, CUMED | ID: biblio-1356467

ABSTRACT

Introducción: En numerosos estudios realizados en las últimas 3 décadas, se ha tratado de atribuir una relación causal a la enfermedad periodontal en la fisiopatología de la cardiopatía isquémica. Objetivo: Caracterizar el estado periodontal de pacientes con cardiopatía isquémica y algunos factores de riesgo cardiovascular. Métodos: Se realizó un estudio transversal de 50 pacientes, atendidos en la sala de cuidados coronarios del Hospital Provincial Vladimir Ilich Lenin de Holguín, desde septiembre de 2019 hasta enero de 2020. Se evaluó el estado periodontal mediante el Índice Periodontal de Russell simplificado. Se exploraron algunos factores de riesgo de la cardiopatía isquémica y se emplearon métodos teóricos, empíricos, así como la estadística descriptiva. Resultados: En la serie predominó el grupo de 60-69 años de edad (23 para 46,0 %); 56,0 % de los pacientes presentó infarto agudo de miocardio y 62,0 % periodontitis avanzada. Entre los factores de riesgo cardiovascular más frecuentes figuraron: hipertensión arterial (74,0 %) y tabaquismo (70,0 %). Conclusiones: En este estudio se halló, en gran medida, la periodontitis crónica en pacientes con cardiopatía isquémica, lo cual sirve de pauta para la toma de decisiones de médicos y estomatólogos.


Introduction: In numerous studies carried out in the last 3 decades, it has been tried to attribute a causal relationship to the periodontal disease in the pathophysiology of the ischemic heart disease. Objective: To characterize the periodontal state of patients with ischemic heart disease and some cardiovascular risk factors. Methods: A cross-sectional study of 50 patients, assisted in the Coronary Cares Service of Vladimir Ilich Lenin Provincial Hospital in Holguín, was carried out from September, 2019 to January, 2020. The periodontal state was evaluated by means of the Russell Periodontal Index simplified. Some risk factors of the ischemic heart disease were explored and theoretical, empiric methods were used, as well as the descriptive statistic. Results: In the series there was a prevalence of the 60-69 age group (23 for 46 %); 56.0 % of the patients presented acute myocardial infarction and 62.0 % presented advanced periodontitis. Among the most frequent cardiovascular risk factors we can mention: hypertension (74.0 %) and nicotine addiction (70.0 %). Conclusions: In this study it was found, in great measure, the chronic periodontitis in patients with ischemic heart disease, which serves as rule for the decisions making of doctors and dentists.


Subject(s)
Periodontal Diseases , Myocardial Ischemia , Periodontitis , Risk Factors , Angina, Unstable , Myocardial Infarction
4.
Hematol., Transfus. Cell Ther. (Impr.) ; 43(4): 453-458, Oct.-Dec. 2021. tab
Article in English | LILACS | ID: biblio-1350808

ABSTRACT

ABSTRACT Introduction: Fanconi anemia (FA) is a rare genetic disease characterized by congenital malformations and bone marrow failure. One of the most common oral diseases in individuals with FA is periodontitis and adequate self-perception of periodontal status could contribute to its prevention and early detection. Aim: To compare oral health self-perception, measured by a questionnaire, with the clinical oral condition of patients with FA. Methods and Results: Fifty-six patients with FA, over 11 years of age, answered a questionnaire about dental history and self-reported oral health. Decayed, missing, and filled teeth (DMFT), Visible Plaque Index (VPI) and Gingival Bleeding Index (GBI) were measured. The median age of participants was 21 years (min 11, max 44), 31 (55%) were females and 25 (45%) males. Thirty-five (62.5%) participants rated their oral condition as satisfactory and 7 (12.5%) participants reported tooth mobility, 10 (17.9%) exposed roots and 21 (37.5%) gingival bleeding. Clinical examination detected average DMFT = 5.23, VPI = 31.36% and GBI = 33.77%. The gingival bleeding report was more frequent among individuals with higher GBI (p = 0.014). The DMFT was higher in those who had already undergone dental treatments (p = 0.031). There was an association between participants who presented dental caries and who rated their oral health as poor (p = 0.03). The question "Do your gums bleed easily?" had good accuracy in the evaluation of periodontal disease (p = 0.68). Conclusion: Oral health self-perception of individuals with FA about gingival inflammation was associated with their gingival bleeding index.


Subject(s)
Humans , Male , Female , Child , Adolescent , Adult , Fanconi Anemia , Periodontal Diseases , Self Report
5.
Rev. ADM ; 78(5): 251-257, sept.-oct. 2021. ilus, tab
Article in Spanish | LILACS | ID: biblio-1344244

ABSTRACT

asistencia ventilatoria cuando la vía aérea y la consciencia están comprometidas. Los elementos utilizados en este procedimiento se encuentran en contacto directo con estructuras dentofaciales, causando diversos tipos de lesiones, principalmente bucales. Aunque existen cuidados clínicos durante procesos de intubación, hay poca información, particularmente de la zona norte del país donde se hayan evaluado las posibles asociaciones entre los motivos de consulta más frecuentes y las diversas características, tanto clínicas como no clínicas de pacientes que han sido intubados. Objetivo: Identificar las alteraciones bucodentales más frecuentes en pacientes intubados, así como explorar las posibles asociaciones de acuerdo con los motivos de intubación más frecuentes. Material y métodos: Se realizó un estudio observacional, transversal y comparativo en el cual se evaluaron alteraciones bucodentales y sistémicas de pacientes intubados. Los grupos de estudio se desarrollaron de acuerdo con el motivo de intubación y la determinación de las asociaciones fue con cada una de las alteraciones bucodentales y sistémicas. Resultados: El motivo de intubación más frecuente fue el evento cerebral vascular (EVC) y las alteraciones dentofaciales más prevalentes fueron caries, lengua saburral y cálculo dental, entre otras. Además, se encontraron diferencias significativas entre pacientes con EVC, mostrando una mayor frecuencia en tabaquismo, hipertensión arterial y diabetes mellitus, así como en la presencia de gingivitis y úlceras. Pacientes con traumatismo craneoencefálico (TCE) tuvieron mayor frecuencia en la presencia de periodontitis. Conclusión: El motivo de hospitalización y las condiciones sistémicas preexistentes pueden ser un factor de riesgo para desarrollar lesiones bucales específicas antes y durante el periodo de intubación (AU)


Introduction: Intubation is a procedure that allows ventilatory assistance when the airway and consciousness are compromised. The elements used in this procedure are in direct contact with dentofacial structures causing various types of injuries, mainly oral. Although there is clinical care during intubation processes, there is little information, particularly from the northern part of the country where the possible associations between the most frequent reasons for consultation and the various clinical and non-clinical characteristics of patients who have been intubated have been evaluated. Objective: The objectives of the present study were to identify the most frequent oral alterations in intubated patients, as well as to explore possible associations according to the most frequent reasons for intubation. Material and methods: An observational, cross-sectional and comparative study was carried out in which oral and systemic alterations of intubated patients were evaluated. The study groups were formed according to the reason for intubation and the association was determined with each of the oral and systemic disorders. Results: The most frequent reason for intubation was the vascular cerebral event (CVA) and the most prevalent dentofacial alterations were caries, coated tongue, and dental calculus, among others. In addition, significant differences were found between patients with CVA, showing a higher frequency in smoking, hypertension, and diabetes mellitus, as well as in the presence of gingivitis and ulcers. Patients with traumatic brain injury (TBI) had a higher frequency in the presence of periodontitis. Conclusion: The reason for hospitalization and pre-existing systemic conditions can be a risk factor for developing specific oral lesions before and during the intubation period (AU)


Subject(s)
Humans , Male , Female , Adolescent , Adult , Middle Aged , Hospitalization , Intubation, Intratracheal/adverse effects , Mouth Mucosa/injuries , Periodontal Diseases/etiology , Tooth Diseases , Cross-Sectional Studies , Statistical Analysis , Risk Factors , Stroke , Diabetes Mellitus , Observational Study , Brain Contusion , Hypertension , Mexico
6.
Rev. ADM ; 78(5): 264-269, sept.-oct. 2021. tab, graf
Article in Spanish | LILACS | ID: biblio-1348067

ABSTRACT

Introducción: La mucina salival (Ms) modula otras proteínas salivales que participan en múltiples funciones fisiológicas de la cavidad oral. Los niveles de Ms pueden proporcionar información sobre el estado de inflamación de los tejidos periodontales. Por tanto, el objetivo del presente estudio fue evaluar los niveles Ms en pacientes obesos y no obesos, antes y después del tratamiento periodontal. Material y métodos: Un total de 60 pacientes fueron distribuidos en seis grupos, de acuerdo al índice de masa corporal (IMC) y la gravedad de la enfermedad periodontal (EP). Valores del IMC superiores a 27 correspondían a obesidad. La EP en el momento del diagnóstico se designó como leve, moderada o severa. Se recolectaron muestras de saliva completa, antes (MU-A) y después (MU-D) del tratamiento periodontal. Se evaluaron los niveles de Ms utilizando el método de Azul Alcian. Los resultados se analizaron con el Software InfoStat, mediante estadística descriptiva e inferencial. Resultados: Los valores de MU-A fueron superiores a los contenidos de MU-D (p < 0.0001). Las variaciones entre los pacientes no obesos y obesos fueron mínimas. A medida que aumentó el nivel de la EP, las variables MU-A y MU-D mostraron una disminución progresiva (p = 0.0032). Conclusiones: El nivel de Ms fue mayor en la saliva de los pacientes con EP no tratada. Ms se puede utilizar como marcador inflamatorio para la detección de EP (AU)


Introduction: Salivary mucin (sM) modulates other salivary proteins that participate in multiple physiological functions of the oral cavity. sM levels can provide information on the state of inflammation of the periodontium. Therefore, the objective of the present study was to evaluate sM levels in obese and non-obese patients, before and after periodontal treatment. Material and methods: A total of 60 patients were distributed into six groups, according to the body mass index (BMI) and the severity of the periodontal disease (PD). BMI values higher than 27 corresponded to obesity. PD at the time of diagnosis was designated as mild, moderate, or severe. Complete saliva samples were collected before (MU-B) and after (MU-A) the periodontal treatment. sM levels were evaluated using the Alcian Blue method. The results were analyzed with the InfoStat Software, using descriptive and inferential statistics. Results: MU-B values were higher than MU-A contents (p < 0.0001). Variations between non-obese and obese patients were minimal. As the level of PD increased, the variables MU-A and MU-D showed a progressive decrease (p = 0.0032). Conclusions: The level of sM was higher in the saliva of patients with untreated PD. sM can be used as an inflammatory marker for the detection of PD (AU)


Subject(s)
Humans , Male , Female , Adult , Middle Aged , Periodontal Diseases , Saliva , Mucins/analysis , Obesity/complications , Argentina , Schools, Dental , Biomarkers , Epidemiology, Descriptive , Statistical Analysis , Alcian Blue , Controlled Before-After Studies
7.
Rev. cuba. estomatol ; 58(3): e3052, 2021. graf
Article in Spanish | LILACS, CUMED | ID: biblio-1347436

ABSTRACT

Introducción: La enfermedad periodontal es un padecimiento inflamatorio, infeccioso y multifactorial crónico, caracterizado por la inflamación de los tejidos blandos periodontales. En estadios avanzados (periodontitis), produce la destrucción progresiva de los tejidos duros periodontales, lo que conduce a la posterior pérdida de dientes, si esta no es tratada. Objetivo: Determinar la efectividad clínica y radiográfica de las estatinas en el tratamiento de la periodontitis. Métodos: Se realizó una búsqueda de la literatura hasta abril del 2019, en las bases de datos biomé dicas: PubMed, Embase, SciELO, Science Direct, Scopus, Sistema de información sobre literatura gris en Europa, Literatura Latinoamericana y del Caribe en Ciencias de la Salud, Google Académico y el Registro Central de Ensayos Clínicos Cochrane. Se definieron como criterios de selección de los estudios que fueran ensayos clínicos aleatorizados, con una antigüedad máxima de cinco años y que reportaran los efectos clínicos y radiográficos (profundidad al sondaje, nivel de inserción clínica, índice de placa, índice de sangrado, índice gingival, defecto intraóseo y profundidad del defecto) de las estatinas en el tratamiento de la periodontitis. Se analizó el riesgo de sesgo de los estudios por el Manual Cochrane de revisiones sistemáticas de intervenciones. Resultados: La estrategia de búsqueda arrojó 19 artículos, de los cuales el 100 por ciento reportó que había diferencia en la profundidad al sondaje, nivel de inserción clínica, índice de placa, índice de sangrado, índice gingival, defecto intraóseo y profundidad del defecto de las estatinas en el tratamiento de la periodontitis. Conclusiones: La literatura revisada sugiere que el uso de estatinas es efectivo, clínica y radiográficamente, en el tratamiento de la periodontitis(AU)


Introduction: Periodontal disease is a chronic multifactorial infectious inflammatory condition characterized by inflammation of soft periodontal tissue. In advanced stages (periodontitis) it causes progressive destruction of hard periodontal tissue, leading to eventual tooth loss if not treated. Objective: Determine the clinical and radiographic effectiveness of statins in the treatment of periodontitis. Methods: A search was carried out in the literature published until April 2019 in the biomedical databases PubMed, Embase, SciELO, Science Direct, Scopus, System for Information on Gray Literature in Europe, Latin American and Caribbean Health Sciences Literature, Google Scholar, and Cochrane Central Register of Clinical Trials. The following selection criteria were defined for the studies: randomized clinical trials published in the last five years and reporting on clinical and radiographic effects (probing depth, clinical insertion level, plaque index, bleeding index, gingival index, intraosseous defect and defect depth) of statins in the treatment of periodontitis. Bias risk analysis was based on the Cochrane manual of systematic reviews of interventions. Results: A total 19 papers were retrieved, of which 100 percent reported differences in the probing depth, clinical insertion level, plaque index, bleeding index, gingival index, intraosseous defect and defect depth of statins in the treatment of periodontitis. Conclusions: The literature review conducted suggests that the use of statins is clinically and radiographically effective in the treatment of periodontitis(AU)


Subject(s)
Humans , Periodontal Diseases/etiology , Periodontitis/diagnostic imaging , Information Systems , Treatment Outcome , Hydroxymethylglutaryl-CoA Reductase Inhibitors/therapeutic use , Review Literature as Topic , Databases, Bibliographic
8.
Rev. ADM ; 78(4): 221-228, jul.-ago. 2021. ilus
Article in Spanish | LILACS | ID: biblio-1293110

ABSTRACT

La diabetes mellitus es una de las enfermedades sistémicas con mayor prevalencia en la población mundial. Este padecimiento representa uno de los factores de riesgo más importantes asociados con la enfermedad periodontal. El paciente con enfermedades crónicas como la diabetes necesita una disciplina convencida diaria y prolongada a través del tiempo (años) como única manera de reducir el impacto sistémico que deteriora la calidad de vida. Cuando se adhiere al tratamiento es posible observarlo en su condición estomatológica; sin embargo, cuando no se logra, se genera un deterioro en las condiciones bucales, principalmente enfermedad periodontal. En este artículo se presentan dos casos clínicos en los cuales se puede observar la mejoría de las condiciones bucales una vez que el paciente decide adherirse a su tratamiento. En el primero se aprecian las manifestaciones de manera notoria de un desapego en años posteriores. Se debe tener en cuenta que la adhesión al tratamiento no sólo depende de factores concernientes al paciente, también intervienen factores asociados al medio ambiente, situación económica, interacción médico-paciente, entre otros, por lo que resulta importante incentivar continuamente y acompañar al paciente en su tratamiento, así como conocer y entender la problemática de una enfermedad sistémica (AU)


Diabetes mellitus is one of the most prevalent systemic diseases in the world population. This condition represents one of the most important risk factors associated with periodontal disease. The patient with chronic diseases such as diabetes needs a daily and prolonged convinced discipline over time (years), as the only way to reduce the systemic impact, which deteriorates the quality of his life: when he has adherence to treatment it is possible to observe it in his stomatological condition, however when it is not achieved, a deterioration in the oral conditions is generated, mainly periodontal disease. This article presents two clinical cases where the improvement of oral conditions can be observed once the patient decides to adhere to their treatment. In the first one, the manifestations of a detachment in later years are noticeable. It should be taken into account that adherence to treatment does not only depend on factors concerning the patient. Also involved are factors associated with the environment, economic situation, doctorpatient interaction, among others, so it is important to continually encourage and accompany the patient in their treatment, as well as to know and understand the problem of a systemic disease (AU)


Subject(s)
Humans , Male , Female , Adult , Periodontal Diseases , Diabetes Mellitus , Treatment Adherence and Compliance , Patient Care Planning , Health Education, Dental , Chronic Disease , Risk Factors , Treatment Refusal , Health Services Needs and Demand , Mexico
9.
Rev. cuba. endocrinol ; 32(2): e281, 2021.
Article in Spanish | LILACS, CUMED | ID: biblio-1347403

ABSTRACT

Introducción: La asociación entre la diabetes mellitus y las periodontopatías se ha reportado en numerosos estudios. Se acepta que la interrelación entre ambas es bidireccional. Un alto porcentaje de los estudios epidemiológicos, así como de los estudios en animales de experimentación, sugieren que la presencia de una condición tiende a aumentar el riesgo y la severidad de la otra. Objetivo: Consolidar núcleos teóricos y evidencias clínicas que esclarezcan la relación entre la enfermedad periodontal inmunoinflamatoria crónica y el descontrol metabólico del paciente diabético. Métodos: Se realizó una revisión de la literatura disponible a través de la búsqueda automatizada en las bases de datos: PubMed, Scielo y Google Académico, en el período de enero - junio de 2020. La estrategia de búsqueda se realizó a nivel de título, resumen y palabras clave de los artículos, con el uso de conectores lógicos. Se evaluaron artículos de revisión, de investigación, metaanálisis, de autores cubanos e internacionales que hicieran referencia específicamente al tema de estudio a través del título. Resultados: Fueron seleccionados 29 textos científicos, escritos en idioma español e inglés, publicados entre el año 2005 y el 2019, de los cuales 27 eran artículos científicos de revistas y 2 libros de texto. Conclusiones: La mayor parte de las publicaciones revisadas sobre el tema, avalan la relación entre enfermedad periodontal y descontrol metabólico diabético, basados en estudios clínicos y hemoquímicos. Existen investigadores que sugieren continuidad de estudios para perfeccionar metodologías, esclarecer teorías y sobredimensionamiento de la asociación. La valoración de las periodontopatías, como factor de riesgo para el descontrol metabólico del diabético, debe pasar de una interrogante a una estrategia promocional, preventiva y terapéutica(AU)


Introduction: The association between Diabetes Mellitus and periodontopathies has been reported in numerous studies. It is accepted that the interrelation between the two is bidirectional. A high percentage of epidemiological studies, as well as studies in experimental animals, suggest that the presence of one condition tends to increase the risk and severity of the other. Objective: Consolidate theoretical nuclei and clinical evidence that clarify the relationship between chronic immune-mediated inflammatory periodontal disease and the metabolic decontrol of the diabetic patient. Methods: A review of the available literature was performed through the automated search in the following databases: PubMed, Scielo and Google Scholar, in the period January-June 2020. The search strategy was carried out through the title, abstract and keywords levels of the articles, with the use of logic connectors. Review, research and meta-analysis articles and by Cuban and international authors ones were assessed and that make specific reference to the studied topic through the title. Results: 29 scientific texts were selected; those were written in Spanish and English, published between 2005 and 2019, of which 27 were articles from a scientific journal and 2 were textbooks. Conclusions: Most of the publications reviewed on the subject endorse the relation between periodontal disease and diabetic metabolic decontrol, based on clinical and hemochemical studies. There are researchers who suggest continuity of studies to improve methodologies, clarify theories and oversize the association. The evaluation of periodontopathies as a risk factor for the metabolic decontrol of the diabetic must go from a question to a promotional, preventive and therapeutic strategy(AU)


Subject(s)
Humans , Periodicals as Topic , Periodontal Diseases/epidemiology , Risk Factors , Diabetes Mellitus/etiology , Review Literature as Topic , Epidemiologic Studies , Databases, Bibliographic
10.
Rev. cuba. estomatol ; 58(2): e3069, 2021. tab
Article in Spanish | LILACS, CUMED | ID: biblio-1289397

ABSTRACT

Introducción: La caries dental y la enfermedad periodontal son las enfermedades bucodentales más prevalentes, con una tendencia al aumento de las maloclusiones. Se considera la promoción de salud como un proceso educativo a través del cual la comunidad logra ejercer control de su salud. Objetivo: Identificar las necesidades educativas sobre salud bucodental en el grado prescolar, en Sagua la Grande, Villa Clara, durante el curso escolar 2017-2018. Método: Investigación descriptiva transversal en Sagua la Grande, durante el curso 2017-2018. La población quedó constituida por 326 niños, 24 docentes y 326 familias. La variable estudiada fue necesidades educativas sobre salud bucodental en el grado preescolar. Resultados: Se evidenció que no se realizan acciones educativas sobre salud bucodental. No existen proyectos ni un programa de capacitación sobre salud bucodental para los docentes que la sustente. No es concebida la salud bucal dentro del sistema de trabajo metodológico del sector. No se analizan contenidos de salud bucodental en consejos de dirección y preparaciones metodológicas Los docentes realizan escasas acciones educativas sobre salud bucodental. El nivel de conocimientos sobre salud bucodental fue evaluado de mal en los niños (74,23 por ciento), en docentes (41,67 por ciento) y familias (47,24 por ciento). Conclusiones: Se evidenció que no se realizan acciones educativas sobre salud bucodental y predominó el nivel de conocimientos sobre salud bucodental evaluado de mal en niños, docentes y familias(AU)


Introduction: Dental caries and periodontal disease are the most prevalent oral conditions, with a tendency to an increase in malocclusions. Health promotion is considered to be an educational process by which the community gains control of their health. Objective: Identify the educational needs related to oral health in the preschool grade. Method: A descriptive cross-sectional study was conducted in Sagua la Grande during the school year 2017-2018. The study population was 326 children, 24 teachers and 326 families. The variable analyzed was educational needs related to oral health in the preschool grade. Results: It was found that educational actions related to oral health are not performed, nor is there an oral health training program for teachers or projects supporting it. Oral health is not included in the system of methodological work for the sector. Oral health contents are not discussed in management meetings or methodological preparation sessions. Teachers conduct a scant number of oral health educational actions. Knowledge about oral health was evaluated as poor in 74.23 percent of the children, 41.67 percent of the teachers and 47.24 percent of the families. Conclusions: It was found that oral health educational actions are not performed and knowledge about oral health is poor among children, teachers and families(AU)


Subject(s)
Humans , Child, Preschool , Periodontal Diseases/epidemiology , Health Education, Dental/methods , Dental Caries/epidemiology , Malocclusion/etiology , Health Promotion/methods
11.
Medicentro (Villa Clara) ; 25(2): 291-296,
Article in Spanish | LILACS | ID: biblio-1279421

ABSTRACT

RESUMEN Los estudios poblacionales muestran que la gingivitis es frecuente en la niñez; esta afección es más prevalente en la adolescencia y tiende a estabilizarse en edades más avanzadas. Se realizó un estudio descriptivo de corte epidemiológico transversal, en una población de 313 escolares, comprendidos en las edades de 5 a 12 años, pertenecientes al internado «Marta Abreu de Estévez¼, de la ciudad de Santa Clara, de septiembre de 2017 a junio de 2018, para caracterizar su estado periodontal. Prevaleció la gingivitis leve y se estableció la relación ascendente entre higiene bucal y gravedad de la enfermedad periodontal.


ABSTRACT Population studies show that gingivitis is common in childhood; this condition is more prevalent in adolescence and tends to stabilize at older ages. A descriptive, cross-sectional and epidemiological study was carried out in a population of 313 school children aged 5 to 12 years, belonging to "Marta Abreu de Estévez" boarding school, in Santa Clara city, from September 2017 to June of 2018, in order to characterize their periodontal status. Mild gingivitis prevailed and an ascending relationship between oral hygiene and severity of periodontal disease was established.


Subject(s)
Oral Hygiene , Periodontal Diseases , Gingivitis
12.
Rev. Ciênc. Plur ; 7(2): 239-252, maio 2021. ilus, tab
Article in Portuguese | LILACS, BBO | ID: biblio-1284554

ABSTRACT

Introdução:O consumo de drogas pode promover consequências para o organismo, sobretudo a cavidade bucal. Objetivo:Verificar quais são as substâncias psicoativas mais utilizadas e suasmanifestações na cavidade bucal. Metodologia:Trata-se de uma revisão integrativa, realizadana base de dados Medical Publications (PubMed) com os descritores "Transtornos Relacionados ao Uso de Substâncias (Substance-Related Disor-ders)" e "Odontologia (Dentistry)" com o operador booleano "And".Foram seleciona-dos artigos primeiramente por meio de leituras exploratórias dos seus títulos e resumos, seguida da leitura dos artigos na íntegra, levando em consideração os critérios de inclusão, que consistiam em textos completos, publicados nos idiomas Português e Inglês, do tipo estudo transversal indexados na base de dados referida, no período de 2015 a 2020 e que associassem o uso das substâncias psicoativas com as manifestaçõesna cavidade bucal, e os critérios de exclusão, que foram artigos de opinião, relatos de caso, revisões de literatura e os estudos que não abordassem sobre a temática da pesquisa. Resultados:A amostra foi composta por 5 artigos seleciona-dos, em que 4 deles realizaram a pesquisa com homens e mulheres e apenas 1 com homens, em ambos os trabalhos a idade dos participantes foram superiores a 18 anos e as substâncias psicoativas analisadasvariaram entre ópio, crack, cocaína, heroína, maconha, álcool e tabaco. Como consequência ao uso dessas substânciasa perda den-tária, presença de cárie dentária e doença periodontal foram as principais manifesta-çõesbucais. Conclusões:O consumo de substâncias psicoativas aumenta o limiar de dor, podendo mascarar a sintomatologia dolorosa das manifestações bucais e postergar a busca por tratamento odontológico, agravando, por vezes, a condição bucal do indivíduo. Sendo portanto, de extrema importância o conhecimento e atuação do cirurgião dentista frente ao usuário de drogas, desde a prevenção, diagnóstico etratamento do caso (AU).


Introduction:Drug use can have consequences for the body, especially the oral cavity.Objective:To investigate the most used psychoactive substances and their manifesta-tions in the oral cavity. Methodology:This is an integrative review, carried out in the Medical Publications database (PubMed) with the descriptors "Substance-Related Dis-orders (Substance-Related Disorders)" and "Dentistry (Dentistry)" with the Boolean operator "And". Articles were selected first through exploratory readings of their titles and abstracts, followed by reading the articles in full, taking into account the inclusion criteria, which consisted of full texts, published in Portuguese and English, of the cross-sectional type indexed in the referred database, in the period from 2015 to 2020 and that associated the use of psychoactive substances with the manifestations in the oral cavity, and the exclusion criteria, which were opinion articles, case reports, litera-ture reviews and studies that did not address the research theme.Results:The sample consisted of 5 selected articles, of which 4 of them researched with men and women and only 1 with men. In both studies, the participants' age was over 18 years, and the psychoactive substances analyzed varied between opium, crack, cocaine, heroin, ma-rijuana, alcohol, and tobacco. As a consequence of using these substances, tooth loss, dental caries, and periodontaldisease were the main oral manifestations.Conclusions:The consumption of psychoactive substances increases the pain threshold, masks the painful symptoms of oral manifestations and postpones the search for dental treat-ment, sometimes worsening the individual's oral condition. Therefore, the knowledge and performance of the dental surgeon concerning the drug user is essential, from pre-vention, diagnosis, and treatment of the case (AU).


Introducción:El consumo de drogas puede tener consecuencias en el organismo, es-pecialmente en la cavidad oral.Objetivo:Investigar las sustancias psicoactivas más utilizadas y sus manifestaciones en la cavidad oral.Metodología: Revisión integra-dora, realizada en la base de datos de publicaciones médicas (PubMed) con los des-criptores "Substance-Related Disorders (Trastornos relacionados con sustancias)" y "Dentistry (Odontología)" con el operador booleano "And". Los artículos fueron selec-cionados primero a través de la lectura exploratoria de sus títulos y resúmenes, se-guida de la lectura de los artículos en su totalidad, teniendo en cuenta los criterios de inclusión, que consistieron en textos completos, publicados en portugués e inglés, de tipo transversal indexados en la referida base de datos, en el período de 2015 a 2020 y que asociaran el uso de sustancias psicoactivas con las manifestaciones en la cavidad oral, y los criterios de exclusión, que fueron los artículos de opinión, los informes de casos, las revisiones bibliográficas y los estudios que no abordaron el tema de investi-gación. Resultados:Consistió en 5 artículos seleccionados, de los cuales 4 investigaron con hombres y mujeres y sólo 1 con hombres. En ambos estudios, la edad de los parti-cipantes era superior a 18 años y las sustancias psicoactivas analizadas variaban entre opio, crack, cocaína, heroína, marihuana, alcohol y tabaco. Como consecuencia del consumo de estas sustancias, la pérdida de dientes, la caries dental y la enfermedad periodontal fueron las principales manifestaciones orales.Conclusiones: El consumo de sustancias psicoactivas aumenta el umbral del dolor, enmascara los síntomas dolo-rosos de las manifestaciones orales y pospone la búsqueda de tratamiento odontoló-gico, empeorando en ocasiones la condición oral del individuo. Por lo tanto, el conoci-miento y la actuación del cirujano dentista en relación con el consumidor de drogas es esencial, desde la prevención, el diagnóstico y el tratamiento del caso (AU).


Subject(s)
Oral Manifestations , Periodontal Diseases , Oral Health/education , Substance-Related Disorders/pathology , Brazil/epidemiology , Epidemiology, Descriptive , Qualitative Research , Dentistry
13.
Odontol. Clín.-Cient ; 20(1): 30-38, jan.-mar. 2021. ilus, tab
Article in Portuguese | LILACS, BBO | ID: biblio-1368418

ABSTRACT

A relação entre as condições de saúde sistêmica e doença periodontal é bidirecional, na qual a manutenção de uma auxilia no controle da outra. O diabetes é uma dessas condições, que pode aumentar a gravidade e extensão da doença periodontal, e em contramão, a infecção periodontal pode agravar o controle glicêmico. Objetiva-se avaliar o nível de conhecimento dos profissionais atuantes na Equipe de Saúde da Família (ESF), em Arcoverde/PE, em relação à doença periodontal e o Diabetes Mellitus. O estudo é de caráter quantitativo, exploratório e transversal, no qual foi aplicado um questionário adaptado da literatura com 18 perguntas prevalentemente objetivas a 38 profissionais de saúde (médicos, enfermeiros e cirurgiões dentistas) atuantes em 13 Unidades Básicas de Saúde. Constatou-se que a maioria dos profissionais participantes apresentam bom nível de conhecimento acerca dos principais exames laboratoriais empregados para o diagnóstico do diabetes. Entretanto, no que se refere à influência que o tratamento periodontal básico oferece sobre o controle glicêmico dos pacientes diabéticos descompensados, 50% dos médicos, 62% dos enfermeiros e 31% dos dentistas não conheciam tal mecanismo. Pode-se afirmar que o conhecimento sobre a relação Diabetes mellitus e doença periodontal ainda é escasso entre expressiva parte dos profissionais... (AU)


The relationship between the conditions of systemic health and periodontal disease is two-way, in which the maintenance of one helps in the control of the other. Diabetes is one such condition, which can increase the severity and extension of periodontal disease, and on the other hand, periodontal infection may aggravate glycemic control. The aim is to evaluate the knowledge of the professionals working in the "Family Health Strategy's", in Arcoverde/PE, in relation to periodontal disease and Diabetes Mellitus. Quantitative, exploratory and cross-sectional study, in which a questionnaire adapted from the literature was applied with 18 predominantly objective questions to 38 health professionals (doctors, nurses and dentists) working in 13 Basic Health Units. it was verified that the majority of the participants present a good level of knowledge about the main laboratory tests used for the diagnosis of diabetes. However, regarding the influence that basic periodontal treatment has on glycemic control of patients decompensated diabetics, 50% of doctors, 62% of nurses and 31% of dentists did not know such mechanism. It can be affirmed that the knowledge about the relation diabetes and periodontal disease is still scarce among expressive part of the professional... (AU)


Subject(s)
Humans , Male , Female , Periodontal Diseases , Health Knowledge, Attitudes, Practice , Health Status , Family Health Strategy , Diabetes Mellitus
14.
Rev. Asoc. Odontol. Argent ; 109(1): 1-2, ene.-abr. 2021.
Article in Spanish | LILACS | ID: biblio-1255149

ABSTRACT

En esta ocasión, se convocó al Prof. Mariano Sanz, coau- tor del artículo recientemente publicado acerca de la relación entre periodontitis y el mayor riesgo de padecer complicacio- nes de COVID-19, a fin de que comparta su mirada sobre este relevante hallazgo (AU)


On this occasion, Prof. Mariano Sanz, co-author of the recently published article on the relationship between peri- odontitis and the increased risk of suffering complications from COVID-19, was invited to share his views on this rel- evant finding (AU)


Subject(s)
Humans , Periodontitis , COVID-19/complications , Periodontal Diseases , Risk Factors , Dental Care/standards
15.
Medisan ; 25(2)mar.-abr. 2021. tab, graf
Article in Spanish | LILACS, CUMED | ID: biblio-1250340

ABSTRACT

Introducción: El uso de plasma rico en plaquetas para la regeneración de defectos óseos periodontales constituye una terapéutica eficaz. Objetivo: Identificar la evolución de pacientes con lesiones endoperiodontales tratados con plasma rico en plaquetas. Métodos: Se realizó un estudio observacional, descriptivo y longitudinal de 11 adultos con enfermedad endoperiodontal y tratamiento endodóntico finalizado, atendidos en la consulta de Periodoncia y Medicina Regenerativa del Hospital General Docente Dr. Juan Bruno Zayas Alfonso de Santiago de Cuba, desde febrero del 2018 hasta diciembre del 2019, quienes requerían intervención quirúrgica periodontal y cumplían los criterios para recibir plasma rico en plaquetas. A tal efecto, se analizaron variables sociodemográficas, clínicas, radiográficas y de respuesta terapéutica, las que fueron expresadas estadísticamente por medio de frecuencias absolutas y relativas y de la media aritmética. Resultados: En la serie resultaron más frecuentes, antes de la terapia, el sangrado al sondaje (81,8 %), las características alteradas de las encías (72,7 %), la movilidad dentaria (72,7 %) y las bolsas periodontales de 7 a 9 milímetros, con pérdida ósea en el tercio apical (63,6 %); todo lo cual se revirtió a menores porcentajes luego de 6 meses de tratamiento. Conclusiones: La evolución de los pacientes afectados por lesiones periodontales fue satisfactoria con el empleo del plasma rico en plaquetas, lo que se evidenció clínica y radiográficamente.


Introduction: The use of platelets rich-plasm for the regeneration of periodontal bony defects constitutes an effective therapy. Objective: To identify the clinical course of patients with endoperiodontal lesions treated with platelets rich-plasm. Methods: An observational, descriptive and longitudinal study of 11 adults with endoperiodontal disease and concluded endodontics treatment was carried out. They were assisted in the Periodontics and Regenerative Medicine Service of Dr. Juan Bruno Zayas Alfonso Teaching General Hospital in Santiago de Cuba, from February, 2018 to December, 2019; who required periodontal surgical intervention and fulfilled the approaches to receive platelets rich-plasm. To such an effect, sociodemographic, clinical, radiographic and of therapeutic response variables were analyzed, which were statistically expressed by means of absolute and relative frequencies and of mean arithmetic. Results: In the series, bleeding on probing (81.8 %), altered characteristics of the gums (72.7 %), dental mobility (72.7 %) and 7 to 9 millimeters periodontal bags, with bony loss in the third apical (63.6 %) were more frequent before therapy; all of which was reverted to lower percentages after 6 months of treatment. Conclusions: The clinical course of the patients affected by periodontal lesions was satisfactory with the use of platelets rich-plasm, which was clinical and radiographically evidenced.


Subject(s)
Periodontal Diseases/therapy , Bone Regeneration , Platelet-Rich Plasma , Periodontics , Adult , Endodontics , Prolotherapy
17.
Rev. cient. odontol ; 9(1): e044, ene.-mar. 2021. tab, graf
Article in Spanish | LIPECS, LILACS, LIPECS | ID: biblio-1254248

ABSTRACT

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.


Subject(s)
Humans , Male , Female , Child , Oral Hygiene , Periodontal Diseases , Toothbrushing , Epidemiology, Descriptive , Retrospective Studies , Ecuador
18.
Rev. ADM ; 78(1): 22-27, ene.-feb- 2021. ilus, tab
Article in Spanish | LILACS | ID: biblio-1177078

ABSTRACT

Introducción: La periodontitis es una enfermedad infecciosa que afecta a los tejidos de sostén de los dientes, su prevalencia se estima entre el 35 y 45% de la población adulta. Las enfermedades cardiovasculares tienen relación directa con la periodontitis crónica, las bacterias periodontales pueden pasar la barrera epitelial de los tejidos periodontales y lograr la propagación sistémica a través de los vasos sanguíneos, causando la inflamación del endocardio. Objetivo: Determinar prevalencia de enfermedad periodontal como factor de riesgo cardiovascular en adultos de 25 a 60 años en Nacajuca, Tabasco. Material y métodos: Se realizó un estudió observacional, prospectivo, transversal y analítico, con muestra de 40 participantes entre 25 y 60 años, el 52% (21) son hombres y el 49% (19) mujeres, se empleó el sistema no probabilístico por conveniencia. Las variables fueron edad, género, grado de conocimiento sobre enfermedad periodontal, nivel de alimentación, grado de tabaquismo, grado de higiene bucal y grado de periodontitis. Resultado: La prevalencia de enfermedad periodontal como factor de riesgo cardiovascular es 48% (19 personas) con periodontitis crónica moderada y avanzada generalizada. Conclusión: Con base en la revisión bibliográfica, las personas con el grado de periodontitis crónica moderada y avanzada generalizada son propensas a desencadenar una enfermedad cardiovascular (infarto agudo de miocardio). Sin embargo, son necesarios más estudios de experimentación longitudinal, con base en el vínculo que tiene la enfermedad periodontal y cardiovascular (AU)


Introduction: Periodontitis is an infectious disease that affects the tissue of the teeth, its prevalence is estimated between 35 and 45% of the adult population. Cardiovascular diseases are directly related to chronic periodontitis, periodontal bacteria can pass the epithelial barrier of periodontal tissues and achieve systemic propagation through the blood vessels causing Inflammation of the endocardio. Objective: To determine the prevalence of periodontal disease as a cardiovascular risk factor in adults from 25 to 60 years Nacajuca, Tabasco. Material and methods: An observational, prospective, transverse and analytical study was carried out, with a sample of 40 participants between 25 and 60 years, 52% (21) corresponds to the masculine genus and 49% (19) represents the female genus, the non-probabilistic system was employed by Convenience. The variables were age, gender, degree of knowledge on periodontal disease, feeding level, degree of smoking, degree of oral hygiene and degree of periodontitis. Result: the prevalence of periodontal disease as a cardiovascular risk factor is 48% (19 people) with chronically moderate and advanced generalized periodontitis. Conclusion: Based on the bibliographical review people with the degree of chronic periodontitis moderate and advanced generalized are prone to trigger a cardiovascular disease (acute myocardial infarction). However, more studies of longitudinal experimentation are necessary, based on the link which has the periodontal and cardiovascular disease (AU)


Subject(s)
Humans , Male , Female , Adult , Middle Aged , Cardiovascular Diseases , Risk Factors , Chronic Periodontitis , Periodontal Diseases , Cross-Sectional Studies , Statistical Analysis , Prospective Studies , Mexico , Myocardial Infarction
19.
J. oral res. (Impresa) ; 10(1): 1-7, feb. 24, 2021. tab, ilus
Article in English | LILACS | ID: biblio-1178777

ABSTRACT

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.


Subject(s)
Humans , Female , Child , Oral Hygiene/education , Toothbrushing/methods , Pediatric Dentistry/education , Periodontal Diseases , Toothpastes/therapeutic use , Dental Plaque
20.
Rev. Ciênc. Plur ; 7(1): 1-13, jan. 2021. tab
Article in Portuguese | LILACS, BBO | ID: biblio-1147538

ABSTRACT

Introdução: A ocorrência de multimorbidade, a qual corresponde ao acúmulo de doenças crônicas, é considerada um problema de saúde pública e suas consequências na saúde bucal carecem de evidências científicas em grandes populações. Objetivo: Avaliar o impacto da multimorbidade nas condições de saúde bucal em idosos brasileiros. Método: Realizou-se um estudo transversal e de base populacional, utilizando a base de dados da Pesquisa Nacional de Saúde. A presença de multimorbidade em idosos foi considerada quando o mesmo possuía um diagnóstico de duas ou mais doenças crônicas. Com relação às condições de saúde bucal, essas foram coletadas a partir das variáveis estudadas na referida pesquisa. O teste Qui-quadrado foi utilizado para a análise dos dados e em seguida as razões de prevalência foram ajustadas por meio da regressão múltipla de Poisson. Resultados: Participaram 11.697 idosos e, desses, 53,1% possuíam multimorbidade. Na análise multivariada, observou-se que a presença de multimorbidade em idosos predispôs a um relato negativo da autopercepção de saúde bucal (p=0,025), à dificuldade de se alimentar devido a problemas dentários (p0,001), a perder totalmente os dentes superiores (p0,001) e a escovar os dentes ou próteses pelo menos uma vez ao dia (p=0,025). Conclusão:Diante dos resultados, conclui-se que a maioria das condições de saúde bucal, assim como a autopercepção das mesmas apresentam-se piores na presença de multimorbidade na população idosa (AU).


Introduction:The occurrence of multimorbidity, which corresponds to the accumulation of chronic diseases, is considered a public health problem and its consequences on oral health lack scientific evidence in large populations.Objective:To evaluate the impact of multimorbidity on oral health conditions in elderly Brazilians.Methods:A cross-sectional and population-based study was carried out, using the database of the National Health Survey. The presence of multimorbidity in the elderly was considered when they had adiagnosis of two or more chronic diseases. Regarding oral health conditions, these were collected from the variables studied in the National Health Survey. The Chi-square test was used for data analysis and then the prevalence ratios were adjusted using Poisson multiple regression.Results:11,697 elderly people participated and, of these, 53.1% had multimorbidity. In the multivariate analysis, it was observed that the presence of multimorbidity in the elderly predisposed to a negative report of self-perceived oral health (p=0.025), the difficulty of eating due to dental problems (p0.001), to lose teeth completely (p0.001)and brushing teeth or dentures at least once a day (p=0.025). Conclusions:In view of the results, it is concluded that most oral health conditions, as well as their self-perception, are worse in the presence of multimorbidity in the elderly population (AU).


Introducción:La aparición de multimorbilidad, que corresponde a la acumulación de enfermedades crónicas, se considera un problema de salud pública y sus consecuencias sobre la salud bucalcarecen de evidencia científica en grandes poblaciones. Objetivo:Evaluar el impacto de la multimorbilidad en las condiciones de salud bucal en los brasileños de edad avanzada. Método:Se realizó un estudio transversal y basado en la población, utilizando la base de datos de la Encuesta Nacional de Salud. Se consideró la presencia de multimorbilidad en los ancianos cuando tenían un diagnóstico de dos o más enfermedades crónicas. En cuanto a las condiciones de salud bucal, se obtuvieron de las variables estudiadas en el Encuesta Nacional de Salud. La prueba de Chi-cuadrado se usó para el análisis de datos y luego las razones de prevalencia se ajustaron mediante regresión múltiple de Poisson. Resultados:Participaron 11.697 personas mayores y, de estos, 53.1% tenían multimorbilidad. En el análisis multivariante, se observó que la presencia de multimorbilidad en los ancianos predispone a un informe negativo de autopercepción de la salud bucal (p=0,025), la dificultad de comer debido a problemas dentales (p0,001), para perder los dientes por completo (p0,001) y cepillarse los dientes o las dentaduras postizas al menos una vez al día (p=0,025).Conclusiones:En vista de los resultados, se concluye que la mayoría de las afecciones de salud bucal, así como su autopercepción, son peores en presencia de multimorbilidad en la población de edad avanzada (AU).


Subject(s)
Humans , Male , Female , Middle Aged , Aged , Aged, 80 and over , Periodontal Diseases/pathology , Brazil/epidemiology , Aged , Oral Health , Multimorbidity , Chi-Square Distribution , Cross-Sectional Studies/methods , Multivariate Analysis , Health Surveys , Statistics, Nonparametric , Research Report
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