ICD and overdentures: improving esthetics, mastication and quality of life

The teeth total loss is one of the worst clinical situations that can be found in Dentistry and it may cause masticatory ability reduction and consequent interference in food digestion. Besides, it may affect esthetics and phonation. This situation contributes to a decrease of life quality and self-esteem. The complete denture is the most used therapeutic modality in the rehabilitation of complete edentulous people. A problem that should be faced, when the total prosthesis is indicated, lays exactly on the fact that the patients resist being toothless, while they wait for the osseous and tissue repairs, used in the posterior prosthesis confection. Another problem is associated with much reabsorbed ridges, which are unable to present retention and stability conditions to a complete denture. The utilization of immediate complete dentures (ICD) and dental implants can solve these problems. The SUS doesn't offer these treatment modalities, neither in the basic attention, nor in the special. The curricular disciplines of FOUFMG don't offer the necessary information on how to rehabilitate edentulous people with few residual alveolar ridge using implants or those unsatisfied with the use of their complete denture. The the objective of the Immediate Total Prosthesis/Overdentures Project implantation was to fill the lack of that practice in the curriculum and in the patient treatment. The present work aims to present the PTI/Overdentures Project to the academic community, a project with assistance characteristics, practical/theoretical nature and that was developed for the FOUFMG graduation students and for the patients, who use complete denture or with indication to use it. The activity shows a huge utility, both to users and students, as it fulfills a gap in the health social service and of the curriculum. The impact in the improving patients' life quality is evaluated by applying the Oral Health Impact Profile - OHIP-14 questionary. The initial objectives selected by the project coordinators have satisfactorily been reached because a well defined attendance and a dynamic and interdisciplinary action were made. Also, the extension activity has provided an interaction between learning, research and knowledge production areas, giving a high impact in the academic formation of the participant students and consolidating the formation of a citizen professional, and a positive dialogic relationship with the assisted community. Besides, it resulted on a high improvement in the life quality of the patients. The conclusion is that the project has been satisfactorily achieved its objectives, benefiting students and patients.</p

ICD AND OVERDENTURES: IMPROVING ESTHETICS, MASTICATION AND QUALITY OF LIFE

A perda total dos dentes é uma das piores situações clínicas encontradas na Odontologia, acarretando diminuição da capacidade mastigatória e consequente interferência na digestão dos alimentos. Além disso, pode prejudicar a fonação e a estética, piorando a qualidade de vida e a autoestima do indivíduo. A Prótese Total Removível (PT) é a modalidade terapêutica mais utilizada na reabilitação de pacientes edêntulos. Um problema a ser enfrentado ocorre quando o paciente resiste em permanecer sem seus dentes, enquanto se aguarda a reparação tecidual e óssea, para posterior confecção da prótese. Outro problema está associado a rebordos muito reabsorvidos, incapazes de apresentar condições de retenção e estabilidade para uma PT. A utilização de PT imediata (PTI) e de implantes pode solucionar esses problemas. O SUS ainda não oferece estas modalidades de tratamento, nem na atenção básica, nem na especializada. As disciplinas curriculares da FOUFMG não ofertam o conteúdo necessário para o aprendizado do corpo discente de como reabilitar pacientes parcialmente dentados de forma imediata, com PT, e nem pacientes edêntulos com pouco rebordo residual, utilizando implantes. A implantação do Projeto Prótese Total Imediata/Overdentures veio tentar cobrir essas deficiências na grade curricular e no atendimento aos pacientes. Esse trabalho objetiva apresentar o Projeto PTI/Overdentures à comunidade acadêmica, projeto com características assistenciais, de natureza teórico/prática, voltado a alunos do curso de graduação da FOUFMG e pacientes portadores de PT ou com indicação para tal. A atividade tem-se mostrado de grande utilidade, tanto para usuários quanto para alunos, ao preencher uma lacuna no serviço social de saúde e na grade curricular. O impacto na melhoria da qualidade de vida dos pacientes atendidos tem sido avaliado por meio da aplicação do questionário Oral Health Impact Profile - OHIP-14. Os objetivos iniciais traçados pelos idealizadores do projeto têm sido satisfatoriamente alcançados, tendo em vista que, com um protocolo de atendimento bem definido e uma atuação dinâmica e interdisciplinar, a atividade de extensão tem proporcionado boa articulação entre as áreas de ensino, pesquisa e produção de conhecimento, gerando um alto impacto na formação acadêmica dos alunos participantes, consolidando a formação de um profissional cidadão, e uma relação dialógica positiva com a comunidade assistida, além da grande melhoria na qualidade de vida dos pacientes atendidos. Conclui-se, portanto, que o projeto vem cumprindo satisfatoriamente sua missão, seja pelos benefícios aos alunos, seja à comunidade.La pérdida total de los dientes es una de las peores situaciones clínicas encontradas en Odontología, causando disminución de la capacidad masticatoria y la consiguiente interferencia en la digestión de los alimentos, además de afectar la fonación y la estética, empeorando la calidad de vida y la autoestima del individuo. La prótesis total desprendible (PT) es la modalidad terapéutica más utilizada en la rehabilitación en pacientes edentulos. Un problema que debe ser enfrentado se produce cuando el paciente se resiste a quedarse sin sus dientes, en espera de la reparación de los tejidos y el hueso para la posterior elaboración de la prótesis. Otro problema se relaciona con los bordes muy reabsorbidos, incapaces de prestar condiciones de retención y estabilidad para un PT. El uso de Dentadura Completa inmediata (DCI) y los implantes pueden resolver estos problemas. El SUS no ofrece estas modalidades de tratamiento, ni en la atención primaria, ni los especializados. Las materias curriculares de FOUFMG no ofertan el contenido requerido para el aprendizado del cuerpo discente de como rehabilitar con PT, tampoco a pacientes parcialmente dentado inmediatamente, y ni a los pacientes edentulos con poco reborde residual, utilizando implantes. La ejecución del proyecto Prótese Total imediata/overdentures vino para tratar de cubrir estas debilidades en el programa curricular y em el atendimiento de pacientes. Ese trabajo se orienta a presentar el Proyecto PTI/Overdentures a comunidad académica, proyecto con características asistenciales de naturaleza teórico/práctico, direccionado a alumnos del curso de graduación de la FOUFMG y pacientes portadores de PT o con indicación de este. La actividad ha demostrado ser de gran utilidad, tanto para los usuarios como para los alumnos, para llenar um vacío em el servicio social, la salud y el plan de estudios. El impacto sobre el mejoramiento de la calidad de vida de los pacientes tratados han sido evaluados por medio de aplicación del cuestionario de Salud Oral Health Impact Profile – OHIP–14. Los objetivos iniciales elaborados por los proponentes del proyecto han sido alcanzados satisfactoriamente, teniendo en cuenta que, con un protocolo de tratamiento bien definido y un trabajo dinámico e interdisciplinar, la actividad de extensión ha proporcionado una buena interacción entre las áreas de enseñanza, encuesta y producción de conocimiento, generando un alto impacto en la información académica de los alumnos participantes, lo que refuerza la formación profesional de un ciudadano y una buena relación con la comunidad que asistieron, además de la gran mejoría en la calidad de vida de los pacientes tratados. Concluimos, pues, que el proyecto cumple de forma satisfactoria su misión, sea por los beneficios tanto a los alumnos, como a la comunidad.The teeth total loss is one of the worst clinical situations that can be found in Dentistry and it may cause masticatory ability reduction and consequent interference in food digestion. Besides, it may affect esthetics and phonation. This situation contributes to a decrease of life quality and self-esteem. The complete denture is the most used therapeutic modality in the rehabilitation of complete edentulous people. A problem that should be faced, when the total prosthesis is indicated, lays exactly on the fact that the patients resist being toothless, while they wait for the osseous and tissue repairs, used in the posterior prosthesis confection. Another problem is associated with much reabsorbed ridges, which are unable to present retention and stability conditions to a complete denture. The utilization of immediate complete dentures (ICD) and dental implants can solve these problems. The SUS doesn’t offer these treatment modalities, neither in the basic attention, nor in the special. The curricular disciplines of FOUFMG don’t offer the necessary information on how to rehabilitate edentulous people with few residual alveolar ridge using implants or those unsatisfied with the use of their complete denture. The the objective of the Immediate Total Prosthesis/Overdentures Project implantation was to fill the lack of that practice in the curriculum and in the patient treatment. The present work aims to present the PTI/Overdentures Project to the academic community, a project with assistance characteristics, practical/theoretical nature and that was developed for the FOUFMG graduation students and for the patients, who use complete denture or with indication to use it. The activity shows a huge utility, both to users and students, as it fulfills a gap in the health social service and of the curriculum. The impact in the improving patients’ life quality is evaluated by applying the Oral Health Impact Profile - OHIP-14 questionary. The initial objectives selected by the project coordinators have satisfactorily been reached because a well defined attendance and a dynamic and interdisciplinary action were made. Also, the extension activity has provided an interaction between learning, research and knowledge production areas, giving a high impact in the academic formation of the participant students and consolidating the formation of a citizen professional, and a positive dialogic relationship with the assisted community. Besides, it resulted on a high improvement in the life quality of the patients. The conclusion is that the project has been satisfactorily achieved its objectives, benefiting students and patients

ISARIC-COVID-19 dataset: A Prospective, Standardized, Global Dataset of Patients Hospitalized with COVID-19

The International Severe Acute Respiratory and Emerging Infection Consortium (ISARIC) COVID-19 dataset is one of the largest international databases of prospectively collected clinical data on people hospitalized with COVID-19. This dataset was compiled during the COVID-19 pandemic by a network of hospitals that collect data using the ISARIC-World Health Organization Clinical Characterization Protocol and data tools. The database includes data from more than 705,000 patients, collected in more than 60 countries and 1,500 centres worldwide. Patient data are available from acute hospital admissions with COVID-19 and outpatient follow-ups. The data include signs and symptoms, pre-existing comorbidities, vital signs, chronic and acute treatments, complications, dates of hospitalization and discharge, mortality, viral strains, vaccination status, and other data. Here, we present the dataset characteristics, explain its architecture and how to gain access, and provide tools to facilitate its use