Por un futuro más sano para la gente en todo el mundo. Entrevista: Pérez Ochoteco, Félix / For a healthier people worldwide future. Interview: Ochoteco Pérez, Félix

Gum y Butler empresa que desarrolla su línea de productos centrada en la prevención y, a través de la labor junto a la CORA, afianza su compromiso en el trabajo junto a profesionales de todo el país. Entrevista al supervisor del área profesional en Sunstar América.

Por un futuro más sano para la gente en todo el mundo. Entrevista: Pérez Ochoteco, Félix / For a healthier people worldwide future. Interview: Ochoteco Pérez, Félix

Gum y Butler empresa que desarrolla su línea de productos centrada en la prevención y, a través de la labor junto a la CORA, afianza su compromiso en el trabajo junto a profesionales de todo el país. Entrevista al supervisor del área profesional en Sunstar América. (AU)

Prevalencia de caries dental y factores de riesgo asociados / Dental caries prevalence and associated risk factors

Objetivos: determinar la prevalencia de la caries dental y el grado de asociación entre conocimientos acerca de salud bucal, la higiene bucal y la afectación por caries dental. Métodos: entre marzo 2008 y marzo 2009 se realizó un estudio descriptivo, observacional, de corte transversal en 100 jóvenes que tenían entre 17 y 19 años, de ambos sexos y que padecían de caries dental.Resultados: la prevalencia de caries fue de 7,7 por ciento en las mujeres y de 8,6 por ciento en los hombres. La mayoría de los participantes en ambos sexos tenían una higiene bucal deficiente. En 24 (48 por ciento) mujeres y en 34 (68 por ciento) hombres, los conocimientos sobre salud bucal fueron calificados de mal. Se encontraron diferencias estadísticamente significativas entre la higiene bucal, los conocimientos sobre salud bucal y la afectación por caries dental. Conclusiones: la prevalencia de caries dental es alta en la población estudiada. Los factores de riesgo analizados se asocian con la afectación por caries dental(AU)

Objectives: To determine the prevalence of dental caries and the degree of association between oral health knowledge, oral hygiene and dental caries involvement. Methods: From March 2008 to March 2009, a descriptive, observational, cross-sectional study was conducted in 100 young persons aged between 17 and 19 years suffering from tooth decay. Both sexes were included in the sample. Results: The prevalence of caries was 7.7 percent in women and 8.6 percent in men. Most participants of both sexes had poor oral hygiene. In 24 (48 percent) women and 34 (68 percent) men, oral health was low. Statistically significant differences were found on oral hygiene, oral health knowledge, and involvement by dental caries. Conclusions: The prevalence of dental caries is high. The analyzed risk factors are associated with dental caries involvement(AU)

Turma do escovinha Teens: contra o ataque dos Mutans / Panel of brush Teens: against the attack of mutans

Animação que conta a aventura da turma do escovinha na escola, numa aula sobre saúde bucal. A estória se desenvolve quando, em casa, uma bactéria bucal - o streptococus mutans, invade o computador de um dos meninos e contamina sua rede de amigos. Todos se unem num jogo virtual, para combater e exterminar o mutans. As crianças vão aprender quando foi inventado a escova de dentes e o creme dental e o que acontece quando não cuidamos dos dentes...

Effect of a multi-faceted intervention on gingival health among adults with systemic sclerosis.

OBJECTIVES: To evaluate the effect of adaptive oral hygiene devices and orofacial exercise to improve gingival health among adults with systemic sclerosis (SSc). METHODS: Forty-eight patients with SSc were assigned randomly to the multifaceted oral health intervention or usual dental care control group. Participants in the intervention group received a rechargeable, powered Oral-B® oscillating-rotating-pulsating toothbrush and a Reach® Access™ Flosser that has a toothbrush-like handle. For those with an oral aperture of less than 40 mm, orofacial exercises were taught. Participants in the control group were each given a manual toothbrush and dental floss. Participants in both groups received instructions and demonstration on the use of the devices, and were requested to perform the respective intervention twice a day for 6 months. Evaluations were at baseline, 3-, and 6-months. The main outcome was gingival index (GI), an indicator of gingival inflammation. RESULTS: Both groups showed significant reduction in GI scores at 6 months (ps<0.005). Reduction in GI scores of the intervention group at 6 months was 20.8% which is considered to be clinically significant. Compared to the control group, the intervention group showed a significant and larger reduction in GI score by 8% at 6 months (p=0.0007). CONCLUSIONS: Results support the use of adaptive devices and orofacial exercise to improve gingival health in adults with SSc when compared to use of manual toothbrushing and finger-held flossing. Recommending and educating patients with SSc to use adaptive devices to clean the tooth surfaces looks promising for long-term oral health improvement.

How effective are interdental cleaning aids in improving dental health?

UNLABELLED: This paper reviews recent systematic reviews of the evidence on the effectiveness of interdental cleaning aids in delivering oral health benefits. CLINICAL RELEVANCE: Dental professionals need to consider the evidence for the effectiveness of different interdental cleaning aids carefully when making recommendations to patients.

Over-the-counter whitening agents: a concise review.

Tooth discoloration is commonly found in the dental clinic and tooth bleaching has been considered the preferred esthetic alternative, being more conservative, safe and with predictable results. Supervised home-use of 10% Carbamide Peroxide (CP) bleaching with custom-trays is the most common bleaching procedure dispensed by dentists to their patients. The good results obtained with this technique stimulated the flourishing of new products and techniques. Over-the-counter (OTC) bleaching products appeared as a low-cost alternative to bleach discolored teeth without dentist supervision. Different OTC products are available in supermarkets, drug stores or on the Internet, including rinses, paint-on brushes, toothpastes, chewing guns, dental floss, and whitening strips. There is lack of clinical evidence regarding the safety and effectiveness of these products, being most of the studies supported by the manufacturers'. Basically, toothpastes, chewing gums, and dental floss are removal agents of superficial stains. Rinses and paint-on brushes with low levels of hydrogen peroxide have some whitening effect, but without clinical relevance. Strips present similar esthetic results and side-effects, compared to bleaching with 10% CP using trays; however, the studies have financial support from the manufacturers and were based on short term evaluations. Legislation varies widely in different countries regarding OTC dental bleaching. Concerns have appeared due to the potential abusive use of these self-medication agents, especially in young patients, with potential harmful results. Dentists should be acquainted with this kind of products to be able to inform their patients. In conclusion, there is a need for independent clinical trials to provide sufficient evidence regarding the use of OTC bleaching products.

[Microbiological evaluation of some commercial brands of Chamomillae floss]. / Controlul microbiologic al unor sorturi comerciale de Chamomillae flos.

UNLABELLED: Different strains of microorganisms contaminate medicinal herb, and theirs, enzymes could modify the normal composition of herbal products. MATERIAL AND METHODS: We evaluated the microbiological quality of 12 samples of Chamomillae floss commercialized in, markets and specific stores. Microbiological quality has been evaluated according European Pharmacopoeia rules. In all samples we determined the total number of germs, total number of fungi and we evaluated the presence of coliform bacilli, respectively Staphylococcus species. RESULTS: For all samples, the total number of germs was under the limits with variation between 320 CFU/g (P 4) and 14000 CFU/g (P 11). The total number of fungi was under the limits; in most of samples, we detected Penicillium sp. and Aspergillus sp. In 4 samples the total number of Escherichia coli strains was over the limits (100 CFU/g). CONCLUSIONS: An important decrease of total number of coliform bacilli was observed after boiling water has been added but the total number of germs was decreased insignificantly, so these extracts are not very safe for patient especially when vegetal products contain a great number of germs.

[Contribution to the phytochemical study of polyphenols in ten hydroalcoholic extracts of Chamomile floss]. / Contributii la analiza fitochimica a polifenolilor existenti in extracte hidroalcoolice preparate din mostre comerciale de Chamomillae flos.

UNLABELLED: Continuing a series of studies that intend to evaluate the pharmaceutical quality of 10 commercial samples of chamomile, we tried to investigate the chemical composition of the hydroalcoholic extracts obtained in our laboratory, starting from this raw material. MATERIAL AND METHOD: The qualitative and semiquantitative analysis of the extracts was done by HPLC means. RESULTS: All extractive solutions have a high content in ferulic acid, whereas the caffeic acid level is the lowest. Regarding the flavonoids, there are many quantitative differences between the samples: one extract lacking the rutoside and two of them having low apigenin-7-glucoside contents.

Over-the-counter whitening agents: a concise review

Tooth discoloration is commonly found in the dental clinic and tooth bleaching has been considered the preferred esthetic alternative, being more conservative, safe and with predictable results. Supervised home-use of 10 percent Carbamide Peroxide (CP) bleaching with custom-trays is the most common bleaching procedure dispensed by dentists to their patients. The good results obtained with this technique stimulated the flourishing of new products and techniques. Over-the-counter (OTC) bleaching products appeared as a low-cost alternative to bleach discolored teeth without dentist supervision. Different OTC products are available in supermarkets, drug stores or on the Internet, including rinses, paint-on brushes, toothpastes, chewing guns, dental floss, and whitening strips. There is lack of clinical evidence regarding the safety and effectiveness of these products, being most of the studies supported by the manufacturers'. Basically, toothpastes, chewing gums, and dental floss are removal agents of superficial stains. Rinses and paint-on brushes with low levels of hydrogen peroxide have some whitening effect, but without clinical relevance. Strips present similar esthetic results and side-effects, compared to bleaching with 10 percent CP using trays; however, the studies have financial support from the manufacturers and were based on short term evaluations. Legislation varies widely in different countries regarding OTC dental bleaching. Concerns have appeared due to the potential abusive use of these self-medication agents, especially in young patients, with potential harmful results. Dentists should be acquainted with this kind of products to be able to inform their patients. In conclusion, there is a need for independent clinical trials to provide sufficient evidence regarding the use of OTC bleaching products.

Avaliação da apresentação comercial de escovas dentais disponíveis no Brasil / Evaluation of commercial characteristics of toothbrushes available in Brazil

Objetivo: A proposta deste estudo foi avaliar a apresentação comercial de 15 escovas dentais destinadas ao público infantil. Metodologia: As escovas foram adquiridas em diferentes pontos de venda na cidade de Belo Horizonte, MG. Foram avaliados: fabricante, dureza das cerdas, instruções sobre o uso do produto, indicação de idade, tempo de uso, desenhos de personagens infantis, selo da Associação Brasileira de Odontologia (ABO), preço, material utilizado no cabo, comprimento das cerdas (mm) e presença de corante nas cerdas. Resultados: Um total de 87% das escovas informava sobre a necessidade de troca a cada 3 meses, 73% instruíam sobre uso, 47% possuíam o selo da ABO, 60% apresentavam desenhos infantis e 73% possuíam cerdas de 10 mm de comprimento. O preço variou entre R$1,00 a R$8,55. Conclusão: Os fabricantes utilizaram estratégias publicitárias para atrair as crianças e motivar o consumo, mas muitas escovas não apresentaram informações importantes como selo da ABO, instruções de uso, tempo de uso e idade indicada. O reforço e a orientação do dentista são fundamentais para motivar o paciente sobre a higiene bucal adequada.

Purpose: This study aimed to evaluate the commercial characteristics of 15 dental toothbrushes used by children. Methods: Toothbrushes were purchased in different locations of Belo Horizonte city, MG. Collected data included: manufacturer, instructions for use, indication of age, expiration date, decorative characters, quality control stamp by the Brazilian Dental Association (ABO), price, handle material, bristle length (mm), color, and presence of bristles with color change. Results: Toothbrushes displayed information to change toothbrush every three months (87%), instructions for use (73%), ABO stamp (47%), decorative characters (60%), and 10mm length bristles (73%). Prices varied from R$1,00 to R$8,55. Conclusion: The manufacturers used commercial appeal strategies to attract consumers and motivate sales. However, many toothbrushes did not show important information such as the ABO stamp, instructions for use and age recommendation. The dentist should motivate and instruct patients for an ideal oral hygiene protocol.

Teprige: sorriso bonito / Teprige: beautiful smile

Filmado e editado pelos próprios índios Ikpeng com a participação de professores, alunos e membros da comunidade, objetiva ensinar, de forma dinâmica e ilustrativa a importância dos cuidados com a saúde bucal. Fala ainda sobre as principais causas das doenças bucais e as formas de auto cuidado adotadas atualmente pela cultura Ikpeng. Falado em língua nativa e legendado em português.

Effect of instruction and motivation in the use of electric and manual toothbrushes in periodontal patients: a comparative study

O objetivo do presente estudo foi avaliar a eficácia de escovas dentais manual e elétrica no controle de placa em pacientes periodontais após instruções apropriadas. Trinta e seis pacientes periodontais (média de idade de 49 anos, 21 mulheres e 15 homens) foram incluídos e completaram o estudo (100% de adesão). Um delineamento de ensaio clínico randomizado controlado cego e cruzado foi adotado, com pacientes usando durante 2 períodos de 14 dias cada escovas manuais e/ou elétricas. Quatro subgrupos de 9 indivíduos foram estudados: A1 - utilizou escova manual em ambos os períodos experimentais; A2 - utilizou a escova manual durante o primeiro, e a escova elétrica, no segundo período; B1 - usou escova elétrica em ambos os períodos; B2 - iniciou com escova elétrica e utilizou escova manual no segundo período. A escovação foi realizada durante 14 dias e, nos dias 14 e 28, essa foi realizada na clínica, e o tempo de escovação foi cronometrado sem que os pacientes soubessem. O Indice de Placa (Silness, Lõe, 1964) foi utilizado. Comparações intragrupo foram realizadas por teste t pareado e intergrupo por teste t para amostras independentes, com um nível alfa de 0,05. Os resultados não identificaram diferenças entre as escovas testadas em relação à placa ou ao tempo utilizado. Entretanto, reinstrução foi detectada como um fator importante, uma vez que, para todos os grupos, o segundo período, após reinstrução, demonstrou menores escores de placa. Conclui-se que aconselhamento profissional e instrução e reinstrução parecem mais importantes para se obter um bom controle de placa do que a escolha da escova em pacientes com doença periodontal.

Comparing the Dr. SEDOC and ADA toothbrushes in three independent laboratory procedures.

OBJECTIVE: The purpose of this research was to compare the Dr. SEDOC toothbrush, tufted with super-tapered bristles, to the ADA standard toothbrush in three laboratory procedures designed to evaluate 1) the cleaning ability of toothbrush bristles at the gingival margin (GMC), 2) interproximal access efficacy (IAE) and plaque removal efficacy, or 3) subgingival access (SA) into, and removal of artificial plaque deposits from under the gingival margin. METHODOLOGY: Efficacy was tested using three published laboratory methods, with pressure-sensitive paper placed around simulated teeth, at a brushing pressure of 250 or 500 g, with horizontal or vertical brushing motions. Twenty-four tests on each toothbrush design were conducted, and results were statistically analyzed using ANOVA. RESULTS: In all three assays, the Dr. SEDOC toothbrush had a significantly superior (p < 0.001) efficacy mean value compared to the ADA toothbrush. CONCLUSION: The Dr. SEDOC toothbrush, with super-tapered bristles, offers the potential for improved cleaning and plaque removal compared to the ADA standard control toothbrush.

Effect of instruction and motivation in the use of electric and manual toothbrushes in periodontal patients. A comparative study.

The aim of the present study was to evaluate the efficacy of manual and electric toothbrushes in plaque control in periodontal patients after proper instructions. Thirty six periodontal patients (mean age of 49 years, 21 females and 15 males) were included and completed the study (100% compliance). A single-blinded, randomized, controlled, cross-over clinical design was adopted, with the patients using during 2 periods of 14 days each the manual and/or electric toothbrush. Four subgroups of 9 individuals were studied: A1--used manual toothbrush in both experimental periods; A2--used the manual toothbrush during the first period and the electrical toothbrush during the second period; B1--used electrical toothbrush during both periods; B2--used the electrical toothbrush in the first period and the manual one in the second period. Brushing was performed during 14 days and at day 14 and 28 it was performed in the clinic, and timing of brushing was recorded without patients being aware. The Plaque Index (Silness, Löe, 1964) was used. Intra-group comparisons were performed by paired t-test and inter-group comparisons by independent sample t-test, with an alpha level of 0.05. The results showed no difference between the tested brushes neither for plaque nor for timing. However, re-instruction was detected as an important factor, since for all groups the second period, after reinstruction, showed lower plaque scores. It is concluded that professional advice and instruction and re-instruction seem more important in order to obtain good plaque control than the choice of toothbrush in subjects with periodontal disease.

Oral health risk assessment timing and establishment of the dental home.

Early childhood dental caries has been reported by the Centers for Disease Control and Prevention to be perhaps the most prevalent infectious disease of our nation's children. Early childhood dental caries occurs in all racial and socioeconomic groups; however, it tends to be more prevalent in low-income children, in whom it occurs in epidemic proportions. Dental caries results from an overgrowth of specific organisms that are a part of normally occurring human flora. Human dental flora is site specific, and an infant is not colonized until the eruption of the primary dentition at approximately 6 to 30 months of age. The most likely source of inoculation of an infant's dental flora is the mother or another intimate care provider, through shared utensils, etc. Decreasing the level of cariogenic organisms in the mother's dental flora at the time of colonization can significantly impact the child's predisposition to caries. To prevent caries in children, high-risk individuals must be identified at an early age (preferably high-risk mothers during prenatal care), and aggressive strategies should be adopted, including anticipatory guidance, behavior modifications (oral hygiene and feeding practices), and establishment of a dental home by 1 year of age for children deemed at risk.