Your browser doesn't support javascript.
loading
Show: 20 | 50 | 100
Results 1 - 14 de 14
Filter
1.
Braz Oral Res ; 31: e38, 2017 Jun 05.
Article in English | MEDLINE | ID: mdl-28591237

ABSTRACT

The aim of this study was to detect possible associations between respiratory pathogens from tracheal aspirate and oral biofilm samples in intubated patients in an intensive care unit (ICU), and to identify the most common respiratory pathogens in oral biofilm, particularly in patients that developed ventilator-associated pneumonia (VAP). Two oral biofilm samples were collected from the tongue of intubated patients (at admission and after 48 hours) and analyzed by culture with the Antibiotic Sensitivity Test. The results from the tongue biofilm samples were compared with the tracheal secretions samples. A total of 59.37% of patients exhibited the same species of pathogens in their tracheal aspirate and oral biofilm, of which 8 (42.1%) developed VAP, 10 (52.63%) did not develop pneumonia and one (5.26%) had aspiration pneumonia. There was a statistically significant association between presence of microorganisms in the tracheal and mouth samples for the following pathogens: Klebsiella pneumoniae, Candida albicans, Pseudomonas aeruginosa, Enterobacter gergoviae, Streptococcus spp and Serratia marcescens (p < 0.05). Pathogens that are present in tracheal aspirates of intubated patients can be detected in their oral cavity, especially in those who developed VAP or aspiration pneumonia. Thus, the results indicate that an improved oral care in these patients could decrease ICU pneumonia rates.


Subject(s)
Bacteria/isolation & purification , Biofilms , Mouth/microbiology , Pneumonia, Ventilator-Associated/microbiology , Trachea/microbiology , Ventilators, Mechanical/microbiology , Candida albicans/isolation & purification , Dental Plaque/microbiology , Equipment Contamination , Female , Humans , Intensive Care Units , Intubation, Intratracheal/adverse effects , Longitudinal Studies , Male , Microbial Sensitivity Tests , Middle Aged , Pneumonia, Aspiration/microbiology , Respiration, Artificial/adverse effects , Time Factors
2.
Braz. oral res. (Online) ; 31: e38, 2017. tab
Article in English | LILACS | ID: biblio-839532

ABSTRACT

Abstract The aim of this study was to detect possible associations between respiratory pathogens from tracheal aspirate and oral biofilm samples in intubated patients in an intensive care unit (ICU), and to identify the most common respiratory pathogens in oral biofilm, particularly in patients that developed ventilator-associated pneumonia (VAP). Two oral biofilm samples were collected from the tongue of intubated patients (at admission and after 48 hours) and analyzed by culture with the Antibiotic Sensitivity Test. The results from the tongue biofilm samples were compared with the tracheal secretions samples. A total of 59.37% of patients exhibited the same species of pathogens in their tracheal aspirate and oral biofilm, of which 8 (42.1%) developed VAP, 10 (52.63%) did not develop pneumonia and one (5.26%) had aspiration pneumonia. There was a statistically significant association between presence of microorganisms in the tracheal and mouth samples for the following pathogens: Klebsiella pneumoniae, Candida albicans, Pseudomonas aeruginosa, Enterobacter gergoviae, Streptococcus spp and Serratia marcescens (p < 0.05). Pathogens that are present in tracheal aspirates of intubated patients can be detected in their oral cavity, especially in those who developed VAP or aspiration pneumonia. Thus, the results indicate that an improved oral care in these patients could decrease ICU pneumonia rates.


Subject(s)
Humans , Male , Female , Middle Aged , Bacteria/isolation & purification , Biofilms , Mouth/microbiology , Pneumonia, Ventilator-Associated/microbiology , Trachea/microbiology , Ventilators, Mechanical/microbiology , Candida albicans/isolation & purification , Dental Plaque/microbiology , Equipment Contamination , Intensive Care Units , Intubation, Intratracheal/adverse effects , Longitudinal Studies , Microbial Sensitivity Tests , Pneumonia, Aspiration/microbiology , Respiration, Artificial/adverse effects , Time Factors
3.
Int J Pediatr Otorhinolaryngol ; 77(7): 1088-93, 2013 Jul.
Article in English | MEDLINE | ID: mdl-23664727

ABSTRACT

OBJECTIVE: The aim of this study was to evaluate the evolution of the immunological and oral clinical conditions of children and adolescents undergoing anticancer treatment for leukemia (ATL). METHODS: Twenty patients aged 3-15 years undergoing chemotherapy seen at a referral center for cancer treatment in the State of Maranhão, Brazil, from 2008 to 2009, were evaluated at baseline (1st). Twenty-two controls were selected in public schools. Oral lesions, caries experience (deft and DMFT), plaque index (PI), gingival index (GI) and salivary IgA were analyzed. Patients and controls were evaluated after 6 months (2nd). The Shapiro Wilk, Mann-Whitney, Wilkoxon and Spearman correlation tests were carried out (alpha=5%). RESULTS: Gingivitis and mucositis were the most frequent manifestations in oral mucosae during the two phases. The mean DMFT index increased from 3.9 ± 4.2 (1st) to 4.4 ± 4.3 (2nd) (p = 0.04). The mean deft index was the same in the 1st (1.9 ± 2.7) and 2nd (1.9 ± 2.7) evaluation (p = 0.86). The GI also did not vary between assessments: 1st (1.3 ± 0.4) and 2nd (1.3 ± 0.3) - (p = 0.12), except on the lingual and distal surfaces, where increased from the 1st to 2nd evaluation (p < 0.01). The PI varied from 0.9 to 1.1, but this difference was not significant (p = 0.48), except for the lingual surface, where increased from 0.6 to 1.0 (p = 0.04). There was a reduction in salivary IgA levels from 2.9 to 1.9 µg/mL (p = 0.04), and mean IgA was significantly higher in the control group (5.4 µg/mL) if compared to cases (p < 0.01). CONCLUSION: The clinical and immunological oral conditions of children and adolescents undergoing ATL presented an unfavorable evolution. This study highlights the need for monitoring oral conditions during the ATL and draws attention to the additional responsibility of the otolaryngologist in referring ATL patients to the dentist, especially in the presence of clinical evidence of oral problems. We suggest that the planning of ATL take into account the oral health, in a multidisciplinary oncology team.


Subject(s)
Antineoplastic Agents/therapeutic use , Leukemia/drug therapy , Mouth Neoplasms/drug therapy , Adolescent , Brazil , Child , Child, Preschool , Female , Humans , Leukemia/immunology , Longitudinal Studies , Male , Mouth Neoplasms/immunology , Treatment Outcome
4.
Rev. bras. odontol ; 68(1): 118-123, jan.-jun. 2011. tab
Article in Portuguese | LILACS, BBO - Dentistry | ID: lil-642788

ABSTRACT

Este artigo tem como objetivo estimar a prevalência de defeitos de desenvolvimento de esmalte (DDE) na dentição decídua. Foi desenvolvido estudo descritivo com 205 crianças de 12-60 meses nascidas no município de São Luís, MA, Brasil. Realizou-se exame clínico oral, entrevista com responsáveis e avaliação dos prontuários. Para diagnóstico e classificação dos DDE utilizou-se o Índice Modificado de Defeitos de Desenvolvimento de Esmalte e analisou-se a frequência dos dados. Concluiu-se que estipular uma frequência de defeitos de esmalte exclusivos à fase gestacional é inovador e contribui sobremaneira para que seja reduzido o conflito de resultados entre estudos que analisam fatores de risco para o DDE, pois se estabelece uma metodologia que reduz os erros de diagnóstico nessas pesquisas.


Subject(s)
Humans , Infant , Child, Preschool , Tooth, Deciduous , Dental Enamel Hypoplasia/epidemiology
5.
Int J Paediatr Dent ; 21(1): 77-80, 2011 Jan.
Article in English | MEDLINE | ID: mdl-20659183

ABSTRACT

BACKGROUND: Juvenile dermatomyositis (JDM) is an idiopathic inflammatory myopathy of childhood and adolescence, characterized by symmetrical weakness of proximal muscles and classical cutaneous features. Literature reports rarely describe or focus on oral lesions that are associated with this disease. CASE REPORT: This case describes a 4-year-old girl in whom the oral lesions were the initial manifestations of JDM. Physical examination revealed characteristic skin manifestations, proximal muscle weakness, extensive calcinosis, necrotic ulceration, complicated erysipelas, and diffuse alopecia. The diagnosis was established based on the clinical, histological, electroneuromyography, and biochemical findings. CONCLUSION: Recognition of gingival telangiectases as an important diagnostic marker of JDM leads us to suggest that identifying oral manifestations, which may be carried out by a paediatric dentist, contributes in establishing an early diagnosis and an immediate treatment of this condition.


Subject(s)
Dermatomyositis/complications , Gingival Diseases/etiology , Tongue Diseases/etiology , Child, Preschool , Edema/etiology , Facial Dermatoses/etiology , Female , Glossitis, Benign Migratory/etiology , Humans , Lip Diseases/etiology , Muscle Weakness/etiology , Telangiectasis/etiology
6.
Rev. odonto ciênc ; 24(1): 77-80, jan.-mar. 2009. tab
Article in Portuguese | LILACS, BBO - Dentistry | ID: lil-506382

ABSTRACT

Objetivo: Verificar a prevalência de alterações orais congênitas e de desenvolvimento em bebês de 0 a 6 meses de idade. Metodologia: A amostra deste estudo descritivo foi constituída por 621 bebês de 0 a 6 meses de idade atendidos no Banco de leite do Hospital Universitário Materno Infantil em São Luís, MA, Brasil, no período de janeiro de 2001 a junho de 2004. O exame clínico foi realizado através de inspeção visual, com luz natural e espátula de madeira. Foram registradas as alterações orais congênitas e de desenvolvimento presentes e sua localização anatômica, bem como o sexo e a faixa etária dos bebês. Resultados: Do total de 621 bebês (310 meninos e 311 meninas), 45 (7,24 %) apresentaram alguma alteração oral, com localização principalmente na maxila. O cisto de inclusão foi a alteração mais frequente (6,28 % dos bebês examinados). A faixa etária entre 0 e 3 meses de idade apresentou maior número de alterações. Conclusão: Alterações congênitas ou de desenvolvimento não são ocorrências incomuns em bebês até 6 meses de idade, embora a prevalência relatada na literatura seja bastante variável. Há necessidade de estudos adicionais sobre as causas e os fatores de risco para o surgimento dessas alterações.


Purpose: To record the prevalence of congenital and developmental oral abnormalities in infants aged 0 to 6 months. Methods: The sample of this descriptive study consisted of 621 infants aged 0 to 6 months, who attended the Milk Bank of the Hospital Universitário Maternal Infantil in São Luís, MA, Brazil, from January 2001 to June 2004. The clinical exam was accomplished through visual inspection, using natural light and wooden spatula. Data recorded were congenital and developmental oral abnormalities and their anatomic location, as well as the subject sex and age. Results: From the total of 621 subjects (310 males and 311 females), 45 (7.24 %) had some oral alteration, particularly in the maxilla. The inclusion cyst was the most frequent oral alteration (6.28 % of the subjects). The age group of infants from 0 to 03 months showed the largest number of oral abnormalities. Conclusion: Congenital and developmental oral abnormalities are not rare occurrences in infants aged from 0 to 6 months, but the literature reports a large range of prevalence. Further studies are necessary to investigate the causes and risk factors of these oral anomalies.


Subject(s)
Humans , Male , Female , Infant, Newborn , Infant , Mouth Abnormalities/epidemiology , Epidemiology, Descriptive , Age Factors
7.
RGO (Porto Alegre) ; 56(2): 157-161, abr.-jun. 2008. tab
Article in Portuguese | LILACS, BBO - Dentistry | ID: lil-487229

ABSTRACT

Objetivo: Determinar a presença de alterações da mucosa bucal em crianças de 3 a 12 anos hospitalizadas, no período de janeiro a maio de 2004. Métodos: Realizou-se uma avaliação clínica das alterações de mucosa bucal em 165 crianças de 3 a 12 anos hospitalizadas, no período de janeiro a maio de 2004, de ambos os gêneros, internadas nas três alas do Hospital Universitário Materno Infantil da Universidade Federal do Maranhão. Resultados: As alterações mais freqüentes foram a língua saburrosa (61,82%), candidíase pseudomembranosa (5,45%) e infecção herpética recorrente (3,64%), não sendo encontrada diferença em relação à sua presença nas faixas etárias (3 a 6 anos e 7 a 12 anos), entretanto, o gênero masculino foi mais afetado (85,90%) que o feminino (71,26%). Conclusão: Das 165 crianças examinadas, 78,18% exibiram alterações e que em determinados casos, foi observada mais de uma alteração no momento do exame.


Objective: To determine the presence of oral mucosa alterations in children from 3 to 12 year of age, hospitalized in the period from January to May 2004. Methods: A clinical evaluation was made of the oral mucosa alterations in 165 hospitalized children from 3 to 12 of age, in the period from January to May 2004, of both genders, interned in the three wings of the mother and child hospital "Hospital Universitário Materno Infantil" of the Federal University of Maranhão. Results: The most frequent alterations were encrusted tongue (61.82%), pseudomembranous candidiasis (5.45%) and recurrent herpetic infection (3.64%), no difference being found with regard to their presence in the age groups (3 to 6 years of age and 7 to 12 years of age), however, boys were more affected (85.90%) than girls (71.26%). Conclusion: Of the 165 children examined, 78.18% exhibited alterations and in certain cases, more than one alteration was observed at the time of the exam.


Subject(s)
Humans , Male , Female , Child, Preschool , Child , Child, Hospitalized , Mouth Mucosa , Stomatognathic Diseases
8.
Periodontia ; 17(4): 70-76, dez. 2007. tab
Article in Portuguese | LILACS, BBO - Dentistry | ID: lil-524113

ABSTRACT

OBJETIVOS E MÉTODOS: Objetivou-se estudar a condição periodontal e os níveis de Imunoglobulina A (IgA) salivar em pacientes em hemodiálise. Foi feita a análise da condição periodontal de 60 pacientes, sendo 30 em hemodiálise e 30 sistemicamente saudáveis, através do índice de placa, índice gengival, índice de cálculo, registro periodontal simplificado (PSR) e quantidade de IgA na saliva. RESULTADOS: Os resultados demonstraram que a diferença entre os grupos em hemodiálise e controle foi estatisticamente significativa (p<0,05) para os índices de placa (1,419 ± 0,688; 0,618 ± 0,678, respectivamente)e cálculo (1,050 ± 0,721; 0,288 ± 0,908 , respectivamente). Houve diferenças significantes entre as arcadas no grupo de hemodiálise em relação aos três índices, enquanto no grupo controle isso ocorreu somente em relação ao IC, sendo que em todos estes índices a arcada inferior apresentou média maior que a superior. Quanto ao PSR, houve diferenças significantes entre os grupos quando da comparação da ocorrência dos códigos 0 e 2. Em relação à necessidade de tratamento periodontal, observou-se que a maior parte dos pacientes em hemodiálise precisava de medidas de higiene bucal, raspagem supra e subgengival e fluoretação tópica (código 2), enquanto no grupo controle houve predomínio da necessidade de medidas de higiene bucal e fluoretação tópica (código 0). Em relação aos valores de IgA na saliva, não houve diferenças estatisticamente significantes entre os dois grupos. CONCLUSÕES: Concluiu-se que pacientes renais crônicos em hemodiálise apresentam maior acúmulo de placa bacteriana e elevada formação de cálculo dentário, necessitando de tratamento periodontal como raspagem supra e subgengival.


Subject(s)
Humans , Renal Dialysis , Periodontal Diseases , Kidney Diseases
9.
Rev Assoc Med Bras (1992) ; 51(5): 285-9, 2005.
Article in Portuguese | MEDLINE | ID: mdl-16270147

ABSTRACT

OBJECTIVES AND METHODS: Thirty patients undergoing hemodialysis were evaluated for their periodontal condition through plaque, calculus and gingival indexes; PSR and IgA present in the saliva were also appraised in order to determine the periodontal condition of patients presenting chronic kidney disease. RESULTS: Results obtained demonstrated that in the studied group the plaque, calculus and gingival indexes were high. With regard to these patients' requirement to undergo periodontal treatment, most patients submitted to hemodialysis needed better oral hygiene, in addition to supra and sub gingival scraping and topic application of fluor (code 2). As to the IgA amount present in the saliva, only three patients showed a low density. CONCLUSIONS: Patients presenting chronic kidney disease disclosed a tendency for greater bacterial plaque concentration, high formation of dental calculus suggesting the need for periodontal treatment comprising supra and sub gingival scraping.


Subject(s)
Kidney Failure, Chronic/complications , Periodontal Diseases/diagnosis , Renal Dialysis , Adolescent , Adult , Aged , Dental Calculus/diagnosis , Dental Plaque Index , Female , Humans , Immunoglobulin A/analysis , Kidney Failure, Chronic/therapy , Male , Middle Aged , Periodontal Index , Saliva/chemistry
10.
Rev. Assoc. Med. Bras. (1992) ; 51(5): 285-289, set.-out. 2005. graf
Article in Portuguese | LILACS | ID: lil-415632

ABSTRACT

OBJETIVOS/MÉTODOS: Avaliou-se a condição periodontal de 30 pacientes, em hemodiálise, através do índice de placa, índice gengival, índice de cálculo, PSR e quantidade de IgA na saliva, visando determinar a condição periodontal de doentes renais crônicos. RESULTADOS: Os resultados demonstraram que os índices de placa, índice gengival e índice de calculo foram considerados altos nestes pacientes. Com relação à necessidade de tratamento periodontal, observou-se que a maior parte dos pacientes em hemodiálise precisava de medidas de higiene bucal, raspagem supra e subgengival e fluoretação tópica (código 2). Em relação aos valores de IgA na saliva, somente três pacientes apresentaram densidade baixa. CONCLUSÃO: Concluiu-se que pacientes renais crônicos em hemodiálise apresentam maior acúmulo de placa bacteriana e elevada formação de cálculo dentário, necessitando de tratamento periodontal como raspagem supra e subgengival.


Subject(s)
Adolescent , Adult , Aged , Female , Humans , Male , Middle Aged , Kidney Failure, Chronic/complications , Periodontal Diseases/diagnosis , Renal Dialysis , Dental Plaque Index , Dental Calculus/diagnosis , Immunoglobulin A/analysis , Kidney Failure, Chronic/therapy , Periodontal Index , Saliva/chemistry
11.
Rev. bras. patol. oral ; 3(4): 180-186, out.-dez. 2004. tab
Article in Portuguese | LILACS, BBO - Dentistry | ID: lil-412539

ABSTRACT

Este estudo consistiu de um levantamento das condições de saúde periodontal através do índice INTPC em 30 idosos de ambos os sexos, divididos em dois grupos (de 52-70 anos, e com mais de 71 anos), participantes do programa Universidade Integrada da Terceira Idade (UNITI) da UFMA. Mediante os resultados, verificou-se que a quantidade de sextantes excluídos aumentou com a idade, de 2,07 (52-70 anos) ou 34,4 por cento para 2,80 (+71 anos) ou 46,7 por cento. Estes dados sugerem a necessidade da aplicação de programas educativos direcionados a esta população e com ênfase na saúde periodontal


Subject(s)
Humans , Male , Female , Adult , Middle Aged , Geriatric Dentistry , Periodontitis/epidemiology , Oral Health , Periodontal Index , Age Distribution , Sex Distribution
13.
Rev. bras. odontol ; 41(6): 14-7, nov.-dez. 1984.
Article in Portuguese | LILACS | ID: lil-31631

ABSTRACT

Apresentam-se de dois casos de Displasia Ectodérmica Hipohidrótica. Faz-se também uma revisäo da herança desta entidade, focalizando-se as manifestaçöes em uma paciente do sexo femenino


Subject(s)
Child , Humans , Male , Female , Ectodermal Dysplasia/genetics
14.
Rev. bras. odontol ; 39(3): 42-8, maio-jun. 1982.
Article in Portuguese | LILACS, BBO - Dentistry | ID: lil-155616

ABSTRACT

Este artigo analisa vários aspectos, tanto positivos como negativos da Pasta de Sargenti (N2)


Subject(s)
Humans , Male , Female , Dental Pulp , Molar , Tooth, Deciduous , Root Canal Therapy
SELECTION OF CITATIONS
SEARCH DETAIL
...