ABSTRACT
OBJECTIVES: Determine the prevalence of possible bruxism in the adult population of Campinas, Brazil, and investigate its association with health behaviors, health status, and multimorbidity. METHODS: A population-based cross-sectional study was conducted with data from the 2014/2015 Campinas Health Survey. The sample was composed of 1986 adults (≥20 years of age). The data were collected with the aid of a pre-coded questionnaire, and the dependent variable was self-reported bruxism (possible bruxism). The prevalence of possible bruxism was estimated according to the independent variables (health-related behaviors, morbidities, demographic and socioeconomic characteristics). A hierarchical model was employed using stepwise backward regression in two stages. Principal component analysis was also performed to identify multimorbidity patterns. RESULTS: The prevalence of possible bruxism was 13.6%. Associations were found with the consumption of alcoholic beverages, sleep quality, and the number of chronic diseases/health problems. Bruxism was more associated with multimorbidity pattern 2, which was composed of asthma, rhinitis, sinusitis, dizziness/vertigo, migraine/headache, emotional/mental problem, back pain, and allergy. CONCLUSION: The present findings justify the planning of actions directed at reducing the consumption of alcoholic beverages and can help guide the health actions of the multidisciplinary team, prioritizing a reduction in the harm caused by the simultaneous presence of health problems associated with possible bruxism.
Subject(s)
Bruxism , Sleep Bruxism , Adult , Humans , Bruxism/epidemiology , Multimorbidity , Cross-Sectional Studies , Brazil/epidemiology , Health Behavior , Prevalence , Sleep Bruxism/epidemiologyABSTRACT
We aimed to assess the factors associated with frequent sadness and nervousness in Brazilian adolescents, during the Covid-19 pandemic, in 9470 adolescents (aged 12-17 years), interviewed from June 27 to September 17, 2020. Prevalences and prevalence ratios were estimated according to socio-demographic variables and factors related to family, school, friends, and health. Brazilian adolescents often felt sad (32.4%) and nervous (48.7%). Higher prevalences of these feelings were related to: being female; aged 15-17 year; from families with financial difficulties; having learned little or nothing with remote education; missing friends; having few friends; family disagreements; having regular/bad health before the pandemic; and worsened health and sleep during the pandemic. Higher prevalence of nervousness was also found in adolescents who worked before the pandemic and those who reported lack of concentration and not knowing if they had COVID-19. Sadness and nervousness in Brazilian adolescents is high and the need for action by the government, schools, health services, and parents to mitigate the impact of the pandemic on the physical and mental health of adolescents. Special attention must be paid to adolescents with previous health problems and those belonging to the most socially vulnerable population.
ABSTRACT
Introdução: com a finalidade de preservar o órgão dentário e, assim, colaborar para um adequado funcionamento do sistema estomatognático, deve-se considerar que, nas circunstâncias em que o tratamento endodôntico convencional não obtém os resultados desejados, é preciso recorrer à cirurgia parendodôntica, de forma a remover todas as causas da persistência da lesão periapical, bem como em muitos casos solucionar o problema do paciente, devolvendo-lhe a saúde e o bem-estar. Relato de caso: paciente do sexo masculino, 27 anos de idade, apresentava o incisivo lateral superior direito (#12) com exsudação persistente, mesmo após a instrumentação do canal radicular e trocas de medicação intracanal realizada com pasta de hidróxido de cálcio. No presente caso clínico, optou-se como forma de tratamento pela cirurgia parendodôntica com obturação do canal radicular simultânea ao ato cirúrgico. Após curetagem da lesão e apicectomia, realizou-se a obturação do canal radicular com agregado trióxido mineral (5 mm apicais) via câmara pulpar. Resultados: o exame histopatológico apontou um cisto infectado secundariamente. Conclusão: as técnicas cirúrgicas empregadas foram adequadas para esse caso, o que ficou demonstrado tanto clínica quanto radiograficamente, através da neoformação óssea e da ausência de sintomatologia, evidenciando o sucesso do caso. (AU)
Introduction: When conventional root canal treatment does not achieve the desired results, paraendodontic surgery should be performed to remove the causes of the persistent periapical cyst, preserve the tooth, contribute to the adequate functioning of the stomatognathic system and return health and wellbeing to the patient. Methods: A 27-year-old male presented with the right maxillary lateral incisor (tooth 12) with persistent exudate even after treatment of the root canal and the exchange of intracanal medication using calcium hydroxide paste. In the present clinical case, paraendodontic surgery was performed with the simultaneous filling of the root canal. After curettage of the cyst and apicoetomy, the root canal was filled with mineral trioxide aggregate (5 apical mm) through the pulp chamber. Results: The histopathological exam revealed a secondarily infected cyst. Conclusion: The surgical techniques employed were adequate for the present case, as demonstrated both clinically and radiographically through the formation of new bone and the absence of symptoms, confirming the successful treatment of the case (AU).
