Family functioning and dental trauma, malocclusion and anthropometry in adolescents

Aim: The aim of the study was to investigate perceived family cohesion and adaptability and its association with trauma, malocclusion and anthropometry in school adolescents. Methods: Cross-sectional study with a representative sample of 921 adolescents from 13 to 19 years old of both sexes, enrolled in state public schools of a northeastern Brazilian municipality. A questionnaire with sociodemographic questions, the FACES III scale was applied and a clinical oral examination (dental trauma and malocclusion) and anthropometric (BMI by age) were performed. For statistical analysis, was evaluated by the Chi-square test. The variables that presented significance in the bivariate analysis of up to 25% were taken to the multivariate analysis (multinomial logistic regression), variables that presented significance in bivariate analysis of up to 25% were taken to multivariate analysis and all conclusions were drawn considering the significance level of 5%. Results: As a result, it was identified that displaced families were associated with low maternal education, agglutinated families associated with the absence of caries. Rigid families were associated with marked overjet and caries. The prevalence of dental trauma (37.5%) was considered high. Conclusion: It was concluded that family cohesion and adaptability were associated with oral health and socioeconomic factors

Tratamento de mucosite periimplantar pela técnica de enxerto gengival livre: relato de caso / Treatment of peri-implant mucositis through free gingival graft technique: case report

A Mucosite peri-implantar é considerada a precursora da peri-implantite, ela é uma lesão inflamatória da mucosa peri-implantar na ausência de perda óssea marginal contínua. O objetivo desse relato de caso, foi descrever o tratamento da mucosite periimplantar através da cirurgia de enxerto gengival livre. Foi proposto, portanto, um tratamento reabilitador envolvendo uma abordagem multidisciplinar de forma a resgatar e restabelecer estética, função e bem-estar através do enxerto gengival livre para melhorar as características de mucosa e viabilizar uma previsibilidade de uma prótese definitiva implantosuportada em condições teciduais mais estáveis. O uso do EGL para aumento da gengiva queratinizada na cirurgia de implantes em paciente idosos é uma solução prática e segura para a manutenção da saúde periodontal ao redor do implante... (AU)

Peri-implant mucositis is considered the precursor of peri-implantitis, it is an inflammatory lesion of the peri-implant mucosa in the absence of continuous marginal bone loss. The purpose of this case report was to describe the treatment of peri-implant mucositis through free gingival graft surgery. Therefore, a rehabilitation treatment involving a multidisciplinary approach was proposed in order to rescue and reestablish aesthetics, function and well-being through the free gingival graft to improve the characteristics of the mucosa and enable a predictability of a permanent implant prosthesis under more stable tissue conditions. The use of EGL to increase keratinized gingiva in implant surgery in elderly patients is a practical and safe solution for maintaining periodontal health around the implant... (AU)

Impact of tooth loss due to periodontal disease on the prognosis of rehabilitation

Abstract When periodontal disease is diagnosed, it is difficult to predict the clinical response of treatment of a tooth over time because the result of treatment is affected by several factors and will depend on the maintenance and support of periodontal treatment. Rehabilitation with removable dental prostheses, fixed prostheses, and dental implants makes it possible to restore the function and esthetics of patients with tooth loss due to periodontal disease. The predictive factors of tooth loss in periodontitis patients should be assessed by dentists to inform their clinical decision-making during dental treatment planning. This will provide detailed individualized information and level of risk of patients considered suitable for dental rehabilitation. Therefore, the aim of this article was to review the subject of "Impact of tooth loss due to periodontal disease on the prognosis of rehabilitation" and the effect of fixed, removable, and implant-supported prostheses in periodontal patients.

Chronic Periodontitis in Patients with Type 2 Diabetes: Analysis of the FokI Polymorphism and Perception of Quality of Life

Abstract Objective: To analyze whether the FokI polymorphism (rs228570) present in the vitamin D receptor gene in type 2 diabetics is related to chronic periodontitis's clinical status and evaluates the influence of chronic periodontitis on the perception of quality of life. Material and Methods: It is a clinical and laboratory study, composed of a sample of 59 individuals with previous diagnosis of type 2 Diabetes Mellitus and chronic periodontitis, of both sexes. On clinical examination, socio-epidemiological data and quality of life of patients with the Oral Health Impact Profile (OHIP-14) were recorded and a periogram was performed. Subsequently, saliva was collected spontaneously in sterile Falcon tubes (15 ml) and stored in the freezer at -20 °C. The purification of the genetic material was done with a PROMEGA kit (Wizard®), and the polymorphism studied was FokI (rs228570), found in the vitamin D receptor promoting region, with rs: 228570. After extraction of saliva DNA and purification, genotyping was performed by real-time PCR using specific allele probes (TaqMan® System). Results: The polymorphism of the vitamin D receptor gene was not positively associated with the severity and clinical characteristics of periodontitis, but suggested a relationship with the extent of the disease. Periodontitis also had no positive association with patients' perception of quality of life. Conclusion: The perception of quality of life of patients with chronic periodontitis and type 2 diabetes mellitus was compromised by the systemic condition, secondary to oral health, although some dimensions of OHIP-14 have been more frequently mentioned, such as psychological discomfort, physical pain and physical disability.

Evaluation of oral health-related quality of life in individuals with type 2 diabetes mellitus

Aim: The aim of the present study was to evaluate the impact of oral problems on the quality of life of individuals with type 2 diabetes mellitus (DM2). Methods: A population-based, cross-sectional study was conducted with a random sample of 302 individuals with DM2 who answered the Oral Health Impact Profile 14 (OHIP-14) questionnaire as well as a questionnaire addressing socioeconomic and oral health characteristics. After filling out the questionnaires, the participants were submitted to a clinical dental examination Periodontal diseases, dental caries and edentulism. Data analysis involved descriptive statistics, bivariate analysis and logistic regression. Results: The prevalence of impact on oral health-related quality of life (OHRQoL) was 47%. In the multivariate analysis, the variables that remained significantly associated with a negative impact on quality of life were xerostomia (OR= 2.15; 95% CI: 1.07-4.30), denture need (OR= 3.71; 95% CI: 1.17-11.73) and periodontitis (OR= 5.02; 95% CI: 2.19-11.52). Conclusion: The prevalence rate of impact on OHRQoL was high in the sample studied. Xerostomia, denture need and periodontitis posed a risk of negative impact on the quality of life of individuals with DM2, independently of socioeconomic status

Diabete melito tipo 2 e osseointegração: revisão de literatura / Diabetes mellitus type 2 and osseointegration: literature review

O edentulismo é um problema que acomete uma grande porcentagem da população e os pacientes com diabete melito tipo 2(DM2) apresentam maior risco de falha no implante dentário. Alguns fatores são reconhecidos como fundamentais para a obtenção e manutenção da osseointegração e são definidos como "triângulo de sucesso de Massler": saúde sistêmica e local do indivíduo, sistema de implantes e equipe de profissionais. Diabete melito (DM), como uma das principais condições sistêmicas do século XXI, é uma doença comum em todo o mundo. A capacidade de antecipar os resultados é uma parte essencial do gerenciamento de riscos em uma prática de implante, sendo assim, o objetivo deste trabalho através de revisão de literatura é relatar a influência do diabete melito tipo 2 no processo de osseointegracão de implantes dentários. Foi realizada uma busca eletrônica no Portal de Periódicos da Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES), no PubMed® e na Biblioteca Virtual em Saúde (BVS), utilizando os descritores "Type 2 diabetes mellitus, osseointegration, dental implant". O controle glicêmico é o nó crítico do tratamento e deverá ser contornado para um melhor prognóstico, deve-se aguardar o período de osseointegração e não executar o carregamento da prótese para uma correta recuperação da biomecânica óssea. (AU)

Edentulism is a problem that affects a large percentage of the population and patients with type 2 diabetes mellitus (DM2) present a higher risk of failure in the dental implant. Some factors are recognized as fundamental for obtaining and maintaining osseointegration and are defined as "Massler's success triangle": systemic and local health of the individual, implant system and team of professionals. Diabetes mellitus (DM), as one of the major systemic conditions of the 21st century, is a common disease worldwide. The ability to anticipate results is an essential part of risk management in an implant practice. The aim of this paper is to report the influence of type 2 diabetes mellitus on the osseointegration process of dental implants. An electronic search was performed on the Portal of Periodicals of the Coordination of Improvement of Higher Level Personnel (CAPES), PubMed® and the Virtual Health Library (VHL), using the descriptors "Type 2 diabetes mellitus, osseointegration, dental implant". Glycemic control is the critical node of the treatment and should be bypassed for a better prognosis, waiting for the period of osseointegration and not performing the loading of the prosthesis for a correct recovery of the bone biomechanics. (AU)

The impact of dental anxiety and dental fear on the periodontal status and quality of life among dental patients

Aim: The aim of the study was to investigate levels of Dental Fear (DF) and Dental Anxiety (DA) among individuals awaiting appointments at the clinics of two courses in dentistry and determine the impact on oral health status and quality of life. Methods: An observational study was conducted with a sample of adult dental patients. Levels of DF and DA and the perception of quality of life were determined using questionnaires and periodontal data. Results: Among the 287 subjects, 71.4% were female, 7.3% were classified as very anxious and 16% were classified as anxious. Gender was significantly associated with DA (p = 0.001); 20% of the female volunteers and 6.1% of the males were classified as anxious. The frequency of moderate and extreme fear was 42.9% and was not significantly correlated with gender (p = 0.071). The prevalence of a negative impact from oral health status on quality of life (measured using the OHIP-14 scale) was 38.3% and income was significantly associated with this outcome (p = 0.000). Conclusion: Levels of DA and DF were substantial among the individuals analyzed. Women with a lower education were susceptible to anxiety. DA and DF were associated with periodontal status or impact on quality of life

Marcadores salivares para a periodontite crônica no diabético tipo 2 / Salivar markers for chronic periodontitis in diabetic type 2

Introdução: a periodontite crônica é a sexta doença infecciosa mais prevalente no mundo, seus fatores de risco são o aumento da idade, tabaco, fatores genéticos, obesidade e distúrbios sistêmicos como o diabetes. O diabetes é uma pandemia tanto em países desenvolvidos como em desenvolvimento, é uma doença complexa com graus variados de complicações sistêmicas e orais. Assim, é urgente a necessidade de um método fácil para detectá-la permitindo a intervenção antes da progressão da doença periodontal. Á análise de metabólitos da saliva tem sido proposta como uma ferramenta efetiva para o diagnóstico e tratamento periodontal. Objetivo: discorrer sobre alternativas de diagnóstico de periodontite crônica em pacientes diabéticos tipo 2 utilizando marcadores salivares. Metodologia: Foi realizada uma busca eletrônica no Portal de Periódicos da Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES), para a realização do referido levantamento, utilizou-se os descritores "Type 2 diabetes mellitus, chronic periodontitis, Biomarkers, Saliva". Resultados: a detecção precoce da periodontite crônica não é apenas vital para reduzir a sua gravidade e prevenir complicações, mas também crítico para aumentar a taxa de sucesso da terapia. Conclusão: a utilização de biomarcadores na medicina é uma realidade difundida e tem relação direta com a modernização dos meios de saúde, na odontologia vem se pleiteando seu uso, mas ainda necessita de maiores estudos e aperfeiçoamentos das técnicas já empregadas com o intuito de diminuir seus custos, aumentar especificidade e acesso dos profissionais de saúde.(AU)

Introduction: Chronic periodontitis is the sixth most prevalent infectious disease in the world. Its risk factors are increased age, tobacco, genetic factors, obesity, and systemic disorders such as diabetes. Diabetes is a pandemic in both developed and developing countries, it is a complex disease with varying degrees of systemic and oral complications. Thus, there is an urgent need for an easy method to detect it allowing intervention before the progression of periodontal disease. The analysis of saliva metabolites has been proposed as an effective tool for periodontal diagnosis and treatment. Objective: To discuss alternatives for diagnosis of chronic periodontitis in type 2 diabetic patients using salivary markers. Methodology: An electronic search was performed in the Portal of Periodicals of the Coordination of Improvement of Higher Level Personnel (CAPES). The descriptors "Type 2 diabetes mellitus, chronic periodontitis, Biomarkers, Saliva" were used to perform this survey. Results: early detection of chronic periodontitis is not only vital to reduce its severity and prevent complications, but also critical to increase the success rate of therapy. Conclusion: the use of biomarkers in medicine is a widespread reality and has a direct relationship with the modernization of health facilities. In dentistry, its use has been sought, but it still needs further studies and improvements of techniques already employed with the intention of reducing its Increase the specificity and access of health professionals.(AU)