scholarly journals Promoção de saúde oral em indivíduos com microcefalia: Relato de experiência

2021 ◽  
Vol 12 (3) ◽  
pp. 321-328
Author(s):  
Gabriella Souza Santos Félix ◽  
Maria da Conceição Andrade Freitas ◽  
Taylline Das Mercês Gonçalves ◽  
Dara Vit´oria Pereira Lopes Silva ◽  
Fernanda De Carvalho Reis ◽  
...  

Um aumento significativo de recém-nascidos com microcefalia ocorreu desde 2015 no Brasil. Este relato descreve ações extensionistas desenvolvidas pelos discentes do curso de Odontologia de uma universidade pública brasileira. De 2017 a 2019, efetuaram-se ações de prevenção de doenças e promoção de saúde bucal, acompanhamento do desenvolvimento dentário/craniofacial e tratamento odontológico em indivíduos com Microcefalia. Foram atendidas 17 crianças e 2 adolescentes. Referente a hábitos alimentares e higiene oral, observou-se dieta pastosa e noturna, ausência de escovação da língua e a dentária, apenas uma vez por dia. Na análise facial, desarmonia e comprometimento funcional orofacial. No exame intraoral, observou-se biofilme visível, interposição lingual anterior atípica, mastigação unilateral, bruxismo dentário e desenvolvimento dentário normal. Realizaram-se abordagens educativas de higiene oral aos familiares, atenciosos ao aprendizado. O atendimento odontológico ocorreu de acordo com as necessidades de risco de cárie, desgastes dentários e doença periodontal. Houve a promoção do conhecimento científico e os benefícios advindos do ensino, pesquisa e extensão destas ações proporcionaram um elo entre a comunidade acadêmica e a sociedade. Palavras-chave: Assistência Odontológica; Pessoas com Deficiências; Saúde Pública; Odontologia Promotion of oral health in individuals with microcephaly: Experience report Abstract: A significant increase in newborns with microcephaly has occurred since 2015 in Brazil. This report describes extension actions developed by students of the Dentistry course at a Brazilian public university. From 2017 to 2019, actions for preventing oral diseases, monitoring dental/craniofacial development, and dental treatment were made available to individuals with microcephaly by students of the Dentistry course at UESB. Seventeen children and two teenagers were attended. A pasty and nocturnal diet, absence of tongue, and dental brushing were observed only once a day regarding eating habits and oral hygiene. In facial analysis, disharmony and orofacial functional impairment. Visible biofilm, atypical anterior lingual interposition, unilateral chewing, dental bruxism, and normal tooth development were observed in the intraoral examination. Educational approaches on oral hygiene were carried out to family members, attentive to learning. The dental care was following the needs of risk of caries, dental wear, and periodontal disease. Scientific knowledge was promoted. The benefits arising from teaching, research, and the extension regarding these actions link the academic community and society. Keywords: Dental Care; People with disabilities;  Public Health; Dentistry

Author(s):  
Victoria V. Evstratenko ◽  
A. V Sevbitov ◽  
V. V Platonova

Drug addiction of any kind is a serious threat to patients' dental health too. It has been found out that patients, who are drug addicted, have a significantly higher frequency and severity of oral diseases: increase in frequency of caries and its complications, inflammatory-and-dystrophic diseases of periodontitis, pathologies of mucous tunic of mouth. We examined 197 persons who had drug addiction. The conducted research revealed that all 100% examined patients needed dental care; preparation of drug-addicted patients for a dental treatment must be conducted under control of narcologist, anesthesiologist and dentist.


2011 ◽  
Vol 58 (4) ◽  
pp. 202-208 ◽  
Author(s):  
Aleksandra Zuza ◽  
Igor Radovic ◽  
Jelena Krunic ◽  
Nikola Stojanovic

Introduction. Dental caries has been one of the oldest but still one of the most common oral diseases in humans. Even though it has been almost eradicated in developed countries due to increased fluoride use, adoption of proper oral hygiene habits and systematic implementation of preventive programs, caries remained one of leading oral diseases in developing countries. Epidemiological data about the prevalence of caries is very important for prediction of need for dental care, number of dental care providers as well as financial aspect. The aim of this study was to determine dental status and indicate dental treatment need in adults of the municipality of Foca, Republika Srpska (Bosnia and Herzegovina). Material and Methods. The study included 244 randomly selected residents (131 males and 113 females) from the municipality of Foca which were divided into three age groups: 20-29, 30-39 and 40-49 years. Dental status and need for dental treatment were determined in accordance to the criteria and methodology of the World Health Organization. Results. Mean value of DMFT index was 12.7 for the first age group, 16.4 for the second and 20.5 for the third age group of respondents. Dominant components in the first group were restored and carious teeth while in the third age group number of extracted teeth dominated. Also, in the third age group of respondents need for one and two or more surfaces fillings was significantly lower (p<0.01), but need for removable dentures was significantly higher (p<0.01) as compared to other two groups. Conclusion. These results indicated high value of DMFT index in adult population of the municipality of Foca.


2014 ◽  
Vol 35 (11) ◽  
pp. 1342-1348 ◽  
Author(s):  
Wanessa T. Bellissimo-Rodrigues ◽  
Mayra G. Menegueti ◽  
Gilberto G. Gaspar ◽  
Edson A. Nicolini ◽  
Maria Auxiliadora-Martins ◽  
...  

Objective.To evaluate whether dental treatment may enhance oral antisepsis, thus preventing more effectively lower respiratory tract infections (LRTIs) among critically ill patientsDesign.Observer-blind randomized clinical trial.Setting.General intensive care unit (ICU) for adult patients.Patients.We analyzed data from 254 adult patients who stayed for at least 48 hours in the ICU.Intervention.Patients were randomized by means of rolling dice. The experimental group (n = 127) had access to dental care provided by a dental surgeon, 4–5 times a week. Besides routine oral hygiene, care also included teeth brushing, tongue scraping, removal of calculus, atraumatic restorative treatment of caries, and tooth extraction. The control group (n = 127) had access to routine oral hygiene only, which included the use of chlorhexidine as a mouth rinse, which was performed by the ICU nurse staff.Results.The primary study outcome was the LRTI incidence, which was 8.7% in the experimental group and 18.1% in the control group (adjusted relative risk [RR], 0.44 [95% confidence interval (CI), 0.20–0.96]; P = .04). Ventilator-associated pneumonia rates per 1,000 ventilator-days were 16.5 (95% CI, 9.8–29.5) in the control group and 7.6 (95% CI, 3.3–15.0) in the experimental group (P < .05). Mortality rates were similar between both study groups: 31.5% in the control group versus 29.1% in the experimental group (adjusted RR, 0.93 [95% CI, 0.52–1.65]; P = .796). No severe adverse events related to oral care were observed during the study.Conclusion.Dental treatment was safe and effective in the prevention of LRTI among critically ill patients who were expected to stay at least 48 hours in the ICU.Trial registration.Brazilian Clinical Trials Registry, affiliated with the World Health Organization’s International Clinical Trial Registry Platform: U1111-1152-2671.Infect Control Hosp Epidemiol 2014;35(11):1342–1348


Geriatrics ◽  
2021 ◽  
Vol 6 (3) ◽  
pp. 76
Author(s):  
Alice Kit Ying Chan ◽  
Manisha Tamrakar ◽  
Chloe Meng Jiang ◽  
Edward Chin Man Lo ◽  
Katherine Chiu Man Leung ◽  
...  

The advancement of medicine has reduced the rate of mortality and older adult population is increasing. Among the 7,700,000,000 world population in 2019, 1 in 11 people were at the age of 65 or more. The population is expected to increase to 1 in 6 people by 2050. Older adults have degenerative changes that become more severe with age. This study used the World Health Organization’s websites and PubMed and Google Scholar databases to review current global oral and systemic health issues. Studies generally reported that many older adults have no regular dental checkup. Common oral diseases such as dental caries particularly root caries and periodontal disease are highly prevalent among them. These oral diseases are often interrelated with their systemic problems. A meta-analysis reported diabetes increases the incidence and progression of periodontitis by 86%. A decrease in salivary output is common among older adults having polypharmacy. A review reported the caries risk in older adults increases by 60% with low resting pH and low stimulated salivary flow rate. Many older adults suffer from dementia and depression which complicates the delivery of dental treatment. Proper oral hygiene practice and dental care at supine position are often difficult to be carried out if they have rheumatoid arthritis. With the increasing need of elderly dental care, dentists and other dental personnel should understand interlaced oral and general health in order to provide a successful dental care plan for older adults. The aim of this study is to give an overview of the common medical conditions and dental problems and their impacts on older adults.


Author(s):  
A. A. Skakodub ◽  
O. I. Admakin ◽  
Ad. A. Mamedov ◽  
P. A. Nikulin ◽  
A. S. Vatyan

Relevance. Rheumatic diseases strongly influence the condition of the oral cavity, salivary glands and the temporomandibular joint, that, along with poor oral hygiene in children and active growth, increases the risk of oral disease development. The growing number of rheumatic diseases in children requires evaluation of the oral cavity condition and assessment of the provided dental services; enhancement of the professional oral care in children with rheumatic diseases through the comprehensive evaluation of the quality of the performed dental procedures and development of caries prevention measures based on the analysis of the epidemiological survey results.Materials and methods. 316 children with rheumatic pathology aged 1 to 18 years were examined. The children were divided into three age groups: group I – 1-5 years, group II – 6-12 years, group III – 13-17 years. The Oral hygiene and past dental experience questionnaire was developed for each group. Hard dental tissue condition and caries intensity level (df – in group I, df+DMF – in group II, DMF – in group III) were assessed, the oral hygiene index was calculated by the child age. On dental examination, past caries treatment and its complications were considered, the level of dental care (LDC) according to Leus was assessed.Results. The received data on caries intensity in all age groups and all medical conditions were analyzed. The values corresponded to the high and very high intensity (4.2 to 13); the values were 1.89 – 3 times higher than the values received during the epidemiological survey in children of the same age groups in Russia. Multiple primary and secondary (as a complication after the previous dental treatment) caries, associated with poor oral hygiene, was detected. The data revealed that the dental care level in children with rheumatic diseases was ‘poor’ and ‘insufficient’ The interview of the children and their parents showed that 91% of children had never had preventive treatment and 89% of children visited the dentist less than twice a year. The examination revealed that secondary caries, that had developed in 50% of children after the treatment of caries and its complications, and bad fillings, that had to be replaced.Conclusions. Thus, indirect influence of the main disease on the hard dental tissues in children was revealed – motivation for dental treatment and good oral hygiene was decreased for the lack of knowledge. The analysis of dental treatment quality in such children was insufficient. Only emergency dental visits as well as inappropriate materials and methods used for the treatment of caries and its complications result in secondary caries. So, customized treatment approach and prevention programs should be developed and introduced for the oral care in children with rheumatic diseases according to the main disease course, administered background therapy and the level of dental health education.


2014 ◽  
pp. 177-184
Author(s):  
Tan Tai Tran ◽  
Toai Nguyen ◽  
Ngoc Hoat Luu

Background: Oral disease is now the major public health problems. There is few research on the status of dental caries and its relationship to the knowledge and practice of oral hygiene practices among schoolchildren. The objectives of this study were to (1) describe the current status of oral diseases; (2) find out knowledge and practice of oral care and a number of factors related to dental caries. Subjects and Methods: This is a cross-section study what was carried out on 1406 schoolchildren aged 7-11-year- olds attending Grade 1–5 at two primary schools of the Hue city and four primary schools of mountain. Clinical examination and interview questions of knowledge and practice to dental care for all subjects. Results: Dental caries prevalence was 77.6%, the mean dmft/DMFT score was 4.22/1.51; gingivitis, tarta, dental plaque were 33.2%, 31.2%, 55.5% respectively. The questionnaires about oral hygiene, 26.5% of children had not good knowledge, 67.6% had not good practice. Dental caries related with practicing daily oral hygiene (OR = 2.21, p <0.01) and with the knowledge of dental care (OR = 1.44, p <0.05). There is the relationship between knowledge and practice not yet good (OR = 5.25, p <0.01). Conclusions: Oral diseases, particularly dental caries prevalence is still high in primary pupils. It’s necessary for education on knowledge and practice of oral disease prevention for primary pupils. Keywords: Oral disease, primary pupils, oral health KP


2013 ◽  
Vol 42 (5) ◽  
pp. 344-349 ◽  
Author(s):  
Marina Sena Lopes Da Silva Sacchetto ◽  
Natália Silva Andrade ◽  
Maria Hellen Sâmia Fortes Brito ◽  
Divana Maria Martins Parente Lira ◽  
Simone Souza Lobão Veras Barros

INTRODUCTION: Many people suffering from mental disorders fail to adequately perform self-care, especially in relation to personal hygiene and in particular to oral hygiene. For these individuals, the prevention and ongoing clinical monitoring are essential. OBJECTIVE: To investigate the oral diseases that most affect patients with mental disorders attended in the Dental College of the Federal University of Piauí (UFPI). METHODOLOGY: Patients treated during the 2nd half of 2011 and 1st half of 2012 were examined. The DMFT index was used for evaluation of dental caries and the CPI index for periodontal evaluation. The statistical analyzes were performed with SPSS (Statistical Package for the Social Sciences), version 18.0, using a descriptive statistics to determine averages, standard deviations and frequencies. RESULT: 67.50% of the 40 patients had contact with the surgeon dentist for over one year, 95% performed their own oral hygiene and 70% did not use dental floss. The average of DMFT was 14.18. Of the patients, 49.13% needed of restorations of one surface and 60% needed dental prosthesis. Moreover, 33.75% of sextants evaluated had periodontal pockets. CONCLUSION: It can be noticed that patients with mental illness have a high risk of developing oral disorders, however, few carriers visite a dental professional regularly. In addition, the delay to seek treatment and lack of staff training, lead to solutions often crippling.


Healthcare ◽  
2020 ◽  
Vol 8 (4) ◽  
pp. 528 ◽  
Author(s):  
Marta Katarzyńska-Konwa ◽  
Izabela Obersztyn ◽  
Agata Trzcionka ◽  
Katarzyna Mocny-Pachońska ◽  
Bartosz Mosler ◽  
...  

Increased levels of steroid hormones, action of local irritants and the lack of proper hygiene measures are of great importance in the development of dental caries, gingivitis and inflammation of the periodontal area in pregnant women. The aim of the study was to evaluate the state of oral hygiene and the periodontal area is such a population and assess the effectiveness of performed hygiene treatments and analyse changes in hygiene habits after oral hygiene instructions. The study was performed in two parts on a group of 50 pregnant women. The first part took place between the 14th and 17th week of pregnancy. The control study was conducted between the 27th and 30th week of pregnancy. Patients were subjected to a dental examination. Poor oral hygiene was observed among the examined patients. After the first examination, oral hygiene instruction was provided to 25 randomly selected pregnant patients. The effect of periodontal diseases on the time of labor was observed. Oral hygiene instructions significantly affected the state of the periodontal area of pregnant women for whom it was performed. It was confirmed that the advancement of pregnancy influences deterioration of the periodontium and also term of childbirth. Undoubtedly, pregnant women receive insufficient dental care. Priority should be given to dental care education of for pregnant women and alleviating the impact of oral diseases on the organism of a pregnant woman.


2014 ◽  
Vol 35 (11) ◽  
pp. 1342-1348 ◽  
Author(s):  
Wanessa T. Bellissimo-Rodrigues ◽  
Mayra G. Menegueti ◽  
Gilberto G. Gaspar ◽  
Edson A. Nicolini ◽  
Maria Auxiliadora-Martins ◽  
...  

Objective.To evaluate whether dental treatment may enhance oral antisepsis, thus preventing more effectively lower respiratory tract infections (LRTIs) among critically ill patientsDesign.Observer-blind randomized clinical trial.Setting.General intensive care unit (ICU) for adult patients.Patients.We analyzed data from 254 adult patients who stayed for at least 48 hours in the ICU.Intervention.Patients were randomized by means of rolling dice. The experimental group (n= 127) had access to dental care provided by a dental surgeon, 4–5 times a week. Besides routine oral hygiene, care also included teeth brushing, tongue scraping, removal of calculus, atraumatic restorative treatment of caries, and tooth extraction. The control group (n= 127) had access to routine oral hygiene only, which included the use of chlorhexidine as a mouth rinse, which was performed by the ICU nurse staff.Results.The primary study outcome was the LRTI incidence, which was 8.7% in the experimental group and 18.1% in the control group (adjusted relative risk [RR], 0.44 [95% confidence interval (CI), 0.20–0.96];P= .04). Ventilator-associated pneumonia rates per 1,000 ventilator-days were 16.5 (95% CI, 9.8–29.5) in the control group and 7.6 (95% CI, 3.3–15.0) in the experimental group (P&lt; .05). Mortality rates were similar between both study groups: 31.5% in the control group versus 29.1% in the experimental group (adjusted RR, 0.93 [95% CI, 0.52–1.65];P= .796). No severe adverse events related to oral care were observed during the study.Conclusion.Dental treatment was safe and effective in the prevention of LRTI among critically ill patients who were expected to stay at least 48 hours in the ICU.Trial registration.Brazilian Clinical Trials Registry, affiliated with the World Health Organization’s International Clinical Trial Registry Platform: U1111-1152-2671.Infect Control Hosp Epidemiol2014;35(11):1342–1348


2018 ◽  
Vol 23 (4) ◽  
Author(s):  
Elżbieta Pels ◽  
Angelika Kobylińska ◽  
Magdalena Kukurba-Setkowicz ◽  
Anna Szulik ◽  
Renata Chałas

Introduction. Pregnancy is a special period in the life of a woman, when she cares not only for her own health, but also for that of her unborn child. Prenatal care is defined as comprehensive and multidisciplinary care provided to a pregnant woman, developing foetus, and then a newborn. The aim of caries prevention in pregnancy is not only to protect the future mother from caries, but also to prevent the disease in the child. Aim. The aim of the paper was to present the recommendations on preventive and therapeutic dental management in pregnant women with regard to oral diseases in the mother and her child. Material and methods. Electronic search for literature in medical databases (Pubmed, EMBASE, MEDLINE) and manual search for literature on primary-primary prevention of dental caries and dental care in pregnancy. Results. The available literature indicates the safety of preventive and therapeutic activities during pregnancy, including the use of local anaesthesia and dental diagnostic radiology. Although dental treatment requires some modifications due to pregnancy-related changes, it may be safely used for the benefit of the mother’s and the child’s health. Conclusions. Dental care in pregnancy should be primarily dedicated to education, prevention and treatment, if needed. Future mothers should be made aware that the child’s oral health can and should be taken care of already in the prenatal period.


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