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1.
Arq. neuropsiquiatr ; 80(2): 173-179, Feb. 2022. tab
Article in English | LILACS | ID: biblio-1364376

ABSTRACT

ABSTRACT Background: Loss of teeth has been associated with neurological and sleep disorders. It is considered to be a predictor of stroke and leads to modifications of airway patency and predisposition to obstructive sleep apnea. Objective: To investigate sleep quality, risk of obstructive sleep apnea and excessive sleepiness among post-stroke patients with tooth loss attending the Neurovascular Clinic of the Federal University of São Paulo. Methods: The prevalence rates of different types of stroke were assessed among 130 patients with different degrees of tooth loss, along with the presence of sleep disturbances, risk of obstructive sleep apnea and excessive daytime sleepiness. Results: The prevalence of ischemic stroke was 94.6%, with either no significant disability or slight disability. Our sample had poor sleep quality, and a high risk of obstructive sleep apnea, but without excessive daytime sleepiness. Half of our sample had lost between 9 and 31 teeth, and more than 25% had edentulism. The majority used full removable dental prostheses, and more than half of these individuals slept without removing the prosthesis. Conclusions: We found high prevalence of poor sleep quality and high risk of obstructive sleep apnea among post-stroke patients with tooth loss. This indicates the need for further studies on treating and preventing sleep disturbances in stroke patients with tooth loss.


RESUMO Antecedentes: A perda de dentes tem sido associada a distúrbios neurológicos e do sono. É considerada um preditor de acidente vascular cerebral (AVC), com modificações na permeabilidade das vias aéreas e predisposição à apneia obstrutiva do sono. Objetivo: Investigar a qualidade do sono, o risco de apneia obstrutiva do sono e a sonolência excessiva em pacientes pós-AVC com perda dentária, atendidos na Clínica Neurovascular da Universidade Federal de São Paulo. Métodos: O estudo avaliou a prevalência de diferentes tipos de AVC em 130 pacientes com diferentes graus de perda dentária e a presença de distúrbios do sono, risco de apneia obstrutiva do sono e sonolência excessiva. Resultados: A prevalência de AVC isquêmico foi de 94,6%, sem deficiência significativa ou deficiência leve. Nossa amostra tinha má qualidade de sono e alto risco de apneia obstrutiva do sono, sem sonolência diurna excessiva. Metade de nossa amostra perdeu entre nove e 31 dentes, e mais de 25% tiveram edentulismo. A maioria usava próteses dentárias totalmente removíveis e, desses pacientes, mais da metade dormia com elas. Conclusões: Encontramos alta prevalência de má qualidade do sono e alto risco de apneia obstrutiva do sono em pacientes pós-AVC com perda dentária. Isso indica a necessidade de mais estudos sobre o tratamento e a prevenção de distúrbios do sono em pacientes com AVC e perda dentária.


Subject(s)
Humans , Tooth Loss/complications , Tooth Loss/etiology , Sleep Apnea, Obstructive/complications , Sleep Apnea, Obstructive/epidemiology , Stroke/complications , Disorders of Excessive Somnolence , Sleep
2.
Article in English | LILACS, BBO | ID: biblio-1365238

ABSTRACT

Abstract Objective: To verify the association between impacts produced by tooth loss and sociodemographic variables in the oral health-related quality of life (OHRQoL) in the elderly. Material and Methods: This is an analytical cross-sectional study carried out in the municipality of Vitória/ES, Brazil, which sample was composed of 402 older adults. The Oral Health Impact Profile (OHIP-14) was used to measure the individuals' OHRQoL. For data analysis, descriptive and bivariate analyses were performed using the Fisher's exact test and the Mantel-Haenzsel test to assess the effects of combined dimensions. The significance level adopted was 5%. To assess the strength of association between independent variables and dimensions, Odds-Ratio (OR) with 95% confidence interval (CI) was calculated. Results: The prevalence of negative impact on OHRQoL in the elderly was 32.6%. The greatest impact perception was found in individuals with up to 10 years of schooling (p=0.021 and OR=1.602), with need for removable partial dentures (p=0.000 and OR=2.873) and those who did not accept the loss of dental elements (p=0.000 and OR=3.064). Conclusion: Older female adults with socioeconomic class C/D-E, with up to 10 years of schooling, who lost 11 or more teeth, who declared the need for removable partial dentures, suffered greater impacts caused by tooth loss on OHRQoL.


Subject(s)
Humans , Male , Female , Middle Aged , Aged , Aged, 80 and over , Quality of Life/psychology , Aged , Oral Health/education , Dental Care for Aged , Tooth Loss/pathology , Sickness Impact Profile , Social Class , Brazil/epidemiology , Demography , Cross-Sectional Studies/methods , Surveys and Questionnaires , Data Interpretation, Statistical , Mouth, Edentulous , Denture, Partial, Removable
3.
Ciênc. Saúde Colet ; 26(supl.3): 5223-5232, Oct. 2021. tab, graf
Article in Portuguese | LILACS | ID: biblio-1345752

ABSTRACT

Resumo O objetivo deste artigo foi avaliar a prevalência e os fatores associados à indicação de exodontia em uma população adulta de índios Kiriri do Nordeste do Brasil. 225 indígenas (≥19 anos) foram avaliados. Os critérios de indicação de exodontia adotados foram: dentes com perda de inserção clínica ≥50%, em pelo menos 3 sítios, e, também, raízes residuais. Modelos estatísticos foram utilizados para avaliar associações entre necessidade de exodontia e as variáveis selecionadas. A porcentagem de dentes com indicação de exodontia foi de 4,98%, caracterizando uma média de 1,24 dente por indivíduo. A análise de regressão mostrou associação positiva entre indicação de exodontia e idade ≥35 anos (OR=2,24, 95%IC: 1,13-4,43, p=0,02), renda <R$ 570,00 (OR=3,34, 95%IC: 1,19-9,37, p=0,02) e índice de placa ≥40% (OR=2,38, 95%IC: 1,24-4,56, p=0,01). Uma prevalência de 33% de indivíduos com indicação de um ou mais dentes para exodontia está, principalmente, relacionada aos fatores de risco: idade maior que 35 anos, índice de placa ≥40% e renda inferior a um salário mínimo. Esse estudo reflete tanto a importância da priorização da prevenção em saúde bucal, como a necessidade de ampliação do acesso aos serviços de maior complexidade.


Abstract The scope of this cross-sectional study was to evaluate the prevalence and the associated factors of the recommendation of dental extraction in the adult Kiriri Indigenous population of northeastern Brazil. A total of 225 natives (≥19 years) were evaluated. The extraction criteria were teeth with clinical attachment loss ≥50% in at least 3 sites, and residual roots. Statistical models were used to evaluate associations between the need for dental extraction and selected variables. The percentage of teeth recommended for dental extraction was 4.98%, characterizing a mean of 1.24 tooth per individual. A regression analysis showed that age ≥35 years (OR=2.24, 95%CI: 1.13-4.43, p=0.02), income <R$ 570.00 (OR=3.34, 95%CI: 1.19-9.37, p=0.02) and plaque index ≥40% (OR=2.38, 95%CI: 1.24-4.56, p=0,01) were significantly associated with indication for dental extraction. A prevalence of 33% of subjects with dental extraction recommendation were associated with age older than 35 years, plaque index ≥40% and income less than a minimum wage were related with the recommendation for extraction. This study reflects the importance of prioritizing oral health prevention, as well as the need to expand complex dental services.


Subject(s)
Humans , Adult , Tooth Loss , Dental Caries , Tooth Extraction , Brazil/epidemiology , Prevalence , Cross-Sectional Studies , Dental Care , Population Groups
5.
Ciênc. Saúde Colet ; 26(7): 2635-2642, jul. 2021. tab, graf
Article in English | LILACS | ID: biblio-1278779

ABSTRACT

Abstract This study aimed to assess the prevalence of tooth loss and associated factors in institutionalized adolescents. This cross-sectional study included 68 male adolescents incarcerated from Socio-Educational Assistance Center (CASE) aged between 15 and 19 years. Questionnaires were applied individually to assess sociodemographical, economical, medical, behavioral and oral health self-perception variables. All present teeth were evaluated by Decay, Missing, Filling (DMF) Index. The prevalence of tooth loss was analyzed in individuals with ≥1 tooth loss. Associations between tooth loss and exposure variables studied were analyzed by Poisson Regression with robust variance estimation. The prevalence of tooth loss was 47.06%. First molars in the mandible and maxilla and central incisor in the maxilla were the most absent teeth. In the multivariate model, number of decayed teeth, and those that reported daily use of medication were associated with higher tooth loss. Besides, tooth loss was associated with decayed tooth and daily use of medication. Oral health promotion and treatment should be implemented in these institutions to reduce the prevalence of dental loss in these adolescents.


Resumo Esse estudo objetivou avaliar a prevalência de perda dentária e fatores associados em adolescentes institucionalizados. Esse estudo transversal incluiu 68 adolescentes do sexo masculino de um Centro de Atendimento Socioeducativo (CASE) com idades entre 15 e 19 anos. Questionários estruturados foram aplicados individualmente para acessar variáveis sociodemográficas, econômicas, médicas, comportamentais e autopercepção de saúde bucal. Todos os dentes presentes foram avaliados pelo Índice de dentes Cariados, Perdidos e Obturados (CPOD). A prevalência de perda dentária foi analisada em indivíduos com ≥1 dente perdido. Associações entre perda dentária e variáveis de exposição foram analisadas por regressão de Poisson com estimativa de variância robusta. A prevalência de perda dentária foi 47,06%. Primeiros molares na mandíbula e maxila e incisivos centrais na maxila foram os dentes mais ausentes. No modelo multivariado, número de dentes cariados esteve associado com perda dentária, e aqueles que faziam uso diário de medicações foram associados a maior perda dentária. Além disso, perda dentária foi associada com cárie dentária e uso diário de medicação. Promoção de saúde bucal e seu tratamento devem ser implementados nessas instituições para reduzir a prevalência de perda dentária nesses adolescentes.


Subject(s)
Humans , Male , Adolescent , Adult , Young Adult , Tooth Loss/epidemiology , Adolescent, Institutionalized , Dental Caries , DMF Index , Prevalence , Cross-Sectional Studies
6.
Ciênc. Saúde Colet ; 26(5): 1899-1910, maio 2021. tab
Article in English | LILACS | ID: biblio-1249503

ABSTRACT

Abstract The scope was to verify the impact of oral and sociodemographic conditions, the dental treatment needs and dental pain, on the quality of life of the elderly. This cross-sectional study was conducted in 15 primary health care areas. A backward multivariate linear regression model was used (p<0.05) with oral health related-quality of life as dependent variable. There were 335 elderly people with predominance of women (56.72%) and aged up to 74 years (59.40%). Those who had up to 8 years of education predominated (87.46%), and those who were still working were the minority (13.43%). Multivariate linear regression (p<0.05) showed association with missing teeth (β=0,12; IC 0,00:0,04; p<0,04) and dental prosthesis needs (β=0,14; IC 0,13:0,81; p<0,01), women (β=0,18; IC 0,23:0,85; p<0,01), less aged (β=-0,12; IC -0,05:0,00; p<0,02), not working (β=-0,15; IC -1,09:-0,20; p<0,01), with dental care need (β=0,24; IC 0,25:0,63; p<0,01) and dental pain (β=0,14; IC 0,10:0,64; p<0,01). Missing teeth, sociodemographic conditions, dental treatment needs and dental pain might impact oral health-related quality of life of elders.


Resumo O objetivo foi verificar o impacto da condição bucal e sociodemográfica, necessidade de tratamento odontológico e dor dentária na qualidade de vida de idosos. Este estudo transversal realizou-se em 15 áreas de cuidados primários de saúde. O modelo de regressão linear multivariado foi utilizado (p <0,05) considerando qualidade de vida como variável dependente. Participaram 335 idosos, predomínio de mulheres (56,72%) com idade até 74 anos (59,40%). Ter até 8 anos de estudo predominou (87,46%) e os que trabalhavam eram minoria (13,43%). A regressão linear multivariada (p <0,05) apresentou associação da qualidade de vida com dentes perdidos (β=0,12; IC 0,00:0,04; p<0,04) e necessidade de próteses (β =0,14; IC 0,13:0,81; p<0,01), com mulheres (β=0,18; IC 0,23:0,85; p<0,01), idosos mais jovens (β=-0,12; IC -0,05:0,00; p<0,02), que não trabalham (β=-0,15; IC -1,09:-0,20; p<0,01), com necessidades de tratamento odontológico (β=0,24; IC 0,25:0,63; p<0,01) e dor dentária (β=0,14; IC 0,10:0,64; p<0,01). Dentes perdidos, aspectos sociodemográficos, necessidade de tratamento odontológico e dor dentária podem impactar a qualidade de vida relacionada à saúde bucal de idosos.


Subject(s)
Humans , Female , Aged , Quality of Life , Tooth Loss , Oral Health , Cross-Sectional Studies , Educational Status
8.
J. Health Biol. Sci. (Online) ; 9(1): 1-5, 2021. tab
Article in English | LILACS | ID: biblio-1352544

ABSTRACT

Objective: To evaluate the experience of caries and tooth loss in rural citrus workers in Northeast Brazil. Methods: This was a cross-sectional, quantitative, and descriptive study carried out using a non-probabilistic sample of rural citrus workers linked to the Occupational Health Reference Center. Generalist and dental questionnaires were applied and clinical examinations were performed by two calibrated examiners on 619 participants in Basic Health Units to establish the sample DMFT index and to detail their characteristics of interest. Results: The sample was predominantly male (71%), with young adults between 20 and 40 years (50,9%), with low education (76%) and low income (59,3%). The mean DMFT index of the sample was 14.29 and the component regarding tooth loss (M) 9.97, corresponding to approximately 70% of this value. Moreover, 90,1% of the evaluated participants had losses of at least one dental element and 27,8% had a functional loss with less than 21 teeth in the oral cavity, while 86.3% said they had never attended an oral health service. Of the participants who have already attended, 83,6% were over six months ago, motivated by pain (43,8%) and caries (14,7%). Conclusions: The rural citrus workers evaluated had negative experiences with dental caries and a high rate of functional tooth loss, leading them vulnerable to stomatognathic system imbalances and showing the need for prevention and promotion of oral health


Objetivo: Avaliar a experiência de cárie e perda dentária de trabalhadores rurais da citricultura no Nordeste brasileiro. Métodos: Trata-se de um estudo transversal, quantitativo e descritivo, realizado com amostra não probabilística de citricultores rurais vinculados ao Centro de Referência em Saúde do Trabalhador. Foram aplicados questionários (generalista e odontológico), e exames clínicos foram realizados por dois examinadores calibrados em 619 participantes em Unidades Básicas de Saúde, para estabelecer o índice CPO-D da amostra e detalhar suas características de interesse. Resultados: A amostra foi predominantemente masculina (71%), com adultos jovens entre 20 e 40 anos (50,9%), com baixa escolaridade (76%) e baixa renda (59,3%). O índice CPO-D médio da amostra foi de 14.29, e o componente relativo à perda dentária (P) de 9.97, correspondendo a aproximadamente 70% desse valor. Além disso, 90,1% dos participantes avaliados tiveram perdas de, pelo menos, um elemento dentário, e 27,8% tiveram perda funcional com menos de 21 dentes na cavidade oral, enquanto 86,3% afirmaram nunca ter frequentado um serviço de saúde bucal. Dos participantes que já frequentaram, 83,6% foram há mais de seis meses, motivados por dores (43,8%) e cárie (14,7%). Conclusões: Os citricultores rurais avaliados apresentaram experiências negativas com cárie dentária e alto índice de perda funcional dos dentes, tornando-os vulneráveis aos desequilíbrios do sistema estomatognático e evidenciando a necessidade de prevenção e promoção da saúde bucal.


Subject(s)
Tooth Loss , Dental Caries , Stomatognathic System , DMF Index , Health , Oral Health , Disease Prevention
9.
Article in English | LILACS, BBO | ID: biblio-1180858

ABSTRACT

ABSTRACT Objective: To evaluate the effects of unilateral loss of the lower first permanent molar (L6) on the position and development of the lower third molar (L8). Material and Methods: Fifty-four panoramic radiographs of subjects with unilateral loss of L6 were examined. The L8 on the side of the L6 loss was compared with the L8 in the hemiarch without L6 loss (contralateral). The effect of L6 loss on the positioning of L8 was examined in all the samples (n=54), whereas the effect on the development of the third molar was examined in 38 patients with L8 with incomplete root formation. The Signs statistical test was used to evaluate the comparison between loss and contralateral hemiarches. Results: In 20 (37%) of 54 subjects, the L8 was better positioned in the hemiarch with loss of the lower first molar (p<0.001) compared with the control side. In the remaining 34 subjects, no difference was found. When only the L8 considered as impacted on the control side was examined (n=30), the cases with better positioning on the side with L6 loss increased to 66.6% (p<0.001). Conclusion: The loss of lower first molars improves the position of the lower third molar during its active eruption, mainly when the lower third molar is impacted. However, L6 loss does not affect the root development of lower third molars.


Subject(s)
Humans , Male , Female , Adolescent , Adult , Orthodontics/instrumentation , Radiography, Panoramic/instrumentation , Tooth Loss/etiology , Molar/diagnostic imaging , Molar, Third/diagnostic imaging , Brazil , Dentition, Permanent
10.
Braz. dent. sci ; 24(1): 1-5, 2021. tab
Article in English | LILACS, BBO | ID: biblio-1145383

ABSTRACT

Objective: One of the most important alterations in elderly is the destruction and loss of teeth and oral mucosal lesions. The aim of this study was to determine the frequency of biopsed pathologic lesions in elderly registered in the pathology department of Isfahan University of Medical Sciences during 1989 to 2018 years. Material and Methods: This cross-sectional descriptive-analytic study was performed on pathologic lesions in elderly archived in Faculty of Dentistry, Isfahan University of Medical Sciences. In this study, all archived information of elderly over 65 years including gender, age, location of lesion, clinical diagnosis, pathology diagnosis, and diagnosis year were evaluated in last three decades, and were analyzed statistically. Results: The age range of elderly patients was 65 to 90 years with a mean of 72.8 ± 4.9. The highest frequency for location of lesions was related to mandibular vestibule (21.1%). The most clinical diagnosed lesions were squamous cell carcinoma (24.5%) and Epulis Fissuratum (13.4%). The highest pathologic diagnosed lesions were related to reactive lesions group (35.6%). The squamous cell carcinoma malignancies and other malignancies were increased significantly in elderly patients with high age. Conclusion: According to the considerable frequency of oral lesions in elderly and increased frequency of squamous cell carcinoma and other malignancies, attention to oral lesions in elderly and periodic examinations are important to early diagnosis and treatment. (AU)


Objetivo: Uma das alterações mais importantes no idoso é a destruição e perda de dentes; e lesões da mucosa oral. O objetivo deste estudo foi determinar a frequência de lesões patológicas biopsiadas em idosos registrados no departamento de patologia da Universidade de Ciências Médicas de Isfahan durante os anos de 1989 a 2018. Material e métodos: Este estudo transversal descritivo-analítico foi realizado em lesões patológicas em idosos arquivadas na Faculdade de Odontologia da Universidade de Ciências Médicas de Isfahan. Neste estudo, todas as informações arquivadas de idosos com mais de 65 anos, incluindo sexo, idade, localização da lesão, diagnóstico clínico, diagnóstico patológico e ano do diagnóstico foram avaliadas nas últimas três décadas e foram analisadas estatisticamente. Resultados: A faixa etária dos pacientes idosos foi de 65 a 90 anos, com média de 72,8 ± 4,9. A maior frequência de localização das lesões foi relacionada a região vestibular da mandíbula (21,1%). As lesões mais diagnosticadas clinicamente foram carcinoma espinocelular (24,5%) e Epulis Fissuratum (13,4%). As maiores lesões patológicas diagnosticadas foram relacionadas ao grupo de lesões reativas (35,6%). As neoplasias do carcinoma de células escamosas e outras neoplasias aumentaram significativamente em pacientes idosos com alta idade. Conclusão: Devido à considerável frequência de lesões orais em idosos e ao aumento da frequência de carcinoma espinocelular e outras neoplasias, a atenção às lesões orais em idosos e os exames periódicos são importantes para o diagnóstico e tratamento precoces. (AU)


Subject(s)
Humans , Aged , Aged, 80 and over , Pathology , Biopsy , Aged , Mouth Neoplasms , Tooth Loss
11.
Braz. dent. sci ; 24(2): 1-7, 2021. tab
Article in English | LILACS, BBO | ID: biblio-1223002

ABSTRACT

Objective: The study aims to evaluate the emotional, behavioural, and social effects of single or multiple anterior tooth loss. It also compares the effectiveness of the removable and fixed prosthesis to address the impact of anterior tooth loss. Material and Methods: The study was carried out on 70 subjects who presented to the Department of Prosthetic Dental Sciences. A questionnaire was distributed and the data were statistically analyzed using SPSS version 18.0 and values less than 0.05 % were considered statistically significant. Results: The participant's difficulty to accept loss of their anterior tooth, embarrassment and confidence were changed significantly after wearing the prosthesis (P< 0.05). Moreover, fixed partial denture had more effect than removal partial denture. It was claimed by 62.9% of the participants that they were not prepared for the effect of tooth loss and 47.1% of them thought that a prior explanation from the dentist would have helped them overcome their fear of losing their teeth. Conclusion: The maximum impact of anterior tooth loss was felt on confidence followed by embarrassment. The participants felt more comfortable after wearing their prosthesis. Fixed partial denture had more effect than removable partial denture.(AU)


Objetivo: O estudo visa avaliar os efeitos emocionais, comportamentais e sociais da perda dentária anterior unitária ou múltipla. Ele também compara a eficácia da protese removível e da fixa para lidar com o impacto da perda dentária anterior. Material e Métodos: O estudo foi realizado em 70 indivíduos que se apresentaram ao Department of Prosthetic Dental Sciences. Foi distribuído um questionário e os dados analisados estatisticamente no SPSS versão 18.0 e valores inferiores a 0,05% foram considerados estatisticamente significativos. Resultados: A dificuldade do participante em aceitar a perda de seu dente anterior, constrangimento e confiança mudaram significativamente após usar a prótese (P <0,05). Além disso, a prótese parcial fixa teve mais efeito do que a prótese parcial removível. Foi alegado por 62,9% dos participantes que não estavam preparados para o efeito da perda dentária e 47,1% deles achavam que uma explicação prévia do cirurgião-dentista os teria ajudado a superar o medo de perder os dentes. Conclusão: O impacto máximo da perda dentária anterior foi sentido na confiança, seguido de constrangimento. Os participantes se sentiram mais confortáveis após o uso de suas próteses. A prótese parcial fixa teve mais efeito do que a prótese parcial removível (AU)


Subject(s)
Humans , Tooth Loss , Dental Prosthesis , Emotional Adjustment
12.
Rev. Ateneo Argent. Odontol ; 64(1): 64-70, 2021. ilus, tab
Article in Spanish | LILACS | ID: biblio-1252886

ABSTRACT

El objetivo de este trabajo fue establecer la relación entre el grado de enfermedad periodontal y el control metabólico de la glucemia en pacientes que padecen diabetes tipo 2. Es un estudio de tipo observacional, descriptivo, transversal. Se seleccionaron 42 pacientes con diagnóstico de diabetes mellitus tipo 2 de ambos sexos, entre 25 y 75. Se realizó odontograma y se evaluó el grado de enfermedad periodontal para determinar el grado de compensación metabólica de los pacientes se tomaron muestras de sangre venosa y se midieron los valores de hemoglobina glicosilada. Un 23,55% de los pacientes no presentaron enfermedad periodontal y el resto se dividió en leve, moderada y severa presentándose la enfermedad leve en primer orden. Los pacientes con mayor grado de enfermedad periodontal presentaron mayor número de piezas dentarias perdidas (p 0,0334). La enfermedad periodontal se distribuye de la misma manera en ambos grupos de control glucémico (p=0,1211). En el grupo estudiado, el grado de enfermedad periodontal es independiente del control glucémico de los pacientes (AU)


The objective of this work was to establish the relationship between the degree of periodontal disease and the metabolic control of glycemia in patients with type 2 diabetes. It is an observational, descriptive, cross-sectional study. 42 patients with a diagnosis of type 2 diabetes mellitus of both sexes, between 25 and 75, were selected. An odontogram was performed and the degree of periodontal disease was evaluated; venous blood samples were taken and glycosylated hemoglobin values were measured to determine the degree of metabolic compensation of the patients. 23.55% of the patients did not present periodontal disease and the rest were divided into mild, moderate, and severe, with mild disease presenting in the first order. The patients with a higher degree of periodontal disease had a higher number of missing teeth (p 0.0334). Periodontal disease is distributed in the same way in both glycemic control groups (p = 0.1211). In the group studied, the degree of periodontal disease is independent of the glycemic control of the patients (AU)


Subject(s)
Humans , Male , Female , Adult , Middle Aged , Aged , Periodontal Diseases/etiology , Periodontitis/diagnosis , Diabetes Mellitus, Type 2/complications , Argentina/epidemiology , Severity of Illness Index , Blood Glucose , Glycated Hemoglobin A , Dental Records , Epidemiology, Descriptive , Cross-Sectional Studies , Statistical Analysis , Tooth Loss/epidemiology , Sex Distribution , Dental Service, Hospital/statistics & numerical data , Observational Study
13.
Rev. cuba. invest. bioméd ; 39(3): e606, jul.-set. 2020. tab, graf
Article in English | LILACS, CUMED | ID: biblio-1138931

ABSTRACT

Introduction: More and more people search for health information on the internet and oral health is no exception. Objective: To analyze the changes in the relative volumes of internet searches regarding the most common oral diseases and / or injuries according to the World Health Organization. Methods: Google Trends was used to provide data on the volume of searches on Google for the most common terms of comparison based on diseases and / or oral injuries according to WHO. The period of time chosen was from 2004 to 2019. Five search terms were compared in relation to dental caries, periodontopathies, dental trauma, oral cancer, oral manifestations of HIV, noma, cleft lip and palate, tooth loss, toothache. Results: The search volume measured during the 2004-2019 period, indicated that the comparative terms of higher relative search volumes were: "tooth decay" was the most searched in Jamaica, "gingivitis" in Paraguay, "broken tooth" in the United States, "mouth cancer" in the United Kingdom, "HIV symptoms" in Zimbabwe, "cancrum oris" and "cleft palate" in Ghana, no teeth in the United States, "toothache" in Trinidad and Tobago. In the comparison of the five terms of higher relative search volumes in the study, "gingivitis" was the term with the highest relative search volumes. Conclusion: The results obtained confirm the interest in oral diseases and / or injuries through the internet, the search term with the highest frequency of search was "gingivitis", followed by "cleft palate", "tooth decay", "no teeth" and for broken tooth(AU)


Introducción: Cada vez más personas buscan información sobre salud en internet y la salud oral no es una excepción. Objetivo: Analizar los cambios en los volúmenes relativos de búsqueda en internet respecto a las enfermedades y/o lesiones orales más comunes según la Organización Mundial de la Salud. Métodos: Se utilizó Google Trends para proporcionar datos sobre el volumen de búsquedas en Google de los términos de comparación basados en enfermedades y/o lesiones orales más comunes según la Organización Mundial de la Salud. El periodo de tiempo elegido fue de 2004-2019. Se compararon cinco términos de búsqueda en relación a dental caries, periodontopathies, dental trauma, oral cancer, oral manifestations of HIV, noma, cleft lip and palate, tooth loss, toothache. Resultados: El volumen de búsqueda medido durante el periodo 2004-2019 señaló que los términos comparativos de mayores volúmenes relativos de búsqueda fueron: "tooth decay", el más buscado en Jamaica; "gingivitis", en Paraguay; "broken tooth" y "no teeth", en Estados Unidos; "mouth cancer", en Reino Unido; "HIV symptoms", en Zimbabue; "cancrum Oris" y "cleft palate", en Ghana; "toothache" en Trinidad y Tobago. En la comparación de los cinco términos de mayores volúmenes relativos de búsqueda en el estudio, "gingivitis" ocupó el primer puesto. Conclusión: Los resultados obtenidos confirman el interés por las enfermedades y/o lesiones orales a través del internet, el término de búsqueda con mayor frecuencia de búsqueda fue "gingivitis", seguido de "cleft palate", "tooth decay", "no teeth" y por "broken tooth"(AU)


Subject(s)
Humans , Oral Manifestations , Toothache , Oral Health , Tooth Loss , Internet
14.
ABCS health sci ; 45: e020026, 02 jun 2020. tab
Article in English | LILACS | ID: biblio-1129779

ABSTRACT

INTRODUCTION: Identifying factors related to the quality of life constitutes strategy for the actions supporting and monitoring the population health. OBJECTIVE: To assess oral health practices in the elderly, the clinical conditions of oral health of the caregiver and the elderly and oral health-related quality of life of caregiver. METHODS: Oral health was evaluated in 388 participants (194 caregivers and 194 elderly) by: the decayed, missing and filled teeth (DMFT) index, the use and need of prosthesis, the Oral Health Impact Profile (OHIP-14) scale and a semi-structured questionnaire. RESULTS: Most caregivers (91.3%) acquired oral health knowledge in daily practice, 33% performed oral hygiene in the elderly and 28% reported difficulties with this activity. The average DMFT was 19.24 for caregivers and 28.70 for the elderly, both with predominance of missing teeth. Prostheses were used by 57.73% of caregivers and 63.40% of elderly. The need of protheses was high, mostly in the mandible, respectively 34.54% and 51.55%. The association between OHIP-14 and the need for total prosthesis showed an impact on the dimensions physical and psychological disabilities. The importance of religion affected the dimension psychological discomfort and physical and psychological disabilities. Caregivers over 60 years old had a 1.2 greater chance of oral health impact on quality of life compared to the 20 to 60-year-old group. CONCLUSION: The presence of low-value cultural contexts of self-care associated with a positive perception of oral health, even in precarious clinical conditions, minimized the impact on caregivers' quality of life.


INTRODUÇÃO: Identificar fatores relacionados à qualidade de vida constitui estratégia para as ações de suporte e acompanhamento da saúde da população. OBJETIVO: Avaliar as práticas em saúde bucal nos idosos, as condições clínicas de saúde bucal do cuidador e do idoso e a qualidade de vida relacionada à saúde bucal dos cuidadores. MÉTODOS: A saúde bucal foi avaliada em 388 participantes (194 cuidadores e 194 idosos) usando: índice dentes cariados, perdidos e obturados (CPOD), uso e necessidade de próteses, instrumento Oral Health Impact Profile (OHIP-14) e questionário semiestruturado. RESULTADOS: A maioria dos cuidadores (91,3%) adquiriu conhecimento em saúde bucal na prática diária, 33% realizava higiene bucal no idoso e 28% relatou ter dificuldades com esta atividade. Registrou-se CPOD 19,24 para cuidadores e 28,70 para idosos, ambos com predomínio do compo­nente perdido. Dos cuidadores, 57,73% usava prótese e dos idosos, 63,40%. A necessidade das próteses foi alta principalmente na mandíbula, respectivamente 34,54% e 51,55%. A associação entre OHIP-14 e a necessidade de prótese total evidenciou impacto nas dimensões incapacidades física e psicológica. A importância da religião associou-se a impactos nas dimensões desconforto psicológico e incapacidades física e psicológica. Os cuidadores com 60 anos ou mais apresentaram chance de 1,2 vezes maior de impacto da saúde bucal na qualidade de vida quando comparados ao grupo de 20 a 60 anos. CONCLUSÃO: O impacto na qualidade de vida dos cuidadores foi minimizado pela presença de contextos culturais pouco valorativos de autocuidado associados à percepção positiva de saúde bucal, mesmo em condições clínicas precária.


Subject(s)
Humans , Male , Female , Aged , Quality of Life , Oral Health , Health of the Elderly , Caregivers , Home Nursing , Oral Hygiene , Religion , Cross-Sectional Studies , Tooth Loss , Dental Prosthesis
15.
Prensa méd. argent ; 106(2): 96-102, 20200000. fig
Article in English | LILACS, BINACIS | ID: biblio-1369351

ABSTRACT

Nowadays, a lot of people need in reconstruction of the teeth in connection with their loss. Before prosthetics or any other manipulations, a person wants to quickly see the aesthetic appearance of his future tooth. At the moment, many dentists use the option of verbal explanation to the patient, what will look like a smile or a front row of teeth after treatment, but the visual representation of the person remains aside. But now this can be achieved with the help of "Digital smile design", which shows the person the final result of the dentition. This technology has a number of advantages. Some of them are the rapid creation of a prototype model and high accuracy in the manufacture of work. Thanks to these technologies, communication between the specialist and the patient has been facilitated. The digital smile design has simplified the doctor's work process and reduced patient data processing time. From now on, achieving aesthetic results in the reconstruction of teeth for the dentist is not a problem.


Subject(s)
Humans , Decision Making, Computer-Assisted , Tooth Loss/therapy , Denture Design/methods , Dental Prosthesis Design/methods , Computer-Aided Design , Proof of Concept Study
16.
Rev. bioét. (Impr.) ; 28(1): 173-181, jan.-mar. 2020. tab
Article in Portuguese | LILACS | ID: biblio-1092429

ABSTRACT

Resumo Este estudo estimou a prevalência autorreferida de edentulismo total em idosos de 60 anos ou mais em município de Minas Gerais cadastrados na Estratégia Saúde da Família, identificando fatores socioeconômicos associados. Os dados foram coletados no domicílio dos participantes, aplicando-se questionário que abarcava aspectos sociodemográficos, econômicos e de saúde geral e bucal. A estatística utilizou a variável dependente "edentulismo total", com nível de significância de 5%. Participaram 1.750 idosos - 63,4% mulheres, 11,5% analfabetos e 27,8% com renda familiar abaixo do salário mínimo. O edentulismo total foi de 46,4%, com maior prevalência em mulheres, entrevistados com idade ≥80 anos, solteiros/viúvos/divorciados, analfabetos e idosos que não procuraram serviço odontológico nos últimos seis meses (p<0,05). A renda familiar foi menor para os edêntulos (p=0,001), e constatou-se alta prevalência dessa condição associada a fatores socioeconômicos, demonstrando iniquidade em saúde bucal e necessidade de proteção do Estado. Aprovação CEP-Unimontes 1.628.652


Abstract This study estimated the self-reported prevalence of total edentulism in older adults aged 60 years or older in a municipality of Minas Gerais, Brazil, enrolled in the Family Health Strategy and identified associated socioeconomic factors. Data collection took place in the participants' domiciles through a questionnaire including socio-demographic, economic, and general and oral health data. The statistical analysis used "total edentulism" as the dependent variable, with significance level of 5%. A total of 1,750 older adults participated, 63.4% of whom were female, 11.5% were illiterate and 27.8% had a family income below one minimum wage. Total edentulism was 46.4%, with a higher prevalence in women, in participants who were aged ≥80 years, single/widowed/divorced, illiterate and in those who did not seek dental service in the last six months (p<0.05). Family income was lower for the edentulous older adults (p=0.001), and a high prevalence was found for edentulism associated with socioeconomic factors, showing iniquity in oral health and, therefore, the need for State protection. Approval CEP-Unimontes 1.628.652


Resumen Este estudio estimó la prevalencia autorreferida de edentulismo total en ancianos de 60 años o más, registrados en la Estrategia de Salud Familiar, en el municipio de Minas Gerais, Brasil, e identificó factores socioeconómicos asociados. Los datos se recolectaron en el domicilio de los participantes, aplicándose un cuestionario que abarcaba aspectos sociodemográficos, económicos y de salud general y bucal. La estadística utilizó la variable dependiente "edentulismo total", con un nivel de significancia del 5%. Participaron 1.750 ancianos -el 63,4% mujeres, el 11,5% analfabetos y el 27,8% tenían renta familiar por debajo del salario mínimo. El edentulismo total fue del 46,4%, con mayor prevalencia en mujeres, encuestados con edad ≥80 años, solteros/viudos/divorciados, analfabetos y ancianos que no buscaron servicio odontológico en los últimos seis meses (p<0,05). La renta familiar fue más baja para los edéntulos (p=0,001), y se comprobó una alta prevalencia de esta condición asociada a factores socioeconómicos, demostrando la inequidad en la salud bucal y la necesidad de protección del Estado. Aprobación CEP-Unimontes 1.628.652


Subject(s)
Humans , Male , Female , Aged , Aged, 80 and over , Primary Health Care , Aging , Oral Health , Tooth Loss , Health Status Disparities
17.
Rev. salud pública Parag ; 10(1): [P66-P73], mar. 2020.
Article in Spanish | LILACS, BDNPAR | ID: biblio-1087933

ABSTRACT

Introducción: Los pacientes con trastornos mentales están sometidos a un mayor número de factores de riesgo de enfermedades bucodentales y temporomandibulares. Ello debido a los efectos secundarios de las medicaciones que consumen, la falta de autocuidado, la dificultad para acceder a atención, la actitud hacia los profesionales sanitarios y también la falta de cooperación en los tratamientos dentales. Objetivo: Determinar la frecuencia de los trastornos temporomandibulares (TTM) y el índice de dientes cariados, perdidos y obturados (CPO-D) en pacientes con discapacidad psicosocial crónica internados en el Hospital Psiquiátrico de la ciudad de Asunción, Paraguay. Material y Métodos: El estudio tuvo un diseño observacional descriptivo de corte transversal y fue aprobado por el comité de ética institucional. Participaron 139 personas con discapacidad psicosocial crónica de ambos sexos, mayores de 18 años, en el mes de mayo, 2018. Como instrumentos de medición se utilizaron: un cuestionario de 3 preguntas, el examen clínico con 5 indicadores para la variable presencia de TTM, el odontograma para el índice CPO-D y los expedientes clínicos. Resultados: Se encontró una población en su mayoría masculina, con un rango de edad entre 40-50 años, y un alto porcentaje de fumadores activos. Se observó que el 83,5 % de los examinados presentaba TTM. El índice CPO-D fue 22,8. Entre los signos de TTM, el ruido articular fue el más común. Conclusión: Se observó una elevada frecuencia de TTM en las personas con discapacidad psicosocial y un elevado índice CPO-D. Palabras Claves: Salud bucal, trastornos ATM, índice CPO, salud mental, psiquiatría, trastorno psicosocial.


Introduction: Patients with mental disorders are subject to a greater number of risk factors for oral and temporomandibular diseases. This is due to the side effects of the medication they consume, the lack of self-care, the difficulty in accessing medical help, the attitude of the patients towards health professionals and also the lack of cooperation in their dental treatments. Objective: To determined the frequency of temporomandibular disorders (TMD) and the decayed, missing and filled teeth index (DMFT) in people with chronic psychosocial disability admitted to the Psychiatric Hospital of the city of Asunción. Material and Methods: This descriptive, observational and cross-sectional study was approved by the local ethics committee. One hundred and thirty-nine people with chronic psychosocial disabilities, of both sexes, over 18 years of age participated during May, 2018. The instruments used were a 3-item questionnaire, clinical examination with 5 indicators for presence of TMD, the odontogram for the DMFT index and the clinical charts. Results:A predominantly male population, with an age range between 40-50 years, and a high percentage of active smokers was found. TMD was found in 83.5% and the DMFT index was 22.8. Among the signs of TMD, joint noise was the most common. Conclusion:A high frequency of TMD was observed in people with psychosocial disabilities and a high CPO-D index. Key words: Oral health TMJ , disorder, DMF index, mental health, psychiatry


Subject(s)
Humans , Male , Female , Adolescent , Adult , Middle Aged , Aged , Aged, 80 and over , Young Adult , Temporomandibular Joint Disorders/complications , Tooth Loss , Dental Caries , Dental Restoration, Permanent , Mental Disorders/complications , Paraguay/epidemiology , Social Behavior , Temporomandibular Joint Disorders/epidemiology , Chronic Disease , Cross-Sectional Studies , Dental Care for Disabled , Mental Disorders/epidemiology
19.
Arch. argent. pediatr ; 118(1): 38-43, 2020-02-00. tab
Article in English, Spanish | LILACS, BINACIS | ID: biblio-1095346

ABSTRACT

Introducción. El asma es una enfermedad inflamatoria crónica con alta prevalencia en pacientes pediátricos. Existen resultados contradictorios respecto al efecto de esta enfermedad en los índices de caries dental. El objetivo del estudio fue determinar la prevalencia de caries dental en pacientes pediátricos asmáticos con medicación inhalatoria. Población y métodos. Estudio de casos y controles cuya muestra estuvo conformada por pacientes pediátricos que acudieron al Centro Médico Naval "Cirujano Mayor Santiago Távara" de diciembre de 2014 a marzo de 2015. Se dividieron en dos grupos: el primero (casos), integrado por pacientes asmáticos que utilizaban inhaladores en su tratamiento; el segundo (controles), por pacientes sanos del mismo nosocomio. Se realizó una evaluación médica para determinar tipo, tiempo y frecuencia del tratamiento y un examen oral para determinar la prevalencia de caries dental y el índice de dientes cariados, perdidos y obturados (CPOD). Resultados. Se encontró que la prevalencia de caries dental en el grupo control fue del 34,2 %, mientras, en el grupo casos, fue del 28,3 % (p = 0,094). Con respecto al índice de caries dental, el grupo control presentó CPOD de 4,73 ± 0,32, y el grupo casos, de 3,98 ± 0,31 (p = 0,08). Sin embargo, se evidenció que, a mayor tiempo de tratamiento con los inhaladores, el índice CPOD aumentaba significativamente (p = 0,04).Conclusiones. La medicación inhalatoria no incrementa la prevalencia de caries dental en pacientes pediátricos asmáticos. Sin embargo, existe una relación directa entre la duración del tratamiento y la prevalencia de caries dental


Introduction. Asthma is a chronic inflammatory disease that is highly prevalent among pediatric patients. The results about the effect of asthma on the rate of dental caries are contradictory. The objective of this study was to determine the prevalence of dental caries in asthma pediatric patients using inhaled drugs. Population and methods. Case-control study in a sample made up of pediatric patients who attended Centro Médico Naval "Cirujano Mayor Santiago Távara" between December 2014 and March 2015. Patients were divided into two groups: group A (cases) included asthma patients using inhalers as part of their treatment; group B (controls), healthy subjects who attended the same facility. A medical examination was done to determine the type, time, and frequency of treatment and an oral exam, to establish the prevalence of dental caries and the decayed, missing, and filled teeth (DMFT) index. Results. The prevalence of dental caries was 34.2 % in the control group and 28.3 % in the case group (p = 0.094). In relation to the rate of dental caries, the DMFT index in the control group was 4.73 ± 0.32, and 3.98 ± 0.31 in the case group (p = 0.08). However, it was evidenced that a longer duration of inhaler use led to a significantly higher DMFT index (p = 0.04).Conclusions. Inhaled drugs do not increase the prevalence of dental caries in asthma pediatric patients. However, there is a direct relationship between treatment duration and the prevalence of dental caries.


Subject(s)
Humans , Male , Female , Child, Preschool , Child , Adolescent , Asthma/drug therapy , Dental Caries Susceptibility , Metered Dose Inhalers , Dry Powder Inhalers , Bronchodilator Agents/administration & dosage , Case-Control Studies , Epidemiology, Descriptive , Prevalence , Tooth Loss , Adrenal Cortex Hormones/administration & dosage , Dental Care for Children
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