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Dental fluorosis treatment can improve the individuals' ohrqol? results from a randomized clinical trial
Meireles, Sônia Saeger; Goettems, Marilia Leão; Castro, Kaline Silva; Sampaio, Fábio Correia; Demarco, Flávio Fernando.
  • Meireles, Sônia Saeger; Universidade Federal da Paraíba. Department of Operative Dentistry. João Pessoa. BR
  • Goettems, Marilia Leão; Universidade Federal de Pelotas. Post-graduate Program in Dentistry. Pelotas. BR
  • Castro, Kaline Silva; Universidade Federal da Paraíba. Department of Operative Dentistry. João Pessoa. BR
  • Sampaio, Fábio Correia; Universidade Federal da Paraíba. Department of Operative Dentistry. João Pessoa. BR
  • Demarco, Flávio Fernando; Universidade Federal da Paraíba. Department of Operative Dentistry. João Pessoa. BR
Braz. dent. j ; 29(2): 109-116, Mar.-Apr. 2018. tab, graf
Article in English | LILACS | ID: biblio-951533
Responsible library: BR1.1
ABSTRACT
Abstract This study aimed to evaluate the effect on oral health-related quality of life (OHRQoL) of two treatment protocols for dental fluorosis in individuals enrolled in a randomized clinical trial. Seventy volunteers, who lived in a fluorosis endemic area in Brazil, and had at least four maxillary anterior teeth showing fluorosis with a Thylstrup and Fejerskov index from 1 to 7, were randomized into two treatment groups (n= 35) GI- enamel microabrasion; or GII- microabrasion associated with at-home bleaching. Microabrasion was performed using 37% phosphoric acid and pumice, and at-home tooth bleaching with 10% carbamide peroxide in a tray. Volunteers completed a questionnaire at baseline and 1-month post treatment to assess changes in OHRQoL, using the Oral Impact on Daily Performance (OIDP). Differences in overall impact scores between and within treatment groups were analyzed with Wilcoxon (within) and Mann-Whitney (between) tests. Changes in performance scores were analyzed using Wilcoxon tests (a< 0.05). One month after treatment, subjects reported improvement in OHRQoL. Both groups showed lower OIDP scores (p< 0.001), but there was no difference between them. Eating, cleaning teeth, smiling and emotional state performance scores were lower after treatment for the whole sample. In conclusion, the treatment with microabrasion improved the OHRQoL in this sample of individuals living in a fluorosis endemic area regardless of the addition of at-home bleaching.
RESUMO
Resumo Este estudo teve como objetivo avaliar o efeito na qualidade de vida relacionada à saúde bucal (QVRSB) de dois protocolos de tratamento para fluorose dentária, em indivíduos incluídos em um ensaio clínico randomizado. Setenta voluntários, os quais viviam em uma área de fluorose endêmica no Brasil, e que possuíam pelo menos quatro dentes ântero-superiores com índice de Thylstrup e Fejerskov de 1 a 7, foram randomizados em dois grupos de tratamento (n= 35) GI- microabrasão de esmalte; ou GII- microabrasão associada com clareamento caseiro. A microabrasão foi realizada com ácido fosfórico 37% e pedra pomes e, o clareamento caseiro com peróxido de carbamida 10% e uso de moldeira. Os voluntários responderam um questionário antes e 1 mês após o tratamento, visando avaliar mudanças na QVRSB através do instrumento Oral Impact on Daily Performance (OIDP). Diferenças nos escores de impacto geral entre e nos mesmos grupos de tratamento foram analisadas através dos testes Wilcoxon (mesmo grupo) e Mann-Whitney (entre grupos), respectivamente. Alterações no escores dos domínios foram analisadas usando o teste Wilcoxon (a<0.05). Um mês após o tratamento, os indivíduos relataram melhora na QVRSB. Ambos os grupos apresentaram menores escores do OIDP (p<0,001), sem diferença entre eles. Os escores dos domínios comer, limpar os dentes, sorrir e estado emocioal diminuíram após o tratamento para toda a amostra. Concluiu-se que o tratamento com microabrasão melhorou a QVRSB de indivíduos vivendo em uma área de fluorose endêmica independentemente da associação com o clareamento caseiro.
Subject(s)


Full text: Available Index: LILACS (Americas) Main subject: Phosphoric Acids / Quality of Life / Oral Health / Enamel Microabrasion / Carbamide Peroxide / Fluorosis, Dental Type of study: Controlled clinical trial / Practice guideline Limits: Adolescent / Adult / Female / Humans / Male Country/Region as subject: South America / Brazil Language: English Journal: Braz. dent. j Journal subject: Dentistry Year: 2018 Type: Article Affiliation country: Brazil Institution/Affiliation country: Universidade Federal da Paraíba/BR / Universidade Federal de Pelotas/BR

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Full text: Available Index: LILACS (Americas) Main subject: Phosphoric Acids / Quality of Life / Oral Health / Enamel Microabrasion / Carbamide Peroxide / Fluorosis, Dental Type of study: Controlled clinical trial / Practice guideline Limits: Adolescent / Adult / Female / Humans / Male Country/Region as subject: South America / Brazil Language: English Journal: Braz. dent. j Journal subject: Dentistry Year: 2018 Type: Article Affiliation country: Brazil Institution/Affiliation country: Universidade Federal da Paraíba/BR / Universidade Federal de Pelotas/BR