D. Jaramillo, J. L. Ibarrola, A. Arias, Phillipe Sleiman, A. Naji, D. Jaramillo
Objective: The objective of this study was to observe the effect that 3% Sodium Hypochlorite and 17% Ethylenediamine Tetraacetic Acid (EDTA) with water in between, used sequentially and individually had in the disinfection of dentin blocks that were contaminated with Enterococcus faecalis. Materials and Methods: Thirty apical and coronal dentin block samples were divided into five groups (n=5): All samples were inoculated with Enterococcus faecalis Group 1: Samples were submerged in 3% NaOCl then in 17% EDTA. Group 2: Samples were submerged first in 17% EDTA and then in 3% NaOCl. Group 3: Samples were immersed in 3% NaOCl only. Group 4: Samples were submerged in 17% EDTA only. Group 5 (positive control group): Samples were only submerged in distilled water. All samples were submerged in distilled water after each irrigation cycle. The irrigation protocol was repeated in all groups until all dentin samples were exposed to 24ml of the irrigating solutions. CFU units were counted and classified in an ordinal scale and compared with the linear-by-linear association test. Results: A significant linear trend in the reduction of CFU was observed when NaOCl and EDTA were combined (independently of the sequence used) when compared to groups 3 and 4 where the irrigants were used individually both in coronal (p=9.45 x 10-21), and apical slices (p=2.33 x 10-20). NaOCl was significantly more effective than EDTA in both coronal and apical slices (p ≥ 0.000001) when used alone. Conclusion: 3% Sodium Hypochlorite was more effective than 17% EDTA. However, alternating 3% NaOCl with 17% EDTA resulted in better dentinal disinfection. Clinical Relevance: Establishing an irrigation protocol that is effective in eradicating bacteria entrenched in dentinal tubules can lead to a more successful outcome in endodontically treated teeth.
目的:观察3%次氯酸钠和17%乙二胺四乙酸(EDTA)(中间夹水)先后使用和单独使用对粪肠球菌污染牙本质块的消毒效果。材料与方法:将30份根尖和冠状牙本质块样品分为5组(n=5):所有样品均接种粪肠球菌(Enterococcus faecalis)。第一组:将样品浸泡在3% NaOCl中，然后浸泡在17% EDTA中。第二组:先用17% EDTA浸泡，再用3% NaOCl浸泡。第三组:样品仅浸泡在3% NaOCl中。第4组:仅用17% EDTA浸泡样品。第5组(阳性对照组):样品仅用蒸馏水浸泡。每个灌溉周期后，将所有样品浸泡在蒸馏水中。所有组重复冲洗方案，直到所有牙本质样品暴露于24ml的冲洗液中。CFU单位按顺序进行计数和分类，并与线性逐线性关联检验进行比较。结果:与分别在冠状(p=9.45 x 10-21)和根尖切片(p=2.33 x 10-20)使用冲洗剂的3组和4组相比，NaOCl和EDTA联合使用(与使用的顺序无关)可以观察到CFU降低的显著线性趋势。单独使用NaOCl时，冠状和根尖切片的疗效均显著高于EDTA (p≥0.000001)。结论:3%次氯酸钠的治疗效果优于17% EDTA。然而，3%的NaOCl与17%的EDTA交替使用效果更好。临床意义:建立一个冲洗方案，是有效的根除细菌根深蒂固的牙本质小管可以导致一个更成功的结果根管治疗的牙齿。
{"title":"Dentin Disinfection Efficacy Using Four Different Irrigation Protocols","authors":"D. Jaramillo, J. L. Ibarrola, A. Arias, Phillipe Sleiman, A. Naji, D. Jaramillo","doi":"10.33805/2572-6978.156","DOIUrl":"https://doi.org/10.33805/2572-6978.156","url":null,"abstract":"Objective: The objective of this study was to observe the effect that 3% Sodium Hypochlorite and 17% Ethylenediamine Tetraacetic Acid (EDTA) with water in between, used sequentially and individually had in the disinfection of dentin blocks that were contaminated with Enterococcus faecalis. Materials and Methods: Thirty apical and coronal dentin block samples were divided into five groups (n=5): All samples were inoculated with Enterococcus faecalis Group 1: Samples were submerged in 3% NaOCl then in 17% EDTA. Group 2: Samples were submerged first in 17% EDTA and then in 3% NaOCl. Group 3: Samples were immersed in 3% NaOCl only. Group 4: Samples were submerged in 17% EDTA only. Group 5 (positive control group): Samples were only submerged in distilled water. All samples were submerged in distilled water after each irrigation cycle. The irrigation protocol was repeated in all groups until all dentin samples were exposed to 24ml of the irrigating solutions. CFU units were counted and classified in an ordinal scale and compared with the linear-by-linear association test. Results: A significant linear trend in the reduction of CFU was observed when NaOCl and EDTA were combined (independently of the sequence used) when compared to groups 3 and 4 where the irrigants were used individually both in coronal (p=9.45 x 10-21), and apical slices (p=2.33 x 10-20). NaOCl was significantly more effective than EDTA in both coronal and apical slices (p ≥ 0.000001) when used alone. Conclusion: 3% Sodium Hypochlorite was more effective than 17% EDTA. However, alternating 3% NaOCl with 17% EDTA resulted in better dentinal disinfection. Clinical Relevance: Establishing an irrigation protocol that is effective in eradicating bacteria entrenched in dentinal tubules can lead to a more successful outcome in endodontically treated teeth.","PeriodicalId":165937,"journal":{"name":"Dental Research and Management","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125578990","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Objectives: Good oral heath not only promotes an individual to look and feel good, it also helps in preserving oral functions. The study was carried out to assess oral health knowledge and practices, attitudes as well as their oral hygiene habits among university students in the UAE. Method: A structured and revised questionnaire was distributed to 300 university students that were randomly sampled from the selected universities of the UAE. The questionnaires were answered anonymously by the students and paper consisted of questions to study and assess the prevalence of oral diseases amongst these students. The answers were then subjected to statistical analysis to determine if there is a significant correlation between oral health knowledge and attitude. Results: Data showed a positive correlation with a Pearson coefficient value of 0.4 given at a positive gradient when plotted as a linear graph. The students had good knowledge on the basic oral health measures but still students had poor oral health practices they brush their teeth once daily and brushed for less than the optimal time of two minutes. Lack of time and cost were reported to be the most common causes that prevented visiting the dental clinic. While some students reported no importance to visit the dentist if there is any pain as the second most common reason. Conclusion: Students had good knowledge on the basic oral health measures but efforts towards spreading proper dental education is very important to minimize and prevent the escalation of oral diseases that may develop due to lack of correct dental knowledge. Oral health education programs should be conducted with reinforcement to close the gap between knowledge and practice.
{"title":"Assessment of Oral Health Care and Knowledge amongst University Students","authors":"Hala Zakaria, Hina Nasreen, Ehab Basssam","doi":"10.33805/2572-6978.155","DOIUrl":"https://doi.org/10.33805/2572-6978.155","url":null,"abstract":"Objectives: Good oral heath not only promotes an individual to look and feel good, it also helps in preserving oral functions. The study was carried out to assess oral health knowledge and practices, attitudes as well as their oral hygiene habits among university students in the UAE. \u0000Method: A structured and revised questionnaire was distributed to 300 university students that were randomly sampled from the selected universities of the UAE. The questionnaires were answered anonymously by the students and paper consisted of questions to study and assess the prevalence of oral diseases amongst these students. The answers were then subjected to statistical analysis to determine if there is a significant correlation between oral health knowledge and attitude. \u0000Results: Data showed a positive correlation with a Pearson coefficient value of 0.4 given at a positive gradient when plotted as a linear graph. The students had good knowledge on the basic oral health measures but still students had poor oral health practices they brush their teeth once daily and brushed for less than the optimal time of two minutes. Lack of time and cost were reported to be the most common causes that prevented visiting the dental clinic. While some students reported no importance to visit the dentist if there is any pain as the second most common reason. \u0000Conclusion: Students had good knowledge on the basic oral health measures but efforts towards spreading proper dental education is very important to minimize and prevent the escalation of oral diseases that may develop due to lack of correct dental knowledge. Oral health education programs should be conducted with reinforcement to close the gap between knowledge and practice.","PeriodicalId":165937,"journal":{"name":"Dental Research and Management","volume":"56 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124507303","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Introduction: Many General Dental Practitioners run single handedly a mini-hospital. Practice administration, delivery of treatment and financial stewardship are all demanding with consequent induction of uncertainty, distress, and diminished performance, loss of satisfaction and unwelcome depression and anxiety. Aim: This contribution describes moderation of stresses in general dental practice by applying amelioration policies. Discussion: This advisory is targeted at all dentists involved in extensive dental therapy. The stress and anxiety of practice management is improved by applying newly established principles of practice, namely the Initial Assessment and Ranking of Treatment Index (IARTI) and What arrangements Have you made to meet your Oligations (WAHUM TOMYO), Immediate Payment Therapy (IPP) and Big Toe Philosophy (BTP). Conclusion: By applying these fundamental principles into general dental practice, much anxiety is relieved, challenges and problems are avoided or resolved and successful practice of dentistry is realized. A much higher frequency of failures will occur if these principles are not applied. Success does depend on applying IARTI and WAHUM TOMYO, IPP and BTP.
{"title":"Application of IARTI and Ameliorating Principles to Improve Compliance and Completion of Treatment in General Dental Practice","authors":"L. Touyz, L. Nassani","doi":"10.33805/2572-6978.154","DOIUrl":"https://doi.org/10.33805/2572-6978.154","url":null,"abstract":"Introduction: Many General Dental Practitioners run single handedly a mini-hospital. Practice administration, delivery of treatment and financial stewardship are all demanding with consequent induction of uncertainty, distress, and diminished performance, loss of satisfaction and unwelcome depression and anxiety. Aim: This contribution describes moderation of stresses in general dental practice by applying amelioration policies. Discussion: This advisory is targeted at all dentists involved in extensive dental therapy. The stress and anxiety of practice management is improved by applying newly established principles of practice, namely the Initial Assessment and Ranking of Treatment Index (IARTI) and What arrangements Have you made to meet your Oligations (WAHUM TOMYO), Immediate Payment Therapy (IPP) and Big Toe Philosophy (BTP). Conclusion: By applying these fundamental principles into general dental practice, much anxiety is relieved, challenges and problems are avoided or resolved and successful practice of dentistry is realized. A much higher frequency of failures will occur if these principles are not applied. Success does depend on applying IARTI and WAHUM TOMYO, IPP and BTP.","PeriodicalId":165937,"journal":{"name":"Dental Research and Management","volume":"40 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130169874","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
H. Romero, Juan Guifarro, F. Díaz, Vilma Umanzor, M. Pineda, C. Cruz, M. Gabrie
The mandibular bone is an important component of the facial bone, which has a unique role in digestive system, speech, and facial esthetics. For these important functions of mandibular bone, it is vital that surgeons should not only treat function but also consider the esthetics together. Mandibular fractures are among the most common traumatic injuries of the maxillofacial, and it is in facial region, the second most frequently fractured adult facial bone is the mandible due to its vulnerable position and projected onto the face. The objective of this study is to show in detail all the specific aspects, the management and the efficacy of the use of treatments by means of closed reduction and open reduction+stable internal fixation in patients with mandibular fractures. Special emphasis was placed on the potential impact of socioeconomic standards on the mechanism and pattern of jaw fractures.
{"title":"Management of Mandibular Fractures: Report of Three Cases","authors":"H. Romero, Juan Guifarro, F. Díaz, Vilma Umanzor, M. Pineda, C. Cruz, M. Gabrie","doi":"10.33805/2572-6978.153","DOIUrl":"https://doi.org/10.33805/2572-6978.153","url":null,"abstract":"The mandibular bone is an important component of the facial bone, which has a unique role in digestive system, speech, and facial esthetics. For these important functions of mandibular bone, it is vital that surgeons should not only treat function but also consider the esthetics together. Mandibular fractures are among the most common traumatic injuries of the maxillofacial, and it is in facial region, the second most frequently fractured adult facial bone is the mandible due to its vulnerable position and projected onto the face. The objective of this study is to show in detail all the specific aspects, the management and the efficacy of the use of treatments by means of closed reduction and open reduction+stable internal fixation in patients with mandibular fractures. Special emphasis was placed on the potential impact of socioeconomic standards on the mechanism and pattern of jaw fractures.","PeriodicalId":165937,"journal":{"name":"Dental Research and Management","volume":"246 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123181459","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Areej Qanbar, Abdulaziz Abdulla Mufrrah Abdulla, H. Abutayyem, Sally Kamal El-Din Mohamed
Background: In preventive dentistry, it is important for the need to prevent rather than to treat early childhood caries and to improve the types of fluoride and application to see if the comparative efficacy is sufficient or insufficient because every type can relieve and give comfort to patients. Aims: To compare the effect of Silver Diamine Fluoride (SDF), fluoride varnish, fluoride gel and GC tooth mousse plus on Streptococcus mutants bacterial load. To evaluate the effect on the types of fluoride on caries. To compare the effect of prevention’s of early childhood caries by using different types of fluoride. Searching the databases using the keywords: sodium diamine fluoride; GC tooth mousse; fluoride varnish; fluoride gel; early childhood caries; caries; varnish; prevention. Materials and methods: 2010-December 2018, databases which were searched: MEDLINE via Ovid, Web of science, Embase, Cochrane Library, LILACS, and Dental specialties: pediatrics, oral preventive. Foreigner languages, editorials, letter to the editor, experimental studies with animals and Short communications were excluded from this review. Results: 2 studies assessed un-clear and need further research of SDF. 5 studies assessed that 12% of SDF has no effect but 38% has an effect with dentin and enamel with black staining as a disadvantage. 1 study showed that SDF is safe and effective compared to fluoride varnish, 2 studies showed that tooth mousse is recommended for early child caries without mentioning SDF and 3 studies found that it decreases the growth of mutants and aids in the remineralization of both enamel and dentin structure. Conclusion: To sum up this study silver diamine fluoride is effective and safe to use for preventing childhood caries than silver fluoride, GC tooth mousse and fluoride varnish, which saves time with increase accuracy and patient satisfaction.
背景:在预防性牙科中，重要的是需要预防而不是治疗早期儿童龋齿，并改进氟化物的种类和应用，以确定比较效果是否足够，因为每种类型都可以缓解并使患者感到舒适。目的:比较氟化银二胺(SDF)、氟清漆、氟凝胶和GC牙摩丝加剂对突变链球菌细菌负荷的影响。评价氟化物种类对龋病的影响。比较不同种类氟化物对预防幼儿龋病的效果。关键词:氟化二胺钠;GC齿摩丝;氟化物清漆;氟化凝胶;幼儿龋齿;龋齿;清漆;预防。资料与方法:2010- 2018年12月，检索数据库:MEDLINE via Ovid、Web of science、Embase、Cochrane Library、LILACS和Dental specialties: pediatrics, oral preventive。外文、社论、给编辑的信、动物实验研究和短通信均被排除在本综述之外。结果:2项研究评价不明确，需进一步研究SDF。5项研究评估，12%的SDF没有效果，但38%的SDF对牙本质和牙釉质有影响，黑色染色是缺点。1项研究表明，与含氟光漆相比，SDF是安全有效的;2项研究表明，在没有提到SDF的情况下，推荐使用牙摩丝治疗早期儿童龋齿;3项研究发现，SDF可以减少突变体的生长，并有助于牙釉质和牙本质结构的再矿化。结论:氟化二胺银与氟化银、GC牙摩丝、氟化物清漆相比，可有效、安全地预防儿童龋病，节省时间，提高准确性和患者满意度。
{"title":"Comparative Evaluation of the Efficacy of Silver Diamine Fluoride, Sodium Fluoride and GC Tooth Mousse Plus and Fluoride Varnish as an Antibacterial Agent in Childhood Caries: As a Literature Review","authors":"Areej Qanbar, Abdulaziz Abdulla Mufrrah Abdulla, H. Abutayyem, Sally Kamal El-Din Mohamed","doi":"10.33805/2572-6978.150","DOIUrl":"https://doi.org/10.33805/2572-6978.150","url":null,"abstract":"Background: In preventive dentistry, it is important for the need to prevent rather than to treat early childhood caries and to improve the types of fluoride and application to see if the comparative efficacy is sufficient or insufficient because every type can relieve and give comfort to patients. Aims: To compare the effect of Silver Diamine Fluoride (SDF), fluoride varnish, fluoride gel and GC tooth mousse plus on Streptococcus mutants bacterial load. To evaluate the effect on the types of fluoride on caries. To compare the effect of prevention’s of early childhood caries by using different types of fluoride. Searching the databases using the keywords: sodium diamine fluoride; GC tooth mousse; fluoride varnish; fluoride gel; early childhood caries; caries; varnish; prevention. Materials and methods: 2010-December 2018, databases which were searched: MEDLINE via Ovid, Web of science, Embase, Cochrane Library, LILACS, and Dental specialties: pediatrics, oral preventive. Foreigner languages, editorials, letter to the editor, experimental studies with animals and Short communications were excluded from this review. Results: 2 studies assessed un-clear and need further research of SDF. 5 studies assessed that 12% of SDF has no effect but 38% has an effect with dentin and enamel with black staining as a disadvantage. 1 study showed that SDF is safe and effective compared to fluoride varnish, 2 studies showed that tooth mousse is recommended for early child caries without mentioning SDF and 3 studies found that it decreases the growth of mutants and aids in the remineralization of both enamel and dentin structure. Conclusion: To sum up this study silver diamine fluoride is effective and safe to use for preventing childhood caries than silver fluoride, GC tooth mousse and fluoride varnish, which saves time with increase accuracy and patient satisfaction.","PeriodicalId":165937,"journal":{"name":"Dental Research and Management","volume":"294 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114496646","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Vilma Alejandra Umanzor Bonilla, Claudette Arambú, H. Romero, Juan Guifarro
Plasma cell gingivitis is a benign lesion of unknown etiology characterized by massive infiltration of plasma cells into the connective tissue of the gingiva. Clinically it presents as a gingival enlargement with erythema and some areas with the presence of desquamation, it is usually asymptomatic, but on some occasions the patient may present pain and gingival bleeding. Diagnosis requires clinical-pathological correlation. Based on the foregoing, we present a case report of a 25-year-old female patient diagnosed with plasma cell gingivitis with idiopathic etiology based on the clinical and histopathological study.
{"title":"Plasma Cell Gingivitis as a Predisposing Factor for Plaque-Induced Periodontitis: A Case Report","authors":"Vilma Alejandra Umanzor Bonilla, Claudette Arambú, H. Romero, Juan Guifarro","doi":"10.33805/2572-6978.149","DOIUrl":"https://doi.org/10.33805/2572-6978.149","url":null,"abstract":"Plasma cell gingivitis is a benign lesion of unknown etiology characterized by massive infiltration of plasma cells into the connective tissue of the gingiva. Clinically it presents as a gingival enlargement with erythema and some areas with the presence of desquamation, it is usually asymptomatic, but on some occasions the patient may present pain and gingival bleeding. Diagnosis requires clinical-pathological correlation. Based on the foregoing, we present a case report of a 25-year-old female patient diagnosed with plasma cell gingivitis with idiopathic etiology based on the clinical and histopathological study.","PeriodicalId":165937,"journal":{"name":"Dental Research and Management","volume":"86 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-01-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134352237","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-12-29DOI: 10.33805/10.33805/2572-6978.148
Jessica Galvan, D. Bordin, C. B. Fadel, Alessandra Rodrigues Martins, F. B. T. Alves
Introduction: Conducting dental consultations during pregnancy is considered an important challenge in the context of Maternal and Child Health Policies, as it is surrounded by myths rooted among users and health professionals. In this sense, it is important to identify barriers and facilitators to the search for dental assistance in this period, in order to support strategies that make this practice feasible. Objective: To analyze the search for dental care during high-risk pregnancies, according to sociodemographic, gestational and health characteristics. Methods: Observational study with a cross-sectional design, carried out with high-risk pregnant women referred to a teaching hospital in southern Brazil, from January to May 2018. Data collection was performed using an unprecedented structured form and considered as a dependent variable the search for dental care during pregnancy and as independent variables sociodemographic, gestational and dental characteristics. Pearson's chi-square association test and Fisher's exact test were used. Results: To reach the sample of 190 pregnant women at high gestational risk, a total of 230 women considered valid were approached, counting on the following losses: refusal to participate (n=23), no answer to any question (n=10), duplicity in participant approach (n=7). Advanced maternal age (p=0.000) and history of premature birth in previous pregnancies (p=0.047) were factors associated with a lower frequency of seeking dental care in the current pregnancy. On the other hand, the habit of dental consultation prior to the gestational period (p=0.001), the knowledge about the importance of this monitoring (p=0.050), as well as the safety (p=0.000) in performing dental prenatal care, were related positively to the search during pregnancy. Conclusion: Specific incentive strategies and access to dental prenatal care are necessary to neutralize barriers that may compromise the search for oral health services during pregnancy. For this reason, identifying the facilitators and hinders to the dental service is essential for planning effective actions related to prenatal care.
{"title":"Factors Associated to the Search for Dental Care in High Risk Pregnancy","authors":"Jessica Galvan, D. Bordin, C. B. Fadel, Alessandra Rodrigues Martins, F. B. T. Alves","doi":"10.33805/10.33805/2572-6978.148","DOIUrl":"https://doi.org/10.33805/10.33805/2572-6978.148","url":null,"abstract":"Introduction: Conducting dental consultations during pregnancy is considered an important challenge in the context of Maternal and Child Health Policies, as it is surrounded by myths rooted among users and health professionals. In this sense, it is important to identify barriers and facilitators to the search for dental assistance in this period, in order to support strategies that make this practice feasible. Objective: To analyze the search for dental care during high-risk pregnancies, according to sociodemographic, gestational and health characteristics. Methods: Observational study with a cross-sectional design, carried out with high-risk pregnant women referred to a teaching hospital in southern Brazil, from January to May 2018. Data collection was performed using an unprecedented structured form and considered as a dependent variable the search for dental care during pregnancy and as independent variables sociodemographic, gestational and dental characteristics. Pearson's chi-square association test and Fisher's exact test were used. Results: To reach the sample of 190 pregnant women at high gestational risk, a total of 230 women considered valid were approached, counting on the following losses: refusal to participate (n=23), no answer to any question (n=10), duplicity in participant approach (n=7). Advanced maternal age (p=0.000) and history of premature birth in previous pregnancies (p=0.047) were factors associated with a lower frequency of seeking dental care in the current pregnancy. On the other hand, the habit of dental consultation prior to the gestational period (p=0.001), the knowledge about the importance of this monitoring (p=0.050), as well as the safety (p=0.000) in performing dental prenatal care, were related positively to the search during pregnancy. Conclusion: Specific incentive strategies and access to dental prenatal care are necessary to neutralize barriers that may compromise the search for oral health services during pregnancy. For this reason, identifying the facilitators and hinders to the dental service is essential for planning effective actions related to prenatal care.","PeriodicalId":165937,"journal":{"name":"Dental Research and Management","volume":"46 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116129885","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Addison's disease or primary adrenal insufficiency (hypoadrenocorticism) is an endocrine disease characterized by a deficiency in the production of the adrenal cortex hormones, particularly cortisol and aldosterone. Patients affected by Addison's disease develop anorexia, weight loss, hypoglycemia, fatigue, nausea, vomiting, skin, and mucosal pigmentation. Skin pigmentation is considered a commonly encountered manifestation of the disease; however, oral mucous membrane pigmentation is rarely noticed early enough for diagnosis. This case report demonstrates a case where oral pigmentation was an early diagnostic sign of Addison's disease.
{"title":"A Patient with a Sudden Onset of Oral Pigmentation","authors":"Jack Botros, F. Samim","doi":"10.33805/2572-6978.147","DOIUrl":"https://doi.org/10.33805/2572-6978.147","url":null,"abstract":"Addison's disease or primary adrenal insufficiency (hypoadrenocorticism) is an endocrine disease characterized by a deficiency in the production of the adrenal cortex hormones, particularly cortisol and aldosterone. Patients affected by Addison's disease develop anorexia, weight loss, hypoglycemia, fatigue, nausea, vomiting, skin, and mucosal pigmentation. Skin pigmentation is considered a commonly encountered manifestation of the disease; however, oral mucous membrane pigmentation is rarely noticed early enough for diagnosis. This case report demonstrates a case where oral pigmentation was an early diagnostic sign of Addison's disease.","PeriodicalId":165937,"journal":{"name":"Dental Research and Management","volume":"54 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128310709","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sandra Viviana Zorro Rodriguez, Mauricio Pérez Flórez, Fábio Santos Bottacin, H. Reina, M. Taba
Aim: Studies have shown that the prevalence of the periodontal disease among young people is relatively low; however, periodontitis is a public health problem and prevalence among adults has been increasing. This study aimed to assess the prevalence of periodontitis among young adults and adults in Colombia and to propose an alternative approach for early detection of periodontitis. Objectives: To present an alternative approach for the prevention of periodontitis, two different classifications were used to estimate disease prevalence. In addition, periodontitis severity was associated with sociodemographic and clinical risk factors in a logistic regression model. Material and methods: Selected data from 9150 subjects evaluated in the IV National Oral Health Survey (ENSAB IV) from Colombia were used. The ages ranged from 18 to 79 years old. Statistical analysis: Data were subjected to two different disease definition criteria and were evaluated by bivariate and multivariate analysis using a p-value of 5%. Results: The alternative classification approach elucidated an increase in the prevalence of periodontitis in young individuals (26.1%). According to the previous classification, 20.1% of young individuals and 94.3% of adults had mild to moderate periodontitis. The prevalence of moderate and severe cases was similar. Multivariate analysis of the variables age, gender, enrolment in the subsidized socioeconomic program and health care system, and tooth loss were associated with moderate and severe periodontitis (p<0.05). Conclusions: The early identification of mild cases in young individuals may help to identify potentially vulnerable groups. Early diagnosis of periodontitis and timely intervention in individuals with gingivitis, especially for those presenting risk factors, should be reinforced as an alternative approach to prevent disease progression and reduce the prevalence of adults with periodontitis in the future.
{"title":"An Approach to Assess Early Detection of Periodontal Disease in Young and Adult Individuals in Colombia for Prevention","authors":"Sandra Viviana Zorro Rodriguez, Mauricio Pérez Flórez, Fábio Santos Bottacin, H. Reina, M. Taba","doi":"10.33805/2572-6978.146","DOIUrl":"https://doi.org/10.33805/2572-6978.146","url":null,"abstract":"Aim: Studies have shown that the prevalence of the periodontal disease among young people is relatively low; however, periodontitis is a public health problem and prevalence among adults has been increasing. This study aimed to assess the prevalence of periodontitis among young adults and adults in Colombia and to propose an alternative approach for early detection of periodontitis. Objectives: To present an alternative approach for the prevention of periodontitis, two different classifications were used to estimate disease prevalence. In addition, periodontitis severity was associated with sociodemographic and clinical risk factors in a logistic regression model. Material and methods: Selected data from 9150 subjects evaluated in the IV National Oral Health Survey (ENSAB IV) from Colombia were used. The ages ranged from 18 to 79 years old. Statistical analysis: Data were subjected to two different disease definition criteria and were evaluated by bivariate and multivariate analysis using a p-value of 5%. Results: The alternative classification approach elucidated an increase in the prevalence of periodontitis in young individuals (26.1%). According to the previous classification, 20.1% of young individuals and 94.3% of adults had mild to moderate periodontitis. The prevalence of moderate and severe cases was similar. Multivariate analysis of the variables age, gender, enrolment in the subsidized socioeconomic program and health care system, and tooth loss were associated with moderate and severe periodontitis (p<0.05). Conclusions: The early identification of mild cases in young individuals may help to identify potentially vulnerable groups. Early diagnosis of periodontitis and timely intervention in individuals with gingivitis, especially for those presenting risk factors, should be reinforced as an alternative approach to prevent disease progression and reduce the prevalence of adults with periodontitis in the future.","PeriodicalId":165937,"journal":{"name":"Dental Research and Management","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129619927","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Juárez-Rebollar Alejandra Giselle, López-Saucedo Francisco, J. Daniel, Juárez-Paredes Celso Marcelo
Introduction: One of the complications of odontogenic abscess is cervicofacial necrotizing fasciitis; which is infrequent in the cervicofacial region. This disease usually occurs in immunosuppressed patients. Treatment is broad spectrum antibiotics and surgery. Material and Method: A research study was conducted with the following characteristics: retrospective, descriptive, cross-sectional and observational, for a year, in the maxillofacial surgery service, of specialty hospital: “Dr. Antonio Fraga Mouret”, national medical center“ La Raza ” (IMSS), Mexico city; all patients (six) diagnosed with necrotizing cervicofacial fasciitis secondary to Odontogenic abscess, older than 18 years were included. The protocol consisted of taking a biopsy, antibiotic, culture with an antibiogram and surgical management. Data were collected to estimate the frequency of this pathology in the maxillofacial surgery service. Results: In one year, 6 patients with a diagnosis of necrotizing cervicofacial fasciitis secondary to odontogenic abscess were treated. No significant differences were found with respect to gender, the mean age was 69.16 years, (86; minimum 40). The mean number of affected aponeurotic spaces was 6.5 (maximum: 14; minimum: 2); the most affected side was the right. The most frequent aponeurotic spaces were: the facial (in turn, more were reported in the submandibular followed by submental and genian aponeurotic space) and one third the cervical. Surgical management was: cannulation and drainage of persistent abscess or purulent collection in four patients, surgical lavage was performed in all, 3 patients required more than 4 surgical washes. Debridement was performed in all patients. Discussion: The importance of this study is to show and report the frequency with which necrotizing cervicofacial fasciitis appears secondary to odontogenic abscess, to continue with the control and report in maxillofacial surgery, as well as improvements and proposals for a better management of patients who are diagnosed with this disease.
{"title":"Frequency of Cervicofacial Necrotizing Fasciitis Secondary to Odontogenic Abscess","authors":"Juárez-Rebollar Alejandra Giselle, López-Saucedo Francisco, J. Daniel, Juárez-Paredes Celso Marcelo","doi":"10.33805/2572-6978.145","DOIUrl":"https://doi.org/10.33805/2572-6978.145","url":null,"abstract":"Introduction: One of the complications of odontogenic abscess is cervicofacial necrotizing fasciitis; which is infrequent in the cervicofacial region. This disease usually occurs in immunosuppressed patients. Treatment is broad spectrum antibiotics and surgery. Material and Method: A research study was conducted with the following characteristics: retrospective, descriptive, cross-sectional and observational, for a year, in the maxillofacial surgery service, of specialty hospital: “Dr. Antonio Fraga Mouret”, national medical center“ La Raza ” (IMSS), Mexico city; all patients (six) diagnosed with necrotizing cervicofacial fasciitis secondary to Odontogenic abscess, older than 18 years were included. The protocol consisted of taking a biopsy, antibiotic, culture with an antibiogram and surgical management. Data were collected to estimate the frequency of this pathology in the maxillofacial surgery service. Results: In one year, 6 patients with a diagnosis of necrotizing cervicofacial fasciitis secondary to odontogenic abscess were treated. No significant differences were found with respect to gender, the mean age was 69.16 years, (86; minimum 40). The mean number of affected aponeurotic spaces was 6.5 (maximum: 14; minimum: 2); the most affected side was the right. The most frequent aponeurotic spaces were: the facial (in turn, more were reported in the submandibular followed by submental and genian aponeurotic space) and one third the cervical. Surgical management was: cannulation and drainage of persistent abscess or purulent collection in four patients, surgical lavage was performed in all, 3 patients required more than 4 surgical washes. Debridement was performed in all patients. Discussion: The importance of this study is to show and report the frequency with which necrotizing cervicofacial fasciitis appears secondary to odontogenic abscess, to continue with the control and report in maxillofacial surgery, as well as improvements and proposals for a better management of patients who are diagnosed with this disease.","PeriodicalId":165937,"journal":{"name":"Dental Research and Management","volume":"25 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128246298","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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