Brazilian oral research最新文献

This study aimed to histomorphometrically evaluate the effect of guided bone regeneration (GBR) and two implant surfaces on the thickness and height of newly formed bone in dehiscence defects around titanium implants. Three premolars and the first bilateral molar were extracted from ten adult mongrel dogs, and 40 buccal bone dehiscences measuring 5 mm in height and 4 mm in width were created using a University of North Carolina (UNC) periodontal probe to confirm the dimensions. Forty implants were randomly assigned to one of four groups: oxidized implant surfaces (OIS, n = 10), turned/machined implant surfaces (TIS, n = 10), OIS + GBR (n = 10), and TIS + GBR (n = 10). After 3 months, the dogs were euthanized, and the blocks containing the implants and adjacent bone were processed for non-decalcified histological analysis. Statistical analysis was performed using two-way ANOVA and the Pearson correlation (p = 0.05). The results showed that GBR significantly influenced both the vertical (height) and horizontal (thickness) dimensions of the newly formed bone (p < 0.001). Strong positive correlations were observed between the thickness and height of newly formed bone at the base of the defect, as well as between the thickness of the bone at the base of the defect and the thickness of newly formed bone in the central region of the defect. No significant correlations were found between implant surface type and bone formation. Bone regeneration occurred in both the vertical and horizontal directions, with greater bone growth in GBR-treated groups, irrespective of implant surface type (oxidized or turned).

The contamination of dental curing light tips was evaluated before and after treatment and after their use and disinfection. The influence of a plastic protective barrier over the flexural strength and the modulus of elasticity of resin composites were also analyzed. Microbiological sampling was conducted at initial contamination (T0), in Log 10 CFU/4 mL; after dental treatment (T1); and after disinfection with 70% ethanol (v/v) (T2). The results were analyzed by descriptive statistics and analysis of variance. The flexural strength and the modulus of elasticity analyses were performed using bar-shaped test specimens of three commercial resin composites with and without barriers, and the tests were subjected to a statistical normality test. Turbidity was observed in the media in 60.7% of the tubes at T0, 100.0% at T1, and 57.1% at T2. The microbial contamination was similar at T0 and T2, but a significant increase was observed at T1. The recovered microbial load differed significantly between T1 and T2 (p < 0.05). The results of the flexural strength and modulus of elasticity analyses showed no significant differences with or without a barrier for any of the different colors of resin, polymerization time, or the three resins. Under the present experimental conditions, 70% ethanol significantly reduced the levels of microbial contamination, but it did not guarantee the inactivation of all microbial cells. The use of plastic protective barriers did not alter the flexural strength or the modulus of elasticity of any of the tested resin composites, indicating that they are a safe and viable measure to prevent cross-contamination when using a dental curing light.

Advancements in digital media have driven the study and use of photographic records as a diagnostic method for carious lesions, with smartphone images being widely utilized across various health fields. This study aimed to evaluate the diagnostic accuracy of smartphone photography for detecting active caries in orthodontic patients. The sample comprised 100 individuals of both sexes, aged 11 to 46 years, who were undergoing fixed orthodontic treatment. Following professional tooth cleaning and drying, patients underwent a visual-tactile clinical examination for caries detection, which served as the gold standard. Digital photographs were then taken using a smartphone camera in five views: frontal, right and left lateral, and upper and lower occlusal. The diagnostic parameters-sensitivity, specificity, accuracy, positive predictive value (PV+), and negative predictive value (PV-)-were calculated for the photographic method relative to the clinical examination. The prevalence of active caries in the sample was 74%. The smartphone photographs correctly identified 66 of the 74 individuals with active caries according to the gold standard. However, only 4 of the 26 sound patients were correctly identified. These findings correspond to the following diagnostic parameters: sensitivity, 89%; specificity, 15%; accuracy, 70%; PV+, 75%; and PV-, 33%. In conclusion, the photographic method demonstrated high sensitivity and satisfactory accuracy in detecting caries in patients undergoing fixed orthodontic therapy. However, the low specificity observed suggests a tendency to overdiagnose sound teeth.

In this cross-sectional study, carried out in 2012, we assessed factors associated with tooth loss among adolescents from Minas Gerais, Brazil, utilizing data from a secondary database. Individual and local-level variables were selected to represent health determinants. Individual covariates included sex, age, skin color, maternal education, household income, use of dental services, and self-perceived need for dental care. The contextual variables included illiteracy, unemployment, income, primary health care coverage, dental specialty centers, and oral health team coverage. Multilevel logistic regression models were used to examine the relationship between contextual and individual variables and the outcome (STATA version 16.0) - odds ratio (OR) and 95% confidence interval (CI). The prevalence of tooth loss was 12.4%. Female individuals were 40% more likely to experience the outcome (OR: 1.40; 95%CI: 1.01-1.98). Increased age was associated with greater tooth loss (OR: 1.16; 95%CI: 1.03-1.31). Low maternal education (OR: 1.72; 95%CI: 1.13-2.61), low household income (OR: 1.71; 95% CI 1.09-2.67), and self-perceived dental needs (OR: 2.94; 95% CI 1.97-4.39) were also associated with the outcome. Regular dental visits reduced the likelihood of tooth loss by 38% (OR: 0.62; 95 CI 0.44-0.87). Larger tooth loss was observed in municipalities with higher illiteracy rates (OR: 1.04; 95%CI: 1.01-1.08). Municipalities with larger dental specialty centers were associated with the outcome (OR: 0.58; 95%CI: 0.37-0.92). Contextual and individual factors influenced tooth loss in adolescents from Minas Gerais, Brazil, but socioeconomic status was the main determinant.

This study aimed to determine the prevalence and provide an overview of Down syndrome and child- and mother-associated factors in Brazil from 2010 to 2020. This was a cross-sectional study including epidemiological characteristics related to live births of individuals with and without Down syndrome using the Brazilian government website. The average prevalence of Down syndrome in Brazil was approximately 30.4 children per 100,000 live births during the 10-year period, corresponding to 1 case in every 3,289.47 newborns. The occurrence of Down syndrome was increased in White children, preterm births, and low birth weight infants compared to the no-Down syndrome group; however, it was decreased in males. The prevalence of Down syndrome was low among mothers without a spouse, insufficient prenatal care, and vaginal delivery. Conversely, the prevalence was high among mothers aged 35 years and older and mothers considered White. There was no evidence of a time correlation in the prevalence among the regions of Brazil during this 10-year period. It is imperative to strengthen national monitoring of the prevalence of children with Down syndrome and provide better support to mothers and public services for this group.

The aim of this study was to assess the prevalence of temporomandibular disorder (TMD) and associated factors in an adult population in southern Brazil. The population-based sample (n = 4.65) included participants from Passo Fundo, a town in southern Brazil. The Fonseca Anamnestic Index was used to establish the prevalence of TMD. Sociodemographic and pathophysiologic factors and those that could cause tissue injury (trauma) were investigated. Data were analyzed using the chi-square or Fisher's exact test and Poisson regression model (p < 0.05; 95%CI). The prevalence of TMD was 13.4%, and the most prevalent symptoms were pain in the neck and/or shoulders (30.1%), headache (26.0%), and presence of popping or clicking sounds (17.0%). None of the sociodemographic factors (sex, age, marital status, occupation, and education) were associated with the prevalence of TMD (p > 0.05). Among pathophysiologic factors, those associated with the prevalence of TMD were insomnia (PR: 1.83; 95%CI: 1.07-3.12), osteoporosis (PR: 2.50; 95%CI: 1.22-5.12), rheumatoid arthritis (PR: 1.99; 95%CI: 1.07-3.68), and xerostomia (PR: 1.36; 95%CI: 1.07-1.73). The factors that could cause tissue trauma/injury associated with TMD were sleep bruxism (PR: 2.16; 95%CI: 1.01-4.62), awake bruxism (PR: 2.44; 95%CI: 1.16-5.11), tongue pressure against the teeth (PR: 4.11; 95%CI: 1.95-8.65), and neck support of objects during work (PR: 2.94; 95%CI: 0.88-9.73). The prevalence of TMD was 13.44%, and it was associated with pathophysiologic factors and those that cause tissue trauma/injury, but not with sociodemographic factors.

This in vitro study evaluated the effect of proanthocyanidin, palm oil, and vitamin E against initial erosion. Bovine enamel blocks (n = 140) were divided into 14 groups: C+_SnCl2/NaF/Am-F-containing solution (positive control); C-_deionized water (negative control); O_palm oil; P6.5_6.5% proanthocyanidin; P2_2% proanthocyanidin; E_Vitamin E (97.8% oily tocopherol acetate); OP6.5_palm oil + 6.5% proanthocyanidin; P6.5O_6.5% proanthocyanidin + palm oil; OP2_palm oil + 2% proanthocyanidin; P2O_2% proanthocyanidin + palm oil; EP6.5_Vitamin E + 6.5% proanthocyanidin; P6.5E_6.5% proanthocyanidin + Vitamin E; EP2_Vitamin E + 2% proanthocyanidin; P2E_2% proanthocyanidin + Vitamin E. The acquired enamel pellicle (AEP) was previously formed in situ for 30 min. The specimens were treated in vitro with the solutions (500 µL, 30s). Then, the blocks were maintained for an additional hour in oral cavity to develop the modified AEP. The blocks were immersed in 0.5% citric acid (pH 2.5) during 30s. The response variable was the percentage of surface hardness loss (%SHL). Data were analyzed by one-way ANOVA and Fisher's LSD test (p<0.05). P6.5E (12±7_%SHL) was the only group that promoted similar protection to C+ (11±8_%SHL). O (17±13_%SHL), P2 (20±10_%SHL), OP6.5 (19±12_%SHL), P2O (21±13_%SHL), P6.5E (12±7_%SHL), and P2E (19±9_%SHL) exhibited %SHL similar to both C+ and C- (25±10_%SHL) groups (p<0.05). P6.5 (23±11_%SHL), E (27±8_%SHL), P6.5O (24±13_%SHL), OP2 (27±12_%SHL), EP6.5 (24±11_%SHL), and EP2 (26±11_%SHL) were different to C+ and similar to C-. It was concluded that the combination of 6.5% proanthocyanidin and vitamin E (P6.5E) was the most effective strategy against enamel erosion, aligning closely with the positive control.

This study evaluated the influence of a customized healing abutment (CHA) placed on immediate implants. It also assessed bone ridge volume, keratinized mucosal collar, and postoperative pain. Thirty-one patients needing tooth extraction and immediate implant were selected. Gingival papilla height, bone ridge volume, and keratinized mucosal collar thickness were measured using a millimeter periodontal probe and a dry-point caliper. A visual analog scale (VAS) was applied to determine postoperative pain. Study participants were randomly assigned to a control group (n = 15, with extraction, immediate implant placement, alveolar gap filling with a bovine bone graft, PTFE barrier, and suture) and an experimental group (n = 16, with extraction, immediate implant placement, gap filling with a bovine bone graft, and CHA). The healing abutments were prepared before surgery and customized during the procedure. The data were tabulated and statistically analyzed using the Mann-Whitney test (α = 0.05). The "changes in the papilla" outcome presented a statistical difference, and the control group showed higher values than those of the experimental group (p = 0.04). The remaining characteristics demonstrated no statistical differences between the groups (p > 0.05). CHA and the barriers exhibited similar behavior in maintaining bone ridge and keratinized mucosal thickness. CHA proved more effective than the conventional barrier in preserving the gingival papilla, with the distance measured three months post-surgery averaging 17% greater than the pre-surgical measurement.

Understanding recurrent injuries in the deciduous dentition and possible associated factors could help in the control and prevention of such episodes in children. The aim of the present study was to investigate the frequency of recurrent injuries in the deciduous dentition and associated factors. A retrospective cross-sectional study was conducted involving 517 children aged between six months and six years treated at the Clinic for Traumatic Dental Injuries in the Deciduous Dentition of the School of Dentistry of the Universidade Federal de Minas Gerais. Data were collected from dental records with information on sociodemographic and clinical characteristics. Data analysis involved descriptive statistics, chi-square test, and bivariate and multivariate Poisson regression analyses (p < 0.05; 95%CI). The prevalence of recurrent tooth injuries in the deciduous dentition was 17.2% (n = 89). Children aged between four and six years (PR = 1.917; 95%CI: 1.055-3.484; p = 0.033), those with inadequate lip protection (PR = 1.790; 95%CI: 1.085-2.953; p = 0.023), those with uncomplicated crown and crown-root fractures (PR = 1.856; 95%CI: 1.224-2.816; p = 0.004), and those with complicated crown and crown-root fractures (PR = 1.818; 95%CI: 1.021-3.239; p = 0.042) had a greater frequency of repeated tooth injuries compared to children without these characteristics. In the present study, older age, inadequate lip coverage, and the occurrence of complicated and uncomplicated crown and crown-root fractures were associated with repeated injuries in the deciduous teeth.

This study assessed the effect of saliva exposure on roughness (Ra) and Vickers hardness (VHN) of two direct restorative materials, enamel, and dentin adjacent to the restorations. Enamel and dentin cavities in molars (n = 10) were restored with a) bulk-fill resin composite (Tetric N-Flow Bulk Fill, BF) with the application of a universal adhesive (Tetric N-Bond Universal) and b) alkasite restorative material (Cention N, CN) with and without the application of a universal adhesive. After 24 h (baseline), surface roughness and hardness of the restorative material and dental tissues were assessed at 100 μm from the tooth/restoration interface. The specimens were subjected to degradation in whole saliva for 7 days (combined with the application of 20% sucrose 10x/day). Ra and VHN were then reassessed. The data were analyzed by ANOVA and Tukey's test (α = 5%). BF exhibited a significantly lower Ra than CN. Ra increased significantly after degradation in saliva when compared to baseline values. Enamel hardness was higher for BF restorations. No differences in enamel hardness were observed for alkasite restorations with and without adhesive application. For dentin hardness, significantly lower values were found in alkasite restorations with previous application of an adhesive system. It can be concluded that BF had a smoother surface than CN before and after degradation. Immersion in saliva reduced the hardness of both restorative materials, enamel, and dentin adjacent to the restoration.