Uso de prótese dentária e sua relação com lesões bucais / Use of dental prostheses and their relationship with oral lesions / Uso de prótesis dentales y su relación con lesiones orales

Objetivo Mostrar a relação da prótese dentária com a incidência e o tipo de lesões bucais desenvolvidos na região do Seridó, estado do Rio Grande do Norte, Brasil. Método Foi realizado um cadastro de 77 pacientes, todos com mais de 21 anos de idade, ambos os gêneros, não etilistas e/ou tabagistas crônicos, residentes nos municípios correspondentes a região do Seridó, que apresentavam algum tipo de lesão bucal e que deram entrada nas Clínicas Odontológicas da Universidade do Rio Grande do Norte, sendo observado a relação destas com o uso de próteses dentárias. Resultados A maioria das próteses relacionadas com lesões orais possuía mais de 05 anos de uso e indicação de troca, e que a Candidose, com 45,5 % dos casos e Hiperplasia fibrosa inflamatória, com 27,2 % foram às lesões mais relacionadas. Conclusões As próteses dentárias totais e parciais removíveis apresentaram relação com lesões orais, no entanto, a prótese total apresentou maior percentual de peças indicadas para troca e com mais de 05 anos de uso; mostrando que o tipo parcial removível a grampo mesmo sem indicações de troca, apresentaram uma alta relação com lesões.(AU)

Objective To show the relationship between dental prostheses and the incidence and type of oral lesions developed in the Seridó region of Brazil. Methods 77 patients were registered. All were over 21 years of age, of both sexes, non-alcoholic and / or chronic smokers, and residents of the municipalities of the region corresponding to Seridó. They also all had some type of oral lesion and had been admitted to dental clinics of the University of Rio Grande do Norte. Here, the relationship between these lesions and the dental prostheses that they used was observed. Results The majority of dental prostheses related to oral lesions had more than 5 years of use and required changing. Candidiasis (45.5 %) and inflammatory fibrous hyperplasia (27.2 %) were the lesions most related to the dental prostheses. Conclusions Complete prostheses and removable partial dentures correlated with oral lesions. However, the complete prostheses had a higher percentage ready for change-out and had more than 05 years of use. This demonstrates that removable partial dentures, even without the need for exchange, showed a high correlation with the oral lesions.(AU)

Objetivo Mostrar la relación de prótesis dentales con la incidencia y el tipo de lesiones orales desarrollados en la región Seridó, estado de Rio Grande do Norte, Brasil. Método Se realizó un registro de 77 pacientes. Todos eran mayores de 21 años de edad, de ambos sexos, no alcohólicos y/o fumadores crónicos, residentes de los condados correspondientes a la región Seridó, que tenía algún tipo de lesión oral y que fueron admitidos a clínicas dentales de la Universidad de Río Grande del Norte. Allí se observó la relación de estas lesiones con el uso de las prótesis dentales. Resultados En la mayoría de los casos de lesiones orales, estaban relacionadas prótesis que tenían más de 5 años de uso y requerían ser cambiadas. La candidiasis, con el 45,5 % de los casos, y la hiperplasia fibrosa inflamatoria, con el 27,2 %, fueron las lesiones más relacionadas. Conclusiones Se concluye que las prótesis completas y las prótesis parciales removibles mostraron una relación con lesiones orales. Sin embargo, las prótesis completas tuvieron un mayor porcentaje para ser cambiadas y con más de 5 años de uso. Esto demuestra que el tipo parcial removible, incluso sin necesidad de cambio, mostraron una alta correlación con las lesiones.(AU)

The impact of psychiatric diagnosis on treatment adherence and duration among victimized children and adolescents in São Paulo, Brazil

OBJECTIVE: Despite the high prevalence of substance abuse and mood disorders among victimized children and adolescents, few studies have investigated the association of these disorders with treatment adherence, represented by numbers of visits per month and treatment duration. We aimed to investigate the effects of substance abuse and mood disorders on treatment adherence and duration in a special program for victimized children in São Paulo, Brazil. METHODS: A total of 351 participants were evaluated for psychiatric disorders and classified into one of five groups: mood disorders alone; substance abuse disorders alone; mood and substance abuse disorders; other psychiatric disorders; no psychiatric disorders. The associations between diagnostic classification and adherence to treatment and the duration of program participation were tested with logistic regression and survival analysis, respectively. RESULTS: Children with mood disorders alone had the highest rate of adherence (79.5 percent); those with substance abuse disorders alone had the lowest (40 percent); and those with both disorders had an intermediate rate of adherence (50 percent). Those with other psychiatric disorders and no psychiatric disorders also had high rates of adherence (75.6 percent and 72.9 percent, respectively). Living with family significantly increased adherence for children with substance abuse disorders but decreased adherence for those with no psychiatric disorders. The diagnostic correlates of duration of participation were similar to those for adherence. CONCLUSIONS: Mood and substance abuse disorders were strong predictive factors for treatment adherence and duration, albeit in opposite directions. Living with family seems to have a positive effect on treatment adherence for patients with substance abuse disorders. More effective treatment is needed for victimized substance-abusing youth.