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1.
Cien Saude Colet ; 29(1): e02812023, 2024 Jan.
Article in Portuguese, English | MEDLINE | ID: mdl-38198322

ABSTRACT

The present study aimed to investigate the socioeconomic and obstetric characteristics of adolescent mothers and the complications they cause to maternal and neonatal health. This baseline data analysis of the MINA-Brazil birth cohort was conducted in the municipality of Cruzeiro do Sul, state of Acre, Brazil. The chi-square test was used to compare characteristics of adolescent and adult postpartum women, and multiple Poisson regression models with robust variance were used to assess associated factors. Among the postpartum women, 26.2% (95%CI: 24.0-28.4) were adolescents. Factors associated with childbirth in adolescence included: nine years or less of schooling (adjPR:1.36; 95%CI: 1.14-1.61), belongs to the lowest quartiles of the wealth index (1st quartile: adjPR:1.40; 95%CI: 1.08-1.80) (2nd quartile: adjPR:1.37; 95%CI: 1.08-1.74), primigravidae (adjPR:3.69; 95%CI: 2.98-4.57), low pre-pregnancy BMI (adjPR:1.28; CI95%: 1.04-1.57), urinary tract infection during pregnancy (adjPR:1.25; CI95%: 1.07-1.46) and less than six prenatal consultations (adjPR:1.42; 95%CI: 1.21-1.66). Poverty, little schooling, primigravidae, low pre-pregnancy BMI, urinary tract infection during pregnancy and few prenatal consultations were associated with childbirth during adolescence in a municipality in the Northern region of Brazil.


O objetivo do estudo foi investigar as características socioeconômicas e obstétricas de parturientes adolescentes e suas complicações sobre a saúde materna e neonatal. Trata-se de uma análise de dados da linha de base da coorte de nascimentos MINA-Brasil conduzida no município de Cruzeiro do Sul, estado do Acre. Utilizou-se teste qui-quadrado para comparar características das puérperas adolescentes com as adultas e modelos múltiplos de regressão de Poisson com variância robusta para avaliar fatores associados. Entre as puérperas estudadas, 26,2% (IC95%: 24,0-28,4) eram adolescentes. Os fatores associados ao parto na adolescência foram ter nove anos ou menos de estudo (RPaj:1,36; IC95%: 1,14-1,61), pertencer aos menores quartis do índice de riqueza (1° quartil: RPaj:1,40; IC95%: 1,08-1,80) (2° quartil: RPaj:1,37; IC95%: 1,08-1,74), ser primigesta (RPaj:3,69; IC95%: 2,98-4,57), baixo IMC pré-gestacional (RPaj:1,28; IC95%: 1,04-1,57), infecção urinária na gravidez (RPaj:1,25; IC95%: 1,07-1,46) e menos de seis consultas de pré-natal (RPaj:1,42; IC95%: 1,21-1,66). Pobreza, baixa escolaridade, primigestação, baixo IMC pré-gestacional, infecção urinária na gestação e menor número de consultas de pré-natal foram associados ao parto na adolescência em município da região Norte do Brasil.


Subject(s)
Pregnancy in Adolescence , Urinary Tract Infections , Adolescent , Adult , Infant, Newborn , Pregnancy , Female , Humans , Brazil , Socioeconomic Factors , Educational Status
2.
Ciênc. Saúde Colet. (Impr.) ; 29(1): e02812023, 2024. tab, graf
Article in Portuguese | LILACS-Express | LILACS | ID: biblio-1528319

ABSTRACT

Resumo O objetivo do estudo foi investigar as características socioeconômicas e obstétricas de parturientes adolescentes e suas complicações sobre a saúde materna e neonatal. Trata-se de uma análise de dados da linha de base da coorte de nascimentos MINA-Brasil conduzida no município de Cruzeiro do Sul, estado do Acre. Utilizou-se teste qui-quadrado para comparar características das puérperas adolescentes com as adultas e modelos múltiplos de regressão de Poisson com variância robusta para avaliar fatores associados. Entre as puérperas estudadas, 26,2% (IC95%: 24,0-28,4) eram adolescentes. Os fatores associados ao parto na adolescência foram ter nove anos ou menos de estudo (RPaj:1,36; IC95%: 1,14-1,61), pertencer aos menores quartis do índice de riqueza (1° quartil: RPaj:1,40; IC95%: 1,08-1,80) (2° quartil: RPaj:1,37; IC95%: 1,08-1,74), ser primigesta (RPaj:3,69; IC95%: 2,98-4,57), baixo IMC pré-gestacional (RPaj:1,28; IC95%: 1,04-1,57), infecção urinária na gravidez (RPaj:1,25; IC95%: 1,07-1,46) e menos de seis consultas de pré-natal (RPaj:1,42; IC95%: 1,21-1,66). Pobreza, baixa escolaridade, primigestação, baixo IMC pré-gestacional, infecção urinária na gestação e menor número de consultas de pré-natal foram associados ao parto na adolescência em município da região Norte do Brasil.


Abstract The present study aimed to investigate the socioeconomic and obstetric characteristics of adolescent mothers and the complications they cause to maternal and neonatal health. This baseline data analysis of the MINA-Brazil birth cohort was conducted in the municipality of Cruzeiro do Sul, state of Acre, Brazil. The chi-square test was used to compare characteristics of adolescent and adult postpartum women, and multiple Poisson regression models with robust variance were used to assess associated factors. Among the postpartum women, 26.2% (95%CI: 24.0-28.4) were adolescents. Factors associated with childbirth in adolescence included: nine years or less of schooling (adjPR:1.36; 95%CI: 1.14-1.61), belongs to the lowest quartiles of the wealth index (1st quartile: adjPR:1.40; 95%CI: 1.08-1.80) (2nd quartile: adjPR:1.37; 95%CI: 1.08-1.74), primigravidae (adjPR:3.69; 95%CI: 2.98-4.57), low pre-pregnancy BMI (adjPR:1.28; CI95%: 1.04-1.57), urinary tract infection during pregnancy (adjPR:1.25; CI95%: 1.07-1.46) and less than six prenatal consultations (adjPR:1.42; 95%CI: 1.21-1.66). Poverty, little schooling, primigravidae, low pre-pregnancy BMI, urinary tract infection during pregnancy and few prenatal consultations were associated with childbirth during adolescence in a municipality in the Northern region of Brazil.

3.
Notas enferm. (Córdoba) ; 24(41): 4-15, jun. 2023.
Article in English | LILACS, BDENF - Nursing, BINACIS, UNISALUD | ID: biblio-1437841

ABSTRACT

Existe un riesgo estadísticamente mayor de desarrollar comorbilidades mentales en el período perinatal. Existe un vacío científico en el análisis de la ocurrencia de problemas de salud mental en el período perinatal entre países de ingresos medios y bajos en el contexto de la Atención Primaria de Salud. Así, el objetivo de este estudio fue revisar la ocurrencia de trastornos mentales comunes en el período perinatal en la Atención Primaria de Salud en América Latina. Se identificó una estimación global del 37 % (IC 95 %: 32 %-43 %) de trastornos mentales comunes durante todo el período perinatal. A pesar de las altas frecuencias identificadas para los síntomas de comorbilidad mental, no hubo estudios en otros países de América Latina con excepción de Brasil, lo que impide un análisis sobre la salud mental de las mujeres latinas en el período perinatal[AU]


Existe um risco estatisticamente maior de desenvolver comorbidades mentais no período perinatal. Existe uma lacuna científica na análise da ocorrência de problemas de saúde mental no período perinatal entre famílias de média e baixa renda países no contexto da Atenção Primária à Saúde. Assim, o objetivo deste estudo foi revisar a ocorrência de transtornos mentais comuns no período perinatal em Atenção Primária à Saúde na América Latina. Uma estimativa geral de 37% (95% CI:32%-43%) de transtornos mentais comuns foram identificados durante todo o período perinatal período. Apesar das altas frequências identificadas para sintomas de comorbidade mental, não houve estudos em outros países latino-americanos com exceção de Brasil, impossibilitando uma análise sobre a saúde mental das mulheres latinas no período perinatal[AU]


There is a statistically higher risk for developing mental comorbidities in the perinatal period. There is a scientific gap in the analysis of the occurrence of mental health problems in the perinatal period among middle and low-income countries in the context of Primary Healthcare. Thus, the objective of this study was to review the occurrence of common mental disorders in the perinatal period in Primary Healthcare in Latin America. An overall estimate of 37% (95%CI: 32%-43%) of common mental disorders was identified for the entire perinatal period. Despite the high frequencies identified for mental comorbidity symptoms, there were no studies in other Latin American countries with the exception of Brazil, preventing an analysis on the mental health of Latino women in the perinatal period[AU]


Subject(s)
Humans , Female , Psychiatric Status Rating Scales , Women's Health , Meta-Analysis , Mental Disorders
4.
Rev Saude Publica ; 56: 83, 2022.
Article in English, Portuguese | MEDLINE | ID: mdl-36169522

ABSTRACT

OBJECTIVE: To investigate the occurrence and factors associated with common mental disorders in pregnancy and depressive symptoms in postpartum, as well as the association between both in the Brazilian Western Amazon. METHODS: This is a prospective cohort in the MINA-Brazil study with women who received primary health care in the town of Cruzeiro do Sul, Acre State. We performed two clinical evaluations during pregnancy (the first: 16-20 weeks; the second: 28 gestational weeks) and three postpartum evaluations (at 3, 6 and 12 months), in which demographic and socioeconomic, gestational, lifestyle and clinical data were collected. We used the Self-Reported Questionnaire (score ≥ 8) to screen the gestational common mental disorder and the Edinburgh Postnatal Depression Scale (score ≥ 10) to identify postpartum depressive symptoms. We used adjusted ordinal logistic regression to investigate the relationship between the covariates and the occurrence of common mental disorders in pregnancy and postpartum depressive symptomatology. RESULTS: A total of 461 women completed the two clinical evaluations in pregnancy; of these, 247 completed the three postpartum evaluations. The occurrence of common mental disorder during pregnancy was 36.2% and 24.5% in the first and second evaluations, respectively, and the cumulative incidence was 9.2%. In addition, 50.3% maintained the disorder between evaluations. During postpartum, approximately 20% of the mothers presented depressive symptoms during the first year of their children's lives. Parity (≥ 2) was associated with common mental disorders, while low maternal education was associated with postpartum depressive symptoms. Women with a common mental disorder in both evaluations during pregnancy were 5.6 times more likely (95%CI: 2.50-12.60) to develop postpartum depressive symptoms. CONCLUSION: The occurrence of common mental disorder at any time assessed during pregnancy, but especially its persistence from the second trimester, was strongly associated with depressive symptoms after childbirth. These findings highlight the need for early screening and monitoring of the mental health of pregnant women at the start of prenatal care in order to reduce possible negative impacts on the health of the mother-child binomial caused by such events.


Subject(s)
Depression, Postpartum , Brazil/epidemiology , Depression/epidemiology , Depression, Postpartum/diagnosis , Depression, Postpartum/epidemiology , Depression, Postpartum/psychology , Female , Humans , Parturition , Postpartum Period , Pregnancy , Prospective Studies , Risk Factors
5.
J. Health Sci. Inst ; 40(4): 7, Oct - Dec 2022. Questionário pessoal, de dor crônica, de depressão , ansiedade e estresse
Article in Portuguese | LILACS-Express | LILACS | ID: biblio-1527205
6.
Rev. saúde pública (Online) ; 56: 83, 2022. tab, graf
Article in English, Portuguese | LILACS, BBO - Dentistry | ID: biblio-1410031

ABSTRACT

ABSTRACT OBJECTIVE To investigate the occurrence and factors associated with common mental disorders in pregnancy and depressive symptoms in postpartum, as well as the association between both in the Brazilian Western Amazon. METHODS This is a prospective cohort in the MINA-Brazil study with women who received primary health care in the town of Cruzeiro do Sul, Acre State. We performed two clinical evaluations during pregnancy (the first: 16-20 weeks; the second: 28 gestational weeks) and three postpartum evaluations (at 3, 6 and 12 months), in which demographic and socioeconomic, gestational, lifestyle and clinical data were collected. We used the Self-Reported Questionnaire (score ≥ 8) to screen the gestational common mental disorder and the Edinburgh Postnatal Depression Scale (score ≥ 10) to identify postpartum depressive symptoms. We used adjusted ordinal logistic regression to investigate the relationship between the covariates and the occurrence of common mental disorders in pregnancy and postpartum depressive symptomatology. RESULTS A total of 461 women completed the two clinical evaluations in pregnancy; of these, 247 completed the three postpartum evaluations. The occurrence of common mental disorder during pregnancy was 36.2% and 24.5% in the first and second evaluations, respectively, and the cumulative incidence was 9.2%. In addition, 50.3% maintained the disorder between evaluations. During postpartum, approximately 20% of the mothers presented depressive symptoms during the first year of their children's lives. Parity (≥ 2) was associated with common mental disorders, while low maternal education was associated with postpartum depressive symptoms. Women with a common mental disorder in both evaluations during pregnancy were 5.6 times more likely (95%CI: 2.50-12.60) to develop postpartum depressive symptoms. CONCLUSION The occurrence of common mental disorder at any time assessed during pregnancy, but especially its persistence from the second trimester, was strongly associated with depressive symptoms after childbirth. These findings highlight the need for early screening and monitoring of the mental health of pregnant women at the start of prenatal care in order to reduce possible negative impacts on the health of the mother-child binomial caused by such events.


RESUMO OBJETIVO Investigar a ocorrência e os fatores associados com os transtornos mentais comuns na gestação e sintomas depressivos no pós-parto, bem como a associação entre ambos na Amazônia Ocidental Brasileira. MÉTODOS Coorte prospectiva no estudo MINA-Brasil com mulheres atendidas na atenção primária à saúde de Cruzeiro do Sul, Acre. Foram realizadas duas avaliações clínicas na gestação (primeira: 16-20 semanas; segunda: 28 semanas gestacionais) e três avaliações no pós-parto (aos 3, 6 e 12 meses), nas quais foram coletados dados demográficos e socioeconômicos, gestacionais, de estilo de vida e clínicos. Utilizou-se o Self-Reported Questionnaire (escore ≥ 8) para rastreamento do transtorno mental comum gestacional e a escala de depressão pós-natal de Edimburgo (escore ≥ 10) para identificação de sintomas depressivos pós-parto. Foi utilizada regressão logística ordinal ajustada para investigar a relação entre as covariáveis e a ocorrência de transtornos mentais comuns na gravidez e a sintomatologia depressiva no pós-parto. RESULTADOS Um total de 461 mulheres completaram as duas avaliações clínicas na gestação; dessas, 247 completaram as três avaliações pós-parto. A ocorrência de transtorno mental comum durante a gestação foi de 36,2% e 24,5% na primeira e segunda avaliações, respectivamente, e a incidência cumulativa foi de 9,2%. Ademais, 50,3% mantiveram o transtorno entre as avaliações. Durante o pós-parto, aproximadamente 20% das mães apresentaram sintomatologia depressiva ao longo do primeiro ano de vida de seus filhos. A paridade (≥ 2) foi associada ao transtorno mental comum, enquanto a baixa escolaridade materna associou-se com sintoma depressivo pós-parto. Mulheres com transtorno mental comum nas duas avaliações na gravidez apresentaram 5,6 vezes mais chance (IC95% 2,50-12,60) de desenvolverem sintoma depressivo pós-parto. CONCLUSÃO A ocorrência de transtorno mental comum em qualquer momento avaliado durante a gravidez, mas principalmente sua persistência a partir do segundo trimestre, foi fortemente associado ao sintoma depressivo posterior ao parto. Tais achados evidenciam a necessidade de rastreamento precoce e monitoramento da saúde mental de gestantes no início do pré-natal, a fim de reduzir possíveis impactos negativos para a saúde do binômio mãe-filho causados por tais eventos.


Subject(s)
Humans , Female , Pregnancy , Risk Factors , Depression, Postpartum , Pregnant Women , Mental Disorders/epidemiology , Cohort Studies
7.
J Esthet Restor Dent ; 33(5): 692-701, 2021 Jul.
Article in English | MEDLINE | ID: mdl-34115445

ABSTRACT

OBJECTIVE: This clinical report describes a novel digital technique to facilitate and improve the porcelain laminate veneers adhesive bonding procedure using a customized 3D printed guide. CLINICAL CONSIDERATIONS: Porcelain veneers can be stabilized in their fully seated position with a digitally design 3D printed guide before the resin cement is polymerized. The excess cement can be carefully and predictably removed without the risk of dislodgement, rotation or misfit, allowing the clinician to light cure them under controlled pressure in the correct seating position without the risk of fracturing the ceramic material. CONCLUSIONS: Fabricating a custom 3D printed guide for veneer bonding provides significant assistance to an otherwise cumbersome and daunting clinical procedure. CLINICAL SIGNIFICANCE: Adhesive bonding of multiple ceramic veneers is a challenging and technique sensitive procedure. The use of a custom 3D printed guide presented in this article offers a practical aid to achieve a more predictable and precise outcome.


Subject(s)
Dental Porcelain , Dental Veneers , Dental Cements , Printing, Three-Dimensional , Resin Cements
8.
Rev Bras Enferm ; 73Suppl 1(Suppl 1): e20190823, 2020.
Article in English, Portuguese | MEDLINE | ID: mdl-33084837

ABSTRACT

OBJECTIVE: to investigate occurrence and risk factors for common mental disorders and perinatal depressive symptoms. METHODS: an integrative literature review using CINAHL, Embase, PubMed, PsycINFO, and LILACS, looking for studies conducted between 2014 and 2019. Data collection took place between June and July 2019. Health Sciences Descriptors (DeCS) and Medical Subject Heading (MeSH) were used in the search strategies employed in each database. RESULTS: thirteen articles were included. Most studies were conducted in Brazil and with a cross-sectional design. The highest prevalence of common mental disorders (63%) and depressive symptoms (30%) were found in Brazilian studies. CONCLUSION: high frequencies were found for perinatal mental disorder, with emphasis on studies carried out in Brazil. Low socioeconomic status, being a single mother, history of mental disorder, unplanned pregnancy and multiparity were risk factors for the investigated disorders.


Subject(s)
Depression/epidemiology , Mental Disorders/epidemiology , Perinatal Care , Pregnant Women/psychology , Brazil/epidemiology , Depression/etiology , Female , Humans , Mental Disorders/complications , Parity , Pregnancy , Prevalence , Psychiatric Status Rating Scales , Socioeconomic Factors
9.
J Esthet Restor Dent ; 32(2): 150-160, 2020 Mar.
Article in English | MEDLINE | ID: mdl-32031329

ABSTRACT

OBJECTIVE: The ability to control the reduction of tooth structure in a precise and measurable way during the preparation of ceramic veneers is a clinical challenge. The objective of this article is to introduce a new digital technology that can be used to address this challenge showing its advantages and limitations. First Fit is a digitally guided tooth preparation system that can be used to control the accurate and efficient preparation of teeth. In some cases, the system can be used to prepare the teeth for previously made restorations based on planned digital reduction. CLINICAL CONSIDERATIONS: The First Fit system uses 3D-printed guides and a specially designed handpiece for guided veneer preparation using either a one-step or a two-step approach. In the one-step approach, final restorations are produced prior to preparation of the teeth using reduction guides, and veneers are cemented on the same day as preparation. The two-step approach includes a preparation phase during which the teeth are prepared using a combination of the reduction guides and free hand techniques. Cementation is then completed at a second appointment. CONCLUSION: The First Fit system controls and guides veneer preparation with a minimally invasive approach. In some cases, it enables the production of veneers before tooth preparation, alleviating the need for provisional restorations. CLINICAL SIGNIFICANCE: The guided restorative dentistry technique described here utilizes digital CAD-CAM technology to achieve predictable and accurate results in a minimally invasive and efficient manner.


Subject(s)
Dental Veneers , Tooth Preparation , Ceramics , Computer-Aided Design , Dental Porcelain
10.
Rev. bras. enferm ; 73(supl.1): e20190823, 2020. tab, graf
Article in English | LILACS-Express | LILACS, BDENF - Nursing | ID: biblio-1137592

ABSTRACT

ABSTRACT Objective: to investigate occurrence and risk factors for common mental disorders and perinatal depressive symptoms. Methods: an integrative literature review using CINAHL, Embase, PubMed, PsycINFO, and LILACS, looking for studies conducted between 2014 and 2019. Data collection took place between June and July 2019. Health Sciences Descriptors (DeCS) and Medical Subject Heading (MeSH) were used in the search strategies employed in each database. Results: thirteen articles were included. Most studies were conducted in Brazil and with a cross-sectional design. The highest prevalence of common mental disorders (63%) and depressive symptoms (30%) were found in Brazilian studies. Conclusion: high frequencies were found for perinatal mental disorder, with emphasis on studies carried out in Brazil. Low socioeconomic status, being a single mother, history of mental disorder, unplanned pregnancy and multiparity were risk factors for the investigated disorders.


RESUMEN Objetivo: investigar la aparición y los factores de riesgo de trastorno mental común y síntoma depresivo perinatal. Métodos: revisión integral de la literatura, utilizando las bases de datos CINAHL, Embase, PubMed, PsycINFO y LILACS, buscando estudios realizados entre 2014 y 2019. La recopilación de datos se produjo entre junio y julio de 2019. Descriptores en Ciencia de Health (DeCS) y Medical Subject Heading (MeSH) en las estrategias de búsqueda utilizadas en cada base de datos. Resultados: se incluyeron 13 artículos. La mayoría de los estudios se realizaron en Brasil y con un diseño transversal. Las prevalencias más altas de trastorno mental común (63%) y síntomas depresivos (30%) se encontraron en estudios brasileños. Conclusión: se encontraron altas frecuencias para el trastorno mental perinatal, con énfasis en estudios realizados en Brasil. El bajo nivel socioeconómico, ser madre soltera, antecedentes previos de trastorno mental, embarazo no planificado y multiparidad fueron factores de riesgo para los trastornos investigados.


RESUMO Objetivo: investigar a ocorrência e os fatores de risco ao transtorno mental comum e sintoma depressivo perinatal. Métodos: revisão integrativa da literatura, sendo utilizadas as bases de dados CINAHL, Embase, PubMed, PsycINFO e LILACS, buscando estudos conduzidos entre 2014 e 2019. A coleta de dados ocorreu entre junho e julho de 2019. Foram utilizados os Descritores em Ciências da Saúde (DeCS) e os Medical Subject Heading (MeSH) nas estratégias de busca empregadas em cada base de dados. Resultados: foram incluídos 13 artigos. A maioria dos estudos foi conduzido no Brasil e com delineamento transversal. As maiores prevalências de transtorno mental comum (63%) e de sintoma depressivo (30%) foram encontradas em estudos brasileiros. Conclusão: foram encontradas elevadas frequências para transtorno mental perinatal, com destaque para os estudos realizados no Brasil. Baixo nível socioeconômico, ser mãe solteira, história pregressa de transtorno mental, gravidez não planejada e multiparidade foram fatores de risco aos transtornos investigados.

11.
J Esthet Restor Dent ; 31(2): 113-117, 2019 03.
Article in English | MEDLINE | ID: mdl-30933426

ABSTRACT

PURPOSE: To determine the layperson's esthetic preference to the visual display (presence) or lack thereof (absence) of the interdental papillae during minimum smiling or the low smile line patient type. MATERIALS AND METHODS: Two hundred lay-people were shown three-paired smile images indicative of a low gingival smile line patient type in which the vermillion border of the maxillary lip covered the mid-facial gingiva of the anterior teeth. The three images differed only with respect to [1] presence of interdental papillae, [2] absence of the interdental papilla ("black triangle"), or [3] absence of the interdental papillae (replaced with a long restorative contact area). The three images were paired in multiple groupings; group-1 consisted of a comparison of the presence of interdental papillae vs the lack of the interdental papillae "black triangle," group-2 compared the long restorative contact compared to the presence of the interdental papillae and Group-3 compared the long restorative contact replacing a missing papilla to the absence of the interdental papillae "black triangle." The comparisons were designed to determine the subjective preference of lay individuals between these groupings. RESULTS: Ninety-eight percent of lay-people demonstrated a preference to the presence of the interdental papillae in the smile (image 1) when compared to its absence ("black triangle"; image 2) with a low smile line. Seventy percent preferred the visual display of the interdental papillae, that is, pink tissues (image 1), compared to the absence of the interdental papillae replaced with a long contact area (image 3), that is, white restorative materials, when viewing a low gingival smile line. And when comparing the absence of the interdental papillae "black triangle" to a long contact area, 92% of lay-people preferred a long contact area vs the absence of the interdental papillae with a "black triangle" with a low smile line. CONCLUSIONS: The visual display [presence] of the interdental papillae, that is, pink tissues, is notably preferred to the absence of the interdental papillae when replaced by either a "black triangle" or long contact area in the commonly known low smile line. This emphasizes the need to assess the Interdental Smile Line (ie, visual display of interdental papillae during smiling) in all patients and the importance to preserve and/or re-establishment of the interdental papillae, that is, pink tissues, even in patients with a low smile line.


Subject(s)
Esthetics, Dental , Gingiva , Humans , Internet , Maxilla , Smiling
12.
J Prosthet Dent ; 121(2): 189-194, 2019 Feb.
Article in English | MEDLINE | ID: mdl-30139676

ABSTRACT

Orofacial analysis has been used by dentists for many years. The process involves applying mathematical rules, geometric principles, and straight lines to create either parallel or perpendicular references based on the true horizon and/or natural head position. These reference lines guide treatment planning and smile design for restorative treatments to achieve harmony between the new smile and the face. The goal is to obtain harmony and not symmetry. Faces are asymmetrical entities and because of that cannot be analyzed using purely straight lines. In this article, a more natural, organic, and dynamic process of evaluation is presented to minimize errors and generate harmoniously balanced smiles instead of perfect, mathematical smiles.


Subject(s)
Dental Restoration, Permanent , Esthetics, Dental , Face/anatomy & histology , Facial Asymmetry/therapy , Smiling , Adult , Beauty , Dental Prosthesis Design , Female , Humans
13.
J Esthet Restor Dent ; 30(2): 119-125, 2018 03.
Article in English | MEDLINE | ID: mdl-29171154

ABSTRACT

OBJECTIVE: Asymmetric facial features such as a deviated nose and chin are common and known to affect smile esthetics. When presented with these asymmetries, the clinician must consider the impact they will have on the smile design parameters-especially the placement and angulation of the dental midline, which is a common starting point for a case involving smile design. The purpose of this article is to determine if the nose and chin deviations affect the perception of dental midline angulation. MATERIALS AND METHODS: An asymmetric facial model (AFM) was created from a digital symmetric facial model, used in a previous study by digitally deviating the nose and chin to the same side. Eight different pictures of this AFM were created, each with different degrees of maxillary midline angulation (both in and against the direction of the deviated nose and chin). Using a visual Likert scaled delivered via Websurvey in the private practice setting, one hundred and ninety-six randomly selected laypersons were asked to evaluate each image according to their own notions of beauty. RESULTS: A minor axial dental midline angulation of 3.5° can be perceived independently of the direction of the cant. All pictures where the midline was canted pointing in the opposite direction of nose and chin deviations presented lower rating mean values. CONCLUSIONS: Off-center noses and chins can influence the perceived attractiveness of a smile with a canted dental midline. The degree and direction of a canted midline can influence the harmony between the smile and overall face, with canting in the same direction of the asymmetric features being rated as more attractive. CLINICAL SIGNIFICANCE: The dental midline should be as vertically straight as possible. If a midline cant is present, however, it is more favorable to have a dental midline angulation which points in the same direction as nose and chin deviations, rather than in the opposite direction.


Subject(s)
Esthetics, Dental , Facial Asymmetry , Face , Humans , Nose , Smiling
14.
J Prosthet Dent ; 117(4): 513-516, 2017 Apr.
Article in English | MEDLINE | ID: mdl-27881322

ABSTRACT

STATEMENT OF PROBLEM: Facial asymmetries in features such as lip commissure and interpupillary plane canting have been described as common conditions affecting smile esthetics. When presented with these asymmetries, the clinician must choose the reference line with which to orient the transverse occlusal plane of the planned dental restorations. PURPOSE: The purpose of the online survey described in this study was to determine lay preferences regarding the transverse occlusal plane orientation in faces that display a cant of the commissure line viewed from the frontal perspective. MATERIAL AND METHODS: From a digitally created symmetrical facial model with the transverse occlusal plane and commissure line parallel to the interpupillary line (horizontal) and a model constructed in a previous study (control), a new facial model was created with 3 degrees of cant of the commissure line. Three digital tooth mountings were designed with different transverse occlusal plane orientations: parallel to the interpupillary line (A), parallel to the commissure line (B), and the mean angulation plane formed between the interpupillary and commissure line (C), resulting in a total of 4 images. All images, including the control, were organized into 6 pairs and evaluated by 247 selected laypersons through an online Web site survey. Each participant was asked to choose the more attractive face from each of the 6 pairs of images. RESULTS: The control image was preferred by 72.9% to 74.5% of the participants compared with the other 3 images, all of which represented a commissure line cant. Among the 3 pairs which represent a commissure line cant, 59.1% to 61.1% preferred a transverse plane of occlusion cant (B and C) compared with a plane of occlusion parallel to the interpupillary, line and 61.1% preferred a plane of occlusion parallel to the commissure line (B) compared with the mean angulation plane (C). CONCLUSIONS: Laypeople prefer faces with a commissure line and transverse occlusal plane parallel to the horizontal plane or horizon. When faces present a commissure line cant, laypeople prefer a transverse occlusal plane with a similar and coincident cant.


Subject(s)
Dental Occlusion , Esthetics, Dental , Patient Preference , Adolescent , Adult , Esthetics, Dental/psychology , Face/anatomy & histology , Facial Asymmetry , Female , Humans , Lip/anatomy & histology , Male , Middle Aged , Models, Anatomic , Surveys and Questionnaires , Young Adult
15.
Int J Esthet Dent ; 10(4): 588-96, 2015.
Article in English | MEDLINE | ID: mdl-26794054

ABSTRACT

PURPOSE: The purpose of this article is to determine whether certain facial asymmetries (nose and chin) have an impact on the perception of the maxillary dental midline shift. MATERIALS AND METHODS: From a digitally created symmetric facial model (SFM) constructed in a previous study, a new asymmetric facial model (AFM) was created, with nose and chin deviated to the same side. Modifications were made on the AFM for shifts in the maxillary dental midline in both directions, resulting in a total of eight different images. Through a web survey, 112 randomly selected laypersons were asked to evaluate each image according to their own personal beauty and esthetic criteria using a visual Likert scale. RESULTS: 1 mm of dental midline shift to the left of the AFM was not noticed; 1 mm of dental midline shift to the right of the AFM had a negative impact on perception of facial attractiveness; 2 and 3 mm of dental midline shift to left or right of the AFM had a negative impact on perception of facial attractiveness. CONCLUSIONS: Facial asymmetries such as nose and chin inclinations have an impact on the perception of maxillary dental midline shift. Direction of dental midline shift can be a major factor in this perception.


Subject(s)
Facial Asymmetry/pathology , Incisor/pathology , Maxilla/pathology , Visual Perception , Adult , Aged , Beauty , Chin/pathology , Esthetics , Esthetics, Dental , Female , Humans , Male , Middle Aged , Nose/pathology , Photography/methods , Smiling , Young Adult
16.
Article in Portuguese | Index Psychology - journals | ID: psi-63220

ABSTRACT

O objetivo deste estudo é identificar a prevalência de transtornos mentais comuns e consumo de bebida alcoólica e tabaco entre estudantes de enfermagem de uma universidade pública da Amazônia Ocidental brasileira. Trata-se de um estudo exploratório e descritivo, utilizando-se os instrumentos AUDIT, SRQ-20 e questionário de tabagismo. Do total de estudantes, 93,4% afirmou fazer consumo de álcool de baixo risco, porém 26% afirmou beber no padrão binge pelo menos uma vez ao mês. Em relação ao tabaco, 78,6% afirmou ter usado por curiosidade e desejo de experimentar e 46,1% afirmou que "sente-se nervoso, tenso ou preocupado" e que tem "humor depressivo/ansioso". A comparação dos resultados possibilita o planejamento de programas de prevenção mais condizentes com as características e necessidade de cada comunidade.(AU)


The objective of this study is to identify the prevalence of two common mental disorders, alcohol consumption and tobacco use, among nursing students of a public university in the western Brazilian Amazon. This is an exploratory and descriptive study, using AUDIT instruments, SRQ-20 and smoking questionnaire. Of the total number of students 93.4% said they consume a low-risk amount of alcohol, but 26% said they binge drank at least once a month. As for tobacco, 78.6% claimed to have used it because of curiosity and the desire to experiment and 46.1% said they "felt nervous, tense or worried" and had a "depressive/anxious mood." In comparing these results it allows for a more consistent planning of prevention programs that addresses the needs of this community.(AU)


El objetivo de este estudio es identificar la prevalencia de trastornos mentales comunes y consumo de bebida alcohólica y tabaco entre estudiantes de enfermería de una universidad pública de la Amazonía Occidental brasileña. Se Trata de un estudio exploratorio y descriptivo, utilizándose los instrumentos AUDIT, SRQ-20 y el cuestionario de tabaquismo. Del total de estudiantes, 93,4% afirmó hacer consumo de alcohol de bajo riesgo, pero el 26% afirmó beber en el modelo binge por lo menos una vez al mes. En relación al tabaco, 78,6% afirmó haber usado por curiosidad y deseo de experimentar el 46,1% afirmó que "se siente nervioso, tenso o preocupado" y que tiene "humor depresivo/ansioso". La comparación de los resultados posibilita el planeamiento de programas de prevención más coincidentes con las características y necesidades de cada comunidad.(AU)


Subject(s)
Humans , Male , Female , Mental Disorders , Alcoholism , Smoking , Tobacco Use , Diagnosis, Dual (Psychiatry) , Students, Nursing
17.
Article in Portuguese | LILACS | ID: lil-747972

ABSTRACT

O objetivo deste estudo é identificar a prevalência de transtornos mentais comuns e consumo de bebida alcoólica e tabaco entre estudantes de enfermagem de uma universidade pública da Amazônia Ocidental brasileira. Trata-se de um estudo exploratório e descritivo, utilizando-se os instrumentos AUDIT, SRQ-20 e questionário de tabagismo. Do total de estudantes, 93,4% afirmou fazer consumo de álcool de baixo risco, porém 26% afirmou beber no padrão binge pelo menos uma vez ao mês. Em relação ao tabaco, 78,6% afirmou ter usado por curiosidade e desejo de experimentar e 46,1% afirmou que "sente-se nervoso, tenso ou preocupado" e que tem "humor depressivo/ansioso". A comparação dos resultados possibilita o planejamento de programas de prevenção mais condizentes com as características e necessidade de cada comunidade.


The objective of this study is to identify the prevalence of two common mental disorders, alcohol consumption and tobacco use, among nursing students of a public university in the western Brazilian Amazon. This is an exploratory and descriptive study, using AUDIT instruments, SRQ-20 and smoking questionnaire. Of the total number of students 93.4% said they consume a low-risk amount of alcohol, but 26% said they binge drank at least once a month. As for tobacco, 78.6% claimed to have used it because of curiosity and the desire to experiment and 46.1% said they "felt nervous, tense or worried" and had a "depressive/anxious mood." In comparing these results it allows for a more consistent planning of prevention programs that addresses the needs of this community.


El objetivo de este estudio es identificar la prevalencia de trastornos mentales comunes y consumo de bebida alcohólica y tabaco entre estudiantes de enfermería de una universidad pública de la Amazonía Occidental brasileña. Se Trata de un estudio exploratorio y descriptivo, utilizándose los instrumentos AUDIT, SRQ-20 y el cuestionario de tabaquismo. Del total de estudiantes, 93,4% afirmó hacer consumo de alcohol de bajo riesgo, pero el 26% afirmó beber en el modelo binge por lo menos una vez al mes. En relación al tabaco, 78,6% afirmó haber usado por curiosidad y deseo de experimentar el 46,1% afirmó que "se siente nervioso, tenso o preocupado" y que tiene "humor depresivo/ansioso". La comparación de los resultados posibilita el planeamiento de programas de prevención más coincidentes con las características y necesidades de cada comunidad.


Subject(s)
Humans , Male , Female , Alcoholism , Diagnosis, Dual (Psychiatry) , Students, Nursing , Smoking , Mental Disorders , Tobacco Use
18.
Article in English | MEDLINE | ID: mdl-24116371

ABSTRACT

The purpose of this article was to determine the individual visual perception thresholds of certain facial and dental discrepancies for a symmetric face model (SFM). A facial photograph of a female subject's smile was digitally manipulated into an artificially symmetric picture. Modifications were made on the SFM for shifts in the dental midline, nose, and chin (group 1) and cants of dental midline and incisal plane (group 2), resulting in a total of 24 different images divided into two groups. One-hundred randomly selected laypersons divided into two groups were used to evaluate each image according to their own personal beauty and esthetic criteria using a visual analog scale. The visual perception thresholds found for the SFM were 2 mm for a dental midline shift, 4 mm for nose deviation, 5 degrees for dental midline cant, and 3 degrees for frontal incisal plane cant. Chin deviations of 6 mm or less were not noticed. Dental midline shift, nose deviation, dental midline cant, and incisal plane cant relative to an SFM have an impact on the perception of facial attractiveness. Chin deviations did not have a statistically significant impact.


Subject(s)
Dentition , Facial Asymmetry , Visual Perception , Adolescent , Adult , Female , Humans , Male , Middle Aged , Observer Variation , Young Adult
19.
SMAD, Rev. eletrônica saúde mental alcool drog ; 8(2): 64-70, ago. 2012. ilus, tab
Article in Portuguese | Index Psychology - journals | ID: psi-59329

ABSTRACT

O objetivo deste estudo foi conhecer a prevalência do tabagismo entre universitários do curso de graduação em enfermagem, das Faculdades Unificadas Doctum, Guarapari, Espírito Santo. Trata-se de estudo exploratório, descritivo e quantitativo, desenvolvido com 68 universitários de enfermagem. A coleta de dados ocorreu nos meses de fevereiro e março de 2009, utilizando-se um questionário autoaplicável. Os achados mostram que a maioria dos estudantes é do sexo feminino, na faixa etária de 20 a 25 anos, moram com os pais; sem renda própria. Dentre eles, 50% experimentaram fumar alguma vez na vida; sendo a experiência com o tabaco referida com familiares (53%), amigos (32,4%) e através da convivência com fumantes (58,5%). O estudo possibilitou reflexões sobre o uso/abuso de tabaco, alertando sobre os prejuízos causados por essa substância entre os adultos jovens.(AU)


The aim of this study was to draw a prevalence profile of smoking among nursing students of Faculdades Unificadas Doctum, Guarapari-ES. This is an exploratory, descriptive and quantitative research, developed with 68 nursing students. The data was collected on February and March 2009, with a self-administered questionnaire. Our findings show that the majority of students are female, from 20 to 25 years-old, living with their parents, without their own income. Among them, 50% have tried smoking sometime in life, these experiences have happened among relatives in 53%; 32.4% among friends and 58.5% among other smokers. The study has allowed thoughts on the use/abuse of tobacco, making aware of the damage caused by this substance among young adults.(AU)


El objetivo de este estudio fue conocer la superioridad del tabaquismo entre universitarios del curso de graduación en Enfermería de las Facultades Unificadas Doctum, Guarapari-ES. Se trata de un estudio exploratorio, descriptivo y cuantitativo, desarrollado con 68 universitarios de Enfermería. La recogida de datos ocurrió en los meses de febrero y marzo de 2009, utilizándose un cuestionario auto-aplicable. Nuestros hallazgos muestran que la mayoría de los estudiantes es del sexo femenino, en la banda etaria de 20 a 25 años, viven con los padres; sin renta propia. Entre ellos, 50% experimentaron fumar nunca en la vida; siendo la experiencia con el tabaco referida en familiares 53%, amigos 32,4% y a través de la convivencia con fumadores 58,5%. El estudio posibilitó ponderaciones sobre el uso/abuso de tabaco, alertando sobre los perjuicios causados por esta substancia entre los adultos jóvenes.(AU)


Subject(s)
Humans , Male , Female , Young Adult , Tobacco Use Disorder , Students, Nursing
20.
SMAD, Rev. eletrônica saúde mental alcool drog ; 8(2): 64-70, ago. 2012. ilus, tab
Article in Portuguese | LILACS | ID: lil-693468

ABSTRACT

O objetivo deste estudo foi conhecer a prevalência do tabagismo entre universitários do curso de graduação em enfermagem, das Faculdades Unificadas Doctum, Guarapari, Espírito Santo. Trata-se de estudo exploratório, descritivo e quantitativo, desenvolvido com 68 universitários de enfermagem. A coleta de dados ocorreu nos meses de fevereiro e março de 2009, utilizando-se um questionário autoaplicável. Os achados mostram que a maioria dos estudantes é do sexo feminino, na faixa etária de 20 a 25 anos, moram com os pais; sem renda própria. Dentre eles, 50% experimentaram fumar alguma vez na vida; sendo a experiência com o tabaco referida com familiares (53%), amigos (32,4%) e através da convivência com fumantes (58,5%). O estudo possibilitou reflexões sobre o uso/abuso de tabaco, alertando sobre os prejuízos causados por essa substância entre os adultos jovens.


The aim of this study was to draw a prevalence profile of smoking among nursing students of Faculdades Unificadas Doctum, Guarapari-ES. This is an exploratory, descriptive and quantitative research, developed with 68 nursing students. The data was collected on February and March 2009, with a self-administered questionnaire. Our findings show that the majority of students are female, from 20 to 25 years-old, living with their parents, without their own income. Among them, 50% have tried smoking sometime in life, these experiences have happened among relatives in 53%; 32.4% among friends and 58.5% among other smokers. The study has allowed thoughts on the use/abuse of tobacco, making aware of the damage caused by this substance among young adults.


El objetivo de este estudio fue conocer la superioridad del tabaquismo entre universitarios del curso de graduación en Enfermería de las Facultades Unificadas Doctum, Guarapari-ES. Se trata de un estudio exploratorio, descriptivo y cuantitativo, desarrollado con 68 universitarios de Enfermería. La recogida de datos ocurrió en los meses de febrero y marzo de 2009, utilizándose un cuestionario auto-aplicable. Nuestros hallazgos muestran que la mayoría de los estudiantes es del sexo femenino, en la banda etaria de 20 a 25 años, viven con los padres; sin renta propia. Entre ellos, 50% experimentaron fumar nunca en la vida; siendo la experiencia con el tabaco referida en familiares 53%, amigos 32,4% y a través de la convivencia con fumadores 58,5%. El estudio posibilitó ponderaciones sobre el uso/abuso de tabaco, alertando sobre los perjuicios causados por esta substancia entre los adultos jóvenes.


Subject(s)
Humans , Male , Female , Young Adult , Students, Nursing , Smoking
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