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1.
Eur Arch Paediatr Dent ; 24(2): 187-193, 2023 Apr.
Article in English | MEDLINE | ID: mdl-36550342

ABSTRACT

PURPOSE: This cross-sectional study aimed at evaluating the factors associated with flossing by caregivers in Brazilian young children. METHODS: Its sample consisted of 305 children aged 1-3 and their mothers from the Brazilian city of Diamantina. They were selected through the Municipal Health Department from a list of registered children who had recently used the public health services. Data collection was done by means of the mothers answering a questionnaire which addressed economic and socio-demographic factors and also the mother and child characteristics and habits. In addition, an oral clinical examination was performed in order to assess Baume arch type and caries occurrence. Descriptive statistical analysis, chi-square test and Poisson regression were performed. RESULTS: It was found that the sample presented a prevalent flossing habit in 20.3% of the subjects. The flossing habit in the children was associated with the mothers' own habit of flossing daily (PR 2.32; 95% CI 1.12-4.82) and with the frequent children's tooth brushing by the mother (PR 2.85; 95% CI 1.05-7.76). CONCLUSION: A higher prevalence of flossing by caregivers in young children is associated with the mothers' own habit of flossing daily and with the frequent children's tooth brushing by the mother.


Subject(s)
Dental Caries , Oral Hygiene , Female , Humans , Child , Child, Preschool , Oral Health , Cross-Sectional Studies , Brazil/epidemiology , Toothbrushing , Mothers , Dental Caries/epidemiology
3.
Eur Arch Paediatr Dent ; 20(6): 557-563, 2019 Dec.
Article in English | MEDLINE | ID: mdl-30903614

ABSTRACT

PURPOSE: To evaluate the perceived impact of dental pain on oral health-related quality of life (OHRQoL) among children aged 1-3 years and their families. METHODS: A cross-sectional study was conducted with 306 randomly selected preschool and day care children in the city of Diamantina, Brazil. Parents/caregivers answered a questionnaire on socio-demographic information, the Brazilian version of the Early Childhood Oral Health Impact Scale, their child's general/oral health and the Brazilian version of the Dental Discomfort Questionnaire. The children underwent an oral examination. Descriptive statistics, Spearman's correlations, the Kruskal-Wallis test, Mann-Whitney test and Poisson regression were used to determine associations between the variables (prevalence ratio [PR], α = 5%). RESULTS: The prevalence of dental caries and dental pain was 43.1% and 40.2%, respectively. Dental pain (PR: 1.96, 95% CI 1.52-2.54; p < 0.001), monthly household income (PR: 1.38, 95% CI 1.04-1.83; p = 0.026) and dental caries (PR: 1.06, 95% CI 1.03-1.10; p < 0.001) were significantly associated with the perceived impact on OHRQoL. CONCLUSIONS: Dental pain, household income and dental caries were associated with a negative impact on the OHRQoL of children aged 1-3 years and their families.


Subject(s)
Dental Caries , Quality of Life , Brazil , Child , Child, Preschool , Cross-Sectional Studies , Humans , Infant , Oral Health , Surveys and Questionnaires , Toothache
4.
Eur Arch Paediatr Dent ; 19(2): 73-82, 2018 Apr.
Article in English | MEDLINE | ID: mdl-29594971

ABSTRACT

AIM: To evaluate the scientific evidence regarding the association between malocclusion and dental caries in adolescents. METHODS: Searches were conducted of six electronic databases, complemented by manual searching of the reference lists of the selected articles and grey literature. Two independent reviewers performed the selection of the articles, data extraction and the evaluation of the risks of bias through an assessment of methodological quality. Meta-analysis was performed considering the mean decayed, missing and filled teeth (DMFT) index for caries and the Dental Aesthetic Index (DAI) for malocclusion. Heterogeneity was tested using the I2 statistic and a random effect model was employed. Summary effect measures were calculated as differences in means. RESULTS: The initial search retrieved 2644 studies, only 15 of which were selected for full-text analysis. Four cross-sectional studies were included in the qualitative systematic review. Only one of these studies found no association between malocclusion and dental caries. The meta-analysis of three studies demonstrated that a lower DAI value was significantly associated with a lower mean DMFT index, except for the comparison of DAI 26-30 vs. 31-35. CONCLUSIONS: Based on the studies analysed, the scientific evidence indicates an association between malocclusion and dental caries.


Subject(s)
Dental Caries/etiology , Malocclusion/complications , Adolescent , Humans , Risk Factors
5.
Arq. bras. med. vet. zootec. (Online) ; 69(4): 802-806, jul.-ago. 2017. tab
Article in Portuguese | VETINDEX | ID: vti-18049

ABSTRACT

A citologia uterina consiste em método prático e eficiente para o diagnóstico de afecções uterinas na égua, contribuindo para a conduta terapêutica e o prognóstico quanto à fertilidade das fêmeas. Assim, o objetivo deste trabalho foi comparar diferentes técnicas de coleta de material para citologia uterina em éguas, a fim de se verificarem possíveis diferenças qualitativas e quantitativas e a praticidade na execução das metodologias. Para tanto, 12 éguas multíparas foram submetidas ao exame citológico uterino, durante o estro e o diestro, por meio de escova ginecológica e lavado uterino de baixo volume. Com esse ensaio, observou-se que não houve diferença significativa (P>0,05) no resultado da citologia uterina entre as diferentes técnicas avaliadas. No entanto, quando comparadas as fases do ciclo estral, houve uma diferença significativa (P<0,05) quanto ao percentual médio de polimorfonucleares neutrófilos, sendo de 8,07±2,80 no estro e de 1,55±0,28 no diestro. Conclui-se, desse modo, que as técnicas estudadas apresentaram resultados igualmente eficazes para detecção de neutrófilos ao exame citológico do útero em ambas as fases avaliadas do ciclo estral, apesar de, na fase de estro, a detecção de maior percentual de neutrófilos possibilitar um diagnóstico e um prognóstico mais precoces de endometrite e, portanto, uma conduta terapêutica mais adequada.(AU)


The endometrial cytology consists in an efficient and practical method for the diagnosis of uterine disorders in mares, contributing for therapeutic conduct and prognostic evaluation regarding the females' fertility. Therefore, the aim of this study was to compare different techniques of material sampling for endometrial cytology in mares, in order to verify possible qualitative and quantitative differences in the practicality of implementation of this methodology. Twelve multiparous mares underwent an endometrial cytological exam, during estrus and diestrus, by means of a cytobrush and a low-volume uterine flush. With this test, no statistical difference was observed (P>0.05) regarding the result of endometrial cytology between the evaluated techniques. However, in comparison to the estrous cycle's phases, a significant difference was verified (P<0.05) on the average percentage of polymorphonuclear neutrophils: 8.07±2.80 in estrus and 1.55±0.28 in diestrus. Thus, we conclude that the studied techniques presented equally effective results for the detection of neutrophils in the cytological exam for both evaluated stages of the estrous cycle, whereas in estrus phase, the detection of a higher percentage of neutrophils allows a more precocious diagnostic and prognostic of endometritis and, therefore, a more adequate therapeutic approach.(AU)


Subject(s)
Animals , Female , Horses , Uterus/cytology , Estrous Cycle , Endometritis/veterinary , Neutrophils/cytology , Cytological Techniques/veterinary , Estrus , Diestrus
6.
Arq. bras. med. vet. zootec. (Online) ; 69(4): 802-806, jul.-ago. 2017. tab
Article in Portuguese | LILACS, VETINDEX | ID: biblio-876512

ABSTRACT

A citologia uterina consiste em método prático e eficiente para o diagnóstico de afecções uterinas na égua, contribuindo para a conduta terapêutica e o prognóstico quanto à fertilidade das fêmeas. Assim, o objetivo deste trabalho foi comparar diferentes técnicas de coleta de material para citologia uterina em éguas, a fim de se verificarem possíveis diferenças qualitativas e quantitativas e a praticidade na execução das metodologias. Para tanto, 12 éguas multíparas foram submetidas ao exame citológico uterino, durante o estro e o diestro, por meio de escova ginecológica e lavado uterino de baixo volume. Com esse ensaio, observou-se que não houve diferença significativa (P>0,05) no resultado da citologia uterina entre as diferentes técnicas avaliadas. No entanto, quando comparadas as fases do ciclo estral, houve uma diferença significativa (P<0,05) quanto ao percentual médio de polimorfonucleares neutrófilos, sendo de 8,07±2,80 no estro e de 1,55±0,28 no diestro. Conclui-se, desse modo, que as técnicas estudadas apresentaram resultados igualmente eficazes para detecção de neutrófilos ao exame citológico do útero em ambas as fases avaliadas do ciclo estral, apesar de, na fase de estro, a detecção de maior percentual de neutrófilos possibilitar um diagnóstico e um prognóstico mais precoces de endometrite e, portanto, uma conduta terapêutica mais adequada.(AU)


The endometrial cytology consists in an efficient and practical method for the diagnosis of uterine disorders in mares, contributing for therapeutic conduct and prognostic evaluation regarding the females' fertility. Therefore, the aim of this study was to compare different techniques of material sampling for endometrial cytology in mares, in order to verify possible qualitative and quantitative differences in the practicality of implementation of this methodology. Twelve multiparous mares underwent an endometrial cytological exam, during estrus and diestrus, by means of a cytobrush and a low-volume uterine flush. With this test, no statistical difference was observed (P>0.05) regarding the result of endometrial cytology between the evaluated techniques. However, in comparison to the estrous cycle's phases, a significant difference was verified (P<0.05) on the average percentage of polymorphonuclear neutrophils: 8.07±2.80 in estrus and 1.55±0.28 in diestrus. Thus, we conclude that the studied techniques presented equally effective results for the detection of neutrophils in the cytological exam for both evaluated stages of the estrous cycle, whereas in estrus phase, the detection of a higher percentage of neutrophils allows a more precocious diagnostic and prognostic of endometritis and, therefore, a more adequate therapeutic approach.(AU)


Subject(s)
Animals , Female , Endometritis/veterinary , Estrous Cycle , Horses , Neutrophils/cytology , Uterus/cytology , Cytological Techniques/veterinary , Diestrus , Estrus
7.
Community Dent Health ; 34(1): 37-40, 2017 Mar.
Article in English | MEDLINE | ID: mdl-28561556

ABSTRACT

OBJECTIVE: To assess the relationship between sense of coherence (SOC) and oral health-related quality of life (OHRQoL) among children aged one to three years. PARTICIPANTS: A cross-sectional study was conducted with 276 mother-child pairs randomly selected from the city of Diamantina, Brazil. METHOD: Information was obtained on socio-demographic factors. The short version of Antonovsky's sense of coherence scale (SOC 13) and the Early Childhood Oral Health Impact Scale (ECOHIS) were administered. The children were examined for dental caries. Statistical analysis involved descriptive statistics, the calculation of Spearman's correlation coefficients and adjusted Poisson regression models. RESULTS: SOC was significantly associated with the child's OHRQoL in the multivariate analysis. Children of mothers with high SOC (PR 0.96; 95%CI 0.93,0.98; p=0.045) had a lower prevalence of a negative impact on OHRQoL. Children with severe dental caries had a greater prevalence of a negative impact on OHRQoL (PR 2.53; 95%CI 1.77,3.62; p⟨0.001). CONCLUSIONS: Maternal SOC could be a psychosocial determinant of the OHRQoL of children aged one to three years. Severe dental caries was associated with poorer quality of life.


Subject(s)
Mothers/psychology , Oral Health , Quality of Life , Sense of Coherence , Brazil , Child, Preschool , Cross-Sectional Studies , Dental Caries/epidemiology , Humans , Infant
8.
Eur Arch Paediatr Dent ; 18(3): 197-202, 2017 Jun.
Article in English | MEDLINE | ID: mdl-28374326

ABSTRACT

AIM: To analyse the maternal identification of different stages of dental caries in children aged 1-3 years. METHODS: A cross-sectional study was conducted with 274 children and their mothers. The mothers answered a questionnaire on the occurrence of dental caries in their children and completed questions addressing their demographic/socio-economic status. The oral examination of the children was performed using the International Caries Detection and Assessment System. Descriptive, Chi square test and Poisson regression statistical analyses were performed. RESULTS: The prevalence of initial and established/severe dental caries lesions by age were: 1 year (23.2 and 24.2%), 2 years (17.9 and 55.7%) and 3 years (23.3 and 60.3%) respectively. Significant associations between clinical examinations and the mothers' reports were observed among children aged 1 year old who had initial stage caries lesions (p = 0.006) and in children aged 1, 2 and 3 years old who had established/severe stage caries lesions (p < 0.001). After adjustment for confounding variables it was found that mothers were more able to identify dental caries both at initial (PR 4.01, 95% CI 1.35-11.94) and established/severe stages (PR 9.14, 95% CI 2.49-33.56) in children aged 1 year old. In children aged 2 and 3 years, this identification was more evident in the established/severe stage (2 years, PR 2.98, 95% CI 1.42-6.26; 3 years, PR 2.75, 95% CI 1.09-6.93). CONCLUSIONS: Mothers of children aged 1 year old identified dental caries at initial and established/severe stages. Mothers of children aged 2 and 3 years identified dental caries only at established/severe stages.


Subject(s)
Dental Caries/diagnosis , Mothers , Age Factors , Child, Preschool , Cross-Sectional Studies , Dental Caries/epidemiology , Female , Humans , Infant , Male , Quality of Life , Surveys and Questionnaires
9.
Eur Arch Paediatr Dent ; 18(2): 83-89, 2017 Apr.
Article in English | MEDLINE | ID: mdl-28236281

ABSTRACT

AIM: To determine the effect of different types of dental trauma on oral health-related quality of life (OHRQoL) among pre-school children. METHODS: Four hundred fifty-nine Brazilian pre-schoolers aged 3-5 years were submitted to an oral examination in the school environment for the evaluation of dental trauma using the criteria proposed by Andreasen et al. (2007). Parents answered a questionnaire on the OHRQoL of the children using the Early Childhood Oral Health Impact Scale (ECOHIS) and another one on socio-demographic characteristics of the children and their families. The questionnaires were sent to the parents to be answered at home. Descriptive statistics, Mann-Whitney test and Poisson regression were used for statistical analysis. RESULTS: Children with dark discolouration and enamel-dentine fracture without pulp exposure had higher mean ECOHIS scores than those without these alterations. The multivariate regression analysis demonstrated that pre-school children with dark discolouration (PR 1.79; 95% CI 1.24-2.58) and enamel-dentine fracture without pulp exposure (PR 1.89; 95% CI 1.22-2.92) had a higher impact on quality of life than those without these alterations. CONCLUSION: Dark discolouration and enamel-dentine fracture without pulp exposure were associated with a negative impact on the life of pre-schoolers.


Subject(s)
Dental Enamel/injuries , Dentin/injuries , Quality of Life , Tooth Discoloration/psychology , Tooth Fractures/psychology , Brazil/epidemiology , Child, Preschool , Cross-Sectional Studies , Female , Humans , Male , Oral Health , Socioeconomic Factors , Surveys and Questionnaires , Tooth Discoloration/epidemiology , Tooth Fractures/epidemiology
10.
Eur Arch Paediatr Dent ; 15(2): 89-96, 2014 Apr.
Article in English | MEDLINE | ID: mdl-23856809

ABSTRACT

PURPOSE: To evaluate the prevalence of malocclusion and associated factors in the primary dentition of preschoolers in the city of Diamantina, Brazil. METHODS: A cross-sectional study was carried out with 381 children aged 3-5 years treated at the 10 basic health care units in the city during immunisation campaigns. The dependent variables (presence of malocclusion, open bite, crossbite and crowding) were evaluated through a clinical oral exam. The independent variables (gender, age, health problems, breastfeeding, bottle feeding, harmful oral habits, mother's schooling, household income and number of children in the home) were collected through interviews. Statistical analysis involved descriptive analysis, Chi square test and Poisson regression. RESULTS: The prevalence of malocclusion was 32.5%. Open bite was the most frequent type of malocclusion. Children with a history of bottle feeding (PR 1.74; 95% CI 1.24-2.44) and those with harmful oral habits (PR 1.49; 95% CI 1.23-1.99) had greater prevalence rates of malocclusion. Greater prevalence rates of open bite were also found in children with a history of bottle feeding (PR 5.00; 95% CI 1.99-12.5) and those with harmful oral habits (PR 2.90; 95% CI 1.59-5.29), whereas greater prevalence rates of crossbite were found in boys (PR 1.79; 95% CI 1.10-2.91) and were associated with mother's schooling (PR 1.91; 95% CI 1.20-3.06). CONCLUSION: A history of bottle feeding and the presence of harmful oral habits were identified as determinants for the occurrence of malocclusion in preschoolers.


Subject(s)
Malocclusion/epidemiology , Bottle Feeding/statistics & numerical data , Brazil/epidemiology , Breast Feeding/statistics & numerical data , Child, Preschool , Cross-Sectional Studies , Dental Occlusion, Traumatic/epidemiology , Educational Status , Female , Fingersucking , Humans , Income/statistics & numerical data , Male , Mothers/education , Nail Biting , Nutritional Status , Open Bite/epidemiology , Prevalence , Sex Factors , Tooth, Deciduous
11.
J Dent Child (Chic) ; 80(3): 107-10, 2013.
Article in English | MEDLINE | ID: mdl-24351689

ABSTRACT

PURPOSE: The purpose of this study was to compare mothers' actual observations of signs and symptoms associated with the eruption of primary incisors in their infants with their own recollections of the same period after eruption was completed. METHODS: A comparative study was carried out with 45 non-institutionalized infants and their mothers. Oral clinical exams were performed daily for detection of tooth eruption. The mothers were also interviewed daily about signs and symptoms they thought were associated with teething in the previous 24 hours. One week after the data collection was done, the mothers answered the same questionnaire. Descriptive analysis and the McNemar test (P<.05) were performed. RESULTS: Statistically significant differences were found between the prospective and retrospective studies. Increased salivation (P<.04) and runny nose (P<.001) were reported less often and fever was reported more often (P<.001) in the retrospective evaluation. CONCLUSIONS: Mothers reported similar manifestations of sleep disturbance, diarrhea, loss of appetite, and irritability in the prospective and retrospective studies. Increased salivation and runny nose were more frequently reported in the prospective study, whereas fever was reported 5 times more often in the retrospective study.


Subject(s)
Mothers/psychology , Tooth Eruption , Tooth, Deciduous , Anorexia/etiology , Brazil , Diarrhea, Infantile/etiology , Female , Fever/etiology , Humans , Infant , Interviews as Topic , Irritable Mood , Male , Prospective Studies , Registries , Retrospective Studies , Rhinitis/etiology , Sialorrhea/etiology , Sleep Wake Disorders/etiology , Surveys and Questionnaires
12.
Caries Res ; 47(3): 211-8, 2013.
Article in English | MEDLINE | ID: mdl-23257929

ABSTRACT

The aim of the present population study was to evaluate the impact of early childhood caries (ECC) on the oral health-related quality of life (OHRQoL) of preschool children and their parents/caregivers. A random sample of 638 children (aged 2-5 years) underwent a clinical oral examination to assess ECC, and their parents were invited to answer two questionnaires: one on the OHRQoL of the child, the Early Childhood Oral Health Impact Scale, and another on the characteristics and sociodemographic conditions of the child. Descriptive analysis, χ(2) test, Mann-Whitney test, Kruskal-Wallis test, and hierarchically adjusted Poisson regression models were used. The prevalence of ECC was 52.2%. The number of teeth with decay ranged from 1 (n = 42; 6.6%) to 20 (n = 5; 0.8%), averaging 2.86 (SD = 4.04). There was a significant difference between the severity of ECC and OHRQoL in terms of the impact on both child and family (p < 0.001). An increase in the severity of ECC resulted in an increased negative impact on the quality of life of the child (rate ratio, RR = 5.32; 95% confidence interval, CI: 3.67-7.71). Greater age of the mother had a positive impact on the OHRQoL of preschool children (RR = 0.72; 95% CI: 0.54-0.97). Increased age resulted in an increased negative impact on the quality of life of the child (RR = 2.97; 95% CI: 1.61-5.47). ECC has a negative impact on the OHRQoL of children aged 2-5 years and their parents. Mothers aged 30 or older reported better OHRQoL, independent of the presence of ECC and the age of the child.


Subject(s)
Dental Caries/psychology , Parents/psychology , Quality of Life , Brazil , Chi-Square Distribution , Child, Preschool , Confidence Intervals , DMF Index , Female , Humans , Male , Maternal Age , Oral Health , Parent-Child Relations , Regression Analysis , Sickness Impact Profile , Socioeconomic Factors , Statistics, Nonparametric , Surveys and Questionnaires
13.
Pediatr Dent ; 34(3): 49-52, 2012.
Article in English | MEDLINE | ID: mdl-22795145

ABSTRACT

PURPOSE: This study's purpose was to evaluate the impact of untreated dental caries on the oral health-related quality of life (OHRQoL) of children of low socioeconomic status. METHODS: One hundred twelve impoverished 8- to 10-year-olds from a city in southeastern Brazil were selected. OHRQoL was measured using the Child Perceptions Questionnaire (CPQ8-10; total and subscale scores) and its global question on oral health. The clinical examination recorded the prevalence of untreated dental caries (corresponding to a non-zero D or d component in the DMFT or dmft indices). The children were categorized as without untreated dental caries=0 or with untreated dental caries ≥1. Malocclusions and dental trauma were determined using the Dental Aesthetic Index and Andreasen and Andreasen (1994) classification, respectively. Descriptive analysis, Mann-Whitney, chi-square test, and hierarchically adjusted Poisson regression models were employed. RESULTS: Eighty-four children (75%) had 1 or more carious teeth. The relative risk of having a negative perception of oral health was greater among the children with untreated dental caries (RR-1:41; 95% confidence interval=1.13-1.75), regardless of gender or malocclusion. CONCLUSION: Eight- to 10-year-olds with untreated dental caries have a greater relative risk of having a negative perception of oral health status than those without dental caries.


Subject(s)
Dental Caries/physiopathology , Poverty , Quality of Life , Social Class , Brazil , Child , Humans , Poisson Distribution
14.
Int J Oral Maxillofac Surg ; 41(10): 1270-4, 2012 Oct.
Article in English | MEDLINE | ID: mdl-22464852

ABSTRACT

The objective of this study was to verify, using periapical radiographs, whether a partially erupted mandibular third molar is a factor in the presence of dental caries on the distal surface of the adjacent second molar. Two-forty six high quality periapical radiographs were selected, each showing a partially erupted mandibular third molar. The variables analyzed were: tooth number; gender; age; radiographic presence of caries on the distal surface of the adjacent molar; Pell and Gregory classification; Winter classification; angulation and distance between the second and mandibular third molar. The examiners were previously calibrated to collect data (kappa statistics from 0.87 to 1.0). The prevalence rate of caries on the distal surface of the second molar was 13.4%. In the logistical multivariate regression analysis, the angulation (OR=8.5; IC95%: 1.7-43.8; p=0.011) and the gender (OR=3.3; IC95%: 1.4-7.7; p=0.005) remained statistically significant after an age adjustment was made. The results indicate that the presence of a partially erupted mandibular third molar with an angulation of 31 degrees or more, is a risk factor for caries on the distal surface of the mandibular second molars.


Subject(s)
Dental Caries/etiology , Molar, Third/pathology , Tooth Extraction/statistics & numerical data , Tooth, Impacted/complications , Tooth, Unerupted/complications , Adolescent , Adult , Age Factors , Chi-Square Distribution , Dental Caries/diagnostic imaging , Female , Humans , Logistic Models , Male , Mandible , Middle Aged , Molar/diagnostic imaging , Molar/pathology , Molar, Third/diagnostic imaging , Molar, Third/surgery , Radiography , Retrospective Studies , Risk Factors , Sex Factors , Tooth, Impacted/diagnostic imaging , Tooth, Impacted/surgery , Tooth, Unerupted/diagnostic imaging , Tooth, Unerupted/surgery , Young Adult
15.
J Clin Pediatr Dent ; 37(1): 5-8, 2012.
Article in English | MEDLINE | ID: mdl-23342559

ABSTRACT

Autogenous tooth fragment bonding offers advantages over restorations with composite resins and porcelain, including better esthetics, greater durability, reestablishment of the natural function of the dental element and short execution time. A case is presented of a 14-year-old male patient who suffered an oblique crown fracture of the permanent right maxillary central incisor (11) due to a traumatic fall. The clinical examination revealed pulp exposure with no invasion of the biological space. Due to the extension of the fracture, endodontic treatment and the placement of an intra-root esthetic pin was needed. The tooth was restored using the autogenous fragment bonding method. Excellent esthetic and functional results were observed after two years of follow up.


Subject(s)
Dental Bonding , Dental Prosthesis Design , Esthetics, Dental , Incisor/injuries , Post and Core Technique , Smiling , Tooth Crown/injuries , Tooth Fractures/therapy , Acid Etching, Dental/methods , Adolescent , Composite Resins/chemistry , Dental Materials/chemistry , Dentin-Bonding Agents/chemistry , Follow-Up Studies , Glass/chemistry , Humans , Male , Methacrylates/chemistry , Root Canal Therapy/methods , Silicon Dioxide/chemistry , Zirconium/chemistry
16.
J Clin Pediatr Dent ; 37(1): 103-8, 2012.
Article in English | MEDLINE | ID: mdl-23342575

ABSTRACT

OBJECTIVES: To determine the association between types of malocclusion and quality of life in children between 8-10 years of age and establish correlations between the severity of the malocclusion and particular bio-psychosocial variables. STUDY DESIGN: The sample was made up of 102 schoolchildren aged 8-10 years. Clinical exams were performed using the criteria of the Dental Aesthetic Index (DAI) to determine the presence and severity of malocclusions. The impact on quality of life was assessed using the Child Perceptions Questionnaire (CPQ8-10). Statistical analysis involved the chi-square test, Fisher's exact test and Spearman's correlation analysis. RESULTS: Malocclusions affected 61% of the children examined. There was a positive correlation between total CPQ8-10 and DAI scores (P = 0.034). The following types of malocclusion had a significant effect on the quality of life of the children: upper anterior irregularity > or = 2 mm, anterior open bite > or = 2 mm and diastema > or = 2 mm. Children with malocclusion experienced a greater negative impact on quality of life in comparison to those without malocclusion. CONCLUSIONS: Malocclusions had a negative influence over the quality of life of children between 8-10 years of age. More severe malocclusions had a greater impact with regard to social, emotional and functional aspects.


Subject(s)
Malocclusion/psychology , Quality of Life , Activities of Daily Living , Attitude to Health , Child , Cross-Sectional Studies , Diastema , Emotions , Esthetics, Dental , Female , Humans , Interpersonal Relations , Male , Malocclusion/classification , Open Bite/psychology , Self Concept , Shame , Speech Disorders/psychology , Toothache/psychology
17.
J Indian Soc Pedod Prev Dent ; 29(6 Suppl 2): S92-4, 2011 Dec.
Article in English | MEDLINE | ID: mdl-22169847

ABSTRACT

Palatal radicular groove is a discreet alteration in tooth morphology, characterized by an invagination that begins near the cingulum of the tooth and moves in an apical direction. Clinically, palatal radicular groove may be associated with periodontal and/or endodontic problems. This paper describes a clinical case of a young patient with palatal radicular groove with no signs of periodontal disease or endodontic impairment. An early diagnosis was made and treatment consisted of surgical sealing of the defect. After a 2-year period, reexaminations demonstrated adequate hygiene, maintenance of tooth vitality and periodontal health. The early diagnosis and sealing of the groove observed surgically made the root surface smooth, avoiding subgingival bacterial plaque buildup, and preventing possible periodontal and/or pulp impairment stemming from the defect.


Subject(s)
Incisor/abnormalities , Tooth Abnormalities/diagnosis , Tooth Abnormalities/surgery , Tooth Root/abnormalities , Child , Early Diagnosis , Glass Ionomer Cements/therapeutic use , Humans , Incisor/surgery , Male , Maxilla , Tooth Abnormalities/therapy , Tooth Root/surgery
18.
Eur Arch Paediatr Dent ; 12(6): 293-7, 2011 Dec.
Article in English | MEDLINE | ID: mdl-22122847

ABSTRACT

AIM: To assess the impact of dental pain on the daily living of 5-year-old preschool children using reports from parents/guardians. DESIGN AND METHODS: A cross-sectional study was carried out involving 549 five-year-old children randomly selected from preschools in the city of Belo Horizonte, Brazil. Data were collected using a previously validated parent-reported questionnaire. The children received dental examinations from a single calibrated examiner. The following outcome variables were selected: age, gender, dental caries, filled teeth, missing teeth, caries involving pulp and social class. Simple and multiple logistic regression analyses were performed on the data. RESULTS: According to parents' reports, 11.1% of children were affected by dental pain in the previous 4 months and of these 72.6% had their daily activities hampered by pain. The majority of these children had difficulty in eating, brushing teeth, sleeping, playing and going to school. The impact of dental pain had a statistically significant association with gender (p=0.001), social class (p=0.009), dental caries (p<0.001), missing teeth (p<0.001), filled teeth (p<0.001) and caries involving pulp (p<0.001). CONCLUSION: The prevalence of difficulties performing tasks of daily living due to dental pain was relatively high among the children studied.


Subject(s)
Activities of Daily Living/psychology , Quality of Life/psychology , Toothache/psychology , Age Factors , Brazil/epidemiology , Child, Preschool , Cross-Sectional Studies , DMF Index , Dental Caries/complications , Dental Caries/epidemiology , Female , Humans , Logistic Models , Male , Prevalence , Sampling Studies , Sex Factors , Sickness Impact Profile , Social Class , Surveys and Questionnaires , Toothache/epidemiology , Toothache/etiology
19.
Eur Arch Paediatr Dent ; 12(4): 195-9, 2011 Aug.
Article in English | MEDLINE | ID: mdl-21806903

ABSTRACT

AIM: To determine whether exposing children to images of positive dental care would have an effect on their degree of anxiety, assessing anxiety three separate times. STUDY DESIGN: Controlled trial. METHODS: The 70 participants from 4-11 years of age were randomly assigned to one of two conditions. The intervention consisted of viewing positive images of dentistry and dental treatment (n=35). The control condition consisted of dentally neutral images (n=35). OUTCOME MEASURES: Anxiety was assessed using the Venham Picture Test (VPT) prior to the intervention, immediately following the intervention and following the dental appointment. STATISTICS: Statistical analysis (chisquare and Mann-Whitney tests) was conducted blind to group allocation. RESULTS: No significant difference was detected between the scores of the VPT in the two groups at any evaluation time (p>0.05). Dental anxiety at the three evaluation times was not correlated to age. There was no difference in level of anxiety between male and female participants (p>0.05). CONCLUSIONS: Viewing positive images of dentistry and dentists did not have a greater effect on child anxiety in the dental setting than viewing neutral images, however, showed lower rates of anxiety for all children although this was not significant.


Subject(s)
Dental Anxiety/prevention & control , Dental Care for Children/psychology , Photography , Chi-Square Distribution , Child , Child, Preschool , Female , Humans , Male , Single-Blind Method , Statistics, Nonparametric
20.
J Clin Pediatr Dent ; 35(3): 259-63, 2011.
Article in English | MEDLINE | ID: mdl-21678667

ABSTRACT

OBJECTIVE: To determine risk indicators for signs and symptoms of temporomandibular disorders (TMD) in children with cerebral palsy (n = 60) and control subjects (n = 60). STUDY DESIGN: The subjects were assessed by means of questionnaire and clinical exam: 1) signs and symptoms of TMD; 2) malocclusions [Dental Aesthetic Index (DAI)]; 3) harmful habits; and 4) bio-psychosocial characteristics. Statistical analysis involved the chi-square, Fisher's exact tests (p < or = 0.05) and multivariate logistic regression (forward stepwise procedure). Variables that achieved a p-value < or = 0.20 were used as potential predictors of signs and symptoms of TMD and applied as co-variables in the multivariate analysis. RESULTS: The prevalence of at least one sign and/or symptom of TMD in the present sample was 1.7% (n = 1) among the individuals in the control group and 13.3% (n = 8) among the individuals with cerebral palsy. The presence of cerebral palsy (Odds Ratio: 9.08; p = 0.041), male gender (OR: 6.21; p = 0.027), severity of the malocclusion (OR: 4.75; p = 0.031), mouth breathing (OR: 5.40; p = 0.022) and mixed dentition (OR: 4.73; p = 0.035) were identified as risk indicators for signs and symptoms of TMD. CONCLUSIONS: It was concluded that children with cerebral palsy had a significantly greater chance of developing signs and symptoms of TMD.


Subject(s)
Cerebral Palsy/epidemiology , Malocclusion/epidemiology , Temporomandibular Joint Disorders/epidemiology , Adolescent , Case-Control Studies , Child , Comorbidity , Female , Humans , Male , Odds Ratio , Reference Values , Risk Factors , Sex Factors , Statistics, Nonparametric , Temporomandibular Joint Disorders/diagnosis
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