Early Childhood Caries in a Northeastern Brazilian Capital: Observations of Social Distinct Daycare Centers

ABSTRACT Objective: To investigate factors associated with the experience of dental caries in children in early childhood in two socially distinct centers in the city of São Luís, Maranhão, Brazil. Material and Methods: A cross-sectional study was conducted in two socially distinct daycare centers (private and public). The children were assessed regarding their caries experience, and their parents/guardians were prepared regarding socioeconomic information, parents/guardians' habits, and children's habits. Descriptive and inferential statistics were used. Association tests and multivariate analyses were performed to analyze independent variables and outcomes (type of daycare center and caries experience) using a p-value of 5%. Results: The sample consisted of 89 children aged up to 5 years of both sexes. The type of daycare center was associated with some socioeconomic data, such as family income (p<0.01) and parents' education (p=0.05). Data on oral hygiene and children's habits, such as breastfeeding, also remained associated with the type of daycare center. There was an association between income and DMFT (PR=8.48 - 95%CI 2.26;31.78). Conclusion: The socioeconomic profile of parents/guardians and breastfeeding were associated with the prevalence of caries in deciduous teeth in children aged 10 to 48 months.

In vitro quantitative comparison of erosive potential of infant mouthwashes on glass ionomer cement.

BACKGROUND: The widespread use of mouthwashes, specially in children, is a concern, since the long-term use may modify the topography of dental materials. However, this process still unclear regarding the wear related to infant mouthwashes on glass ionomer cement. Thus, the purpose of this investigation was evaluate the erosive potential of infant mouthwashes on glass ionomer cement specimens. MATERIAL AND METHODS: Forty round-shaped specimens were divided into 4 groups (N=10) and submitted to erosive cycling for 15 days, being exposed 2X/day in the following children's active agents mouthwash solutions: G1- cetylpyridinium chloride, G2- xylitol and triclosan and G3 - Malva sylvestris and xylitol. Prior to cycling, the specimens were submitted to the surface roughness measurement. After erosive cycling, the specimens were reanalyzed, and calculated the increase of roughness (∆Ra). Additionally, it was adopted distilled water as a negative control (G4). As an extra analysis, the mouthwashes had their pH values measured. The results were submitted to T-test and ANOVA followed by Tukey test at 5%. RESULTS: In relation to pH values, G2 presented the most acidic pH value (pH = 6.83) in comparison to other substances. Regarding the comparison of the final roughness values (R) among the groups, it was verified that the mouthwashes showed significant roughness increase in comparison to control group, especially to G3 group (Rf = 1.67 ± 0.14) as well the ΔRa values with statistical difference in comparison to distilled water. Still, with exception of control group outcome, an increase of roughness of each mouthwash was verified after the studied period. CONCLUSIONS: Active agents present in infant mouthwashes were capable of roughness increased of glass ionomer cement surface, demonstrating an erosive potential of this material largely used in pediatric dentistry. Key words:Dental erosion, dental cements, mouthwash.

Protocolo de prescrição para pré-operatório de terceiros molares inclusos

Conceitua os tipos de molares inclusos existentes, exemplifica os danos causados quando estes dentes nascem e os medicamentos que devem ser usados no pós-operatório de acordo com autores da área.

Protocolo de prescrição para pré-operatório de terceiros molares inclusos

O vídeo apresenta a explicação sobre a importância das técnicas de incisão para os terceiros molares inferiores inclusos, otimizando tempo cirúrgico e resposta pós operatória. Os terceiros molares são frequentemente o grupo dental a ficar incluso pois, são os últimos dentes a nascerem, com isso diminuem a possibilidade de encontrar espaços nos maxilares, tornando-se, necessário em alguns casos a intervenção cirúrgica e atrelado a necessidade de cuidados no pré e no pós-operatório que são fundamentais para a boa recuperação da cirurgia.

A erosão dentária como uma lesão oral predominante na doença do refluxo gastroesofágico: [revisão] / The dental erosion as a predominant oral lesion in gastroesophageal reflux disease: [review]

A doença do refluxo gastroesofágico é o movimento retrógrado do conteúdo gastroduodenal para o esôfago. Recentemente vários autores têm sugerido que os portadores da doença do refluxo gastroesofágico podem apresentar manifestações orais, pois o refluxo, ao atingir a cavidade oral, pode causar lesões nos tecidos moles ou/e nos dentes. O objetivo deste trabalho é realizar uma revisão de literatura a fim de discutir os aspectos da doença do refluxo gastroesofágico (DRGE) relacionados ao campo de atuação do cirurgião-dentista, envolvendo os mecanismos da gênese da doença, e enfatizando a erosão dentária que é considerada a manifestação oral predominante na DRGE. De acordo com o que foi observado na literatura pesquisada conclui-se que a erosão dentária é um achado comum em pacientes com DRGE.

The gastroesophageal reflux is the retrograde motion of gastroduodenal contents into the esophagus. Recently, several authors have suggested that patients with gastroesophageal reflux disease can have oral manifestations, as because the reflux can reaching theoral cavity, and damage soft tissues and/or teeth. The objective of this work is a literature review to discuss aspects of gastroesophageal reflux disease (GERD) related to the surgery dentist’s area, involving the mechanisms of genesis of the disease, with emphasis ondental erosion that is considered the predominant oral manifestation in GERD. According to literature research, it was concluded that dental erosion is a common finding in patients with GERD.