Association between gingival bleeding and gingival enlargement and oral health-related quality of life (OHRQoL) of subjects under fixed orthodontic treatment : a cross-sectional study

Background: There are scarce evidences that evaluated the impact of periodontal disease on oral health-related quality of life (OHRQoL) taking marginal gingival alterations into consideration. Thus, this study aimed to verify the association between OHRQoL and gingival enlargement and gingival bleeding in subjects under fixed orthodontic treatment (FOT). Methods: 330 participants under FOT for at least 6 months were examined by a single, calibrated examiner for periodontal variables and dental aesthetic index. Socio-economic background, body mass index, time with orthodontic appliances, and use of dental floss were assessed by oral interviews. OHRQoL was evaluated using the oral health impact profile (OHIP-14) questionnaire. The assessment of associations used unadjusted and adjusted Poisson regression models. Results: Higher impacts on the OHIP-14 overall were observed in subjects who presented higher levels of anterior gingival enlargement (RR 2.83; 95% CI 2.60-3.09), were non-whites (RR 1.29; 95% CI 1.15-1.45), had household income lower than five national minimum wages (RR 1.85; 95% CI 1.30-2.61), presented body mass index > 25 (RR 1.14; 95% CI 1.01-1.29), and showed a dental aesthetic index > 30 (RR 1.32; 95% CI 1.20-1.46). Conclusions: Anterior gingival enlargement seems to influence the OHRQoL in subjects receiving orthodontic treatment

Does diabetes mellitus affect guided bone regeneration outcomes in individuals undergoing dental implants? A systematic review and meta-analysis

ObjectivesThis systematic review aimed to verify if diabetes affects vertical and horizontal ridge augmentation in individuals undergoing dental implant treatment with guided bone regeneration (GBR).MethodsFive databases were systematically screened up to September 2023, according to predefined eligibility criteria. The methodological risk of bias of included studies was assessed using the ROBINS-I tool, and GRADE was used to evaluate the certainty of evidence. Random-effects pairwise meta-analyses were used to compare changes in vertical (height) and horizontal (width) alveolar bone dimensions between individuals exposed and unexposed to diabetes, through standardized mean differences (SMDs).ResultsThree non-randomized controlled trials met the inclusion criteria, all of which showed a serious risk of bias. The results showed, with overall very low certainty on evidence, that individuals with diabetes did not exhibit a significant difference in horizontal (SMD = −0.41, 95% CI: −0.92–0.10) and vertical (SMD = 0.06, 95% CI: −0.43–0.56) ridge augmentation compared to the those without diabetes.ConclusionsThe available evidence, albeit of very low certainty, suggests that diabetic individuals with moderate or good glycemic control undergoing dental implants and GBR show comparable horizontal and vertical bone gains to their unexposed counterparts. Systematic Review Registrationhttps://osf.io/bpx3t

Padrões estéticos dentais em pessoas com e sem sorriso gengival Dental aesthetic patterns in persons with and without gingival smile

Introdução e Objetivo: O presente estudo avaliou o comprimento e a proporção dentária em dentes anterossuperiores de pacientes com e sem sorriso gengival. Material e métodos: Selecionaram-se 38 indivíduos para cada um dos grupos: caso (sorriso gengival) e controle. Modelos de gesso foram obtidos mediante moldagem das arcadas, para então serem realizadas as mensurações. Também se submeteram os pacientes a um breve questionário. Resultados: Os dados foram tabulados e analisados por meio de análise de variância sob um nível de significância de 5%. Em ambos os grupos, a maioria foram mulheres (68,4%), brancos (98,7%), com idade variando de 18 a 28 anos. A maior altura encontrada foi para o dente 21 do grupo controle (9,88 mm), e a maior proporção para o dente 11 do grupo caso (87,43%). Analisando a classe dentária, somente a proporção dos incisivos centrais dos casos foram estatisticamente diferentes (p = 0,041), com uma proporção maior. Conclusão: Indivíduos com sorriso gengival possuem proporção dentária maior do que aqueles que não apresentam, entretanto nem todos os dentes podem ter tal diferença.Introdução e Objetivo: O presente estudo avaliou o comprimento e a proporção dentária em dentes anterossuperiores de pacientes com e sem sorriso gengival. Material e métodos: Selecionaram-se 38 indivíduos para cada um dos grupos: caso (sorriso gengival) e controle. Modelos de gesso foram obtidos mediante moldagem das arcadas, para então serem realizadas as mensurações. Também se submeteram os pacientes a um breve questionário. Resultados: Os dados foram tabulados e analisados por meio de análise de variância sob um nível de significância de 5%. Em ambos os grupos, a maioria foram mulheres (68,4%), brancos (98,7%), com idade variando de 18 a 28 anos. A maior altura encontrada foi para o dente 21 do grupo controle (9,88 mm), e a maior proporção para o dente 11 do grupo caso (87,43%). Analisando a classe dentária, somente a proporção dos incisivos centrais dos casos foram estatisticamente diferentes (p = 0,041), com uma proporção maior. Conclusão: Indivíduos com sorriso gengival possuem proporção dentária maior do que aqueles que não apresentam, entretanto nem todos os dentes podem ter tal diferença

Prevalence of hyposalivation and associated factors in survivors of head and neck cancer treated with radiotherapy

Hyposalivation and sensation of dry mouth (xerostomia) are one of the most common adverse effects in the treatment of patients with head and neck cancer. Objective: This study evaluates the prevalence of late hyposalivation and associated factors in survivors of squamous cell carcinoma of the oral cavity, oropharynx, hypopharynx, or larynx treated with radiotherapy with or without concomitant chemotherapy. Methodology: A cross-sectional study was conducted with 88 patients who had concluded radiotherapy at least three months before the study, at a referral center for the treatment of head and neck cancer in the Southern region of Brazil. Hyposalivation was evaluated based on the stimulated salivary flow rate using the spitting method. Multivariate analysis using binary logistic regression was performed to determine the associations between hyposalivation and clinical and demographic variables. Results: Hyposalivation was found in 78.41% of the sample and the mean radiation dose was 63.01 Gy (±9.58). In the crude model of the multivariate analysis, hyposalivation was associated with higher doses of radiation (p=0.038), treatment with concomitant radiotherapy and chemotherapy (p=0.005), and time elapsed since the end of radiotherapy (p=0.025). In the adjusted model of the multivariate analysis, hyposalivation was only associated with dose and time elapsed. Patient who received higher doses of radiation had a 4.25-fold greater chance of presenting hyposalivation, whereas a longer time elapsed since the end of radiotherapy exerted a 75% protective effect against the occurrence of hyposalivation. Conclusion: Hyposalivation is a highly prevalence late-onset side effect of radiotherapy in patients treated for head and neck cancer, with a greater chance of occurrence among those who received higher doses of radiation and those who ended therapy less than 22 months before our study. Concomitant chemotherapy and radiotherapy does not seem to increase the chances of hyposalivation compared to radiotherapy alone

Xerostomia impacts oral health-related quality of life in individuals with end-stage renal disease

ABSTRACT Objective: This two-centre cross-sectional study aimed to evaluate whether xerostomia occurrence is associated with oral health-related quality of life (OHRQoL) in patients with end-stage renal disease (ESRD) after the adjustment for potential confounders. Methods: Oral examinations were performed by calibrated examiners for untreated dental caries, periodontitis and tooth loss in 180 adults with ESRD. The presence of xerostomia was determined using the global question “How often does your mouth feel dry?”. OHRQoL was evaluated by the simplified version of the Oral Health Impact Profile (OHIP14) questionnaire. Multivariate zero-inflated negative binomial regression analysis was used to calculate the incidence rate ratios (IRR) for the nonzero scores and odds ratios (OR) of having no impact in OHIP14 scores according to the presence of exposure. Results: In the adjusted model, xerostomia (IRR = 1.57; 95% CI: 1.12 to 2.20) was associated with poorer OHRQoL. The adjusted domain-specific analysis revealed that xerostomia occurrence significantly impacted the psychological disability and social disability, and the chance of having no impact was lower for the psychological discomfort domain (OR = 0.84; 95% CI: 0.12 to 0.98). Conclusion: Xerostomia exert an impact on OHRQoL in patients with ESRD, mainly in the psychological and social disabilities constructs

Quality of life and body image after bariatric and body contouring surgery

Introduction: The demand for body contouring surgery after bariatric surgery is largely due to dissatisfaction with body image impaired by sagging and excess skin resulting from massive weight loss. This study aimed to evaluate the quality of life and body image of patients undergoing bariatric surgery and body contouring surgery in a private clinic. Method: This cross-sectional study compared 4 groups of 21 patients, matched by body mass index and age before undergoing bariatric surgery. They were divided into times before/after bariatric surgery and before/after body contouring surgery, thus forming groups A, B, C, and D, respectively. The SF-36 questionnaire assessed the quality of life, and the Silhouette Scale proposed by Kakeshita to assess body image. For the significance level, p<0.05 was chosen. Results: There was an improvement in all SF-36 domains after bariatric surgery. Patients who sought body contouring surgery had the lowest mental health component value, with little change after body contouring surgery. Almost all groups overestimated their silhouette, except for the group of 6 months after bariatric surgery, which saw itself as smaller. Conclusion: Bariatric patients seeking body contouring surgery have lower mental health-related quality of life scores that remain lower after body contouring surgery

Percepções das condições periodontais de mulheres com câncer de mama / Perceptions of periodontal conditions of women with breast cancer

O objetivo deste estudo foi avaliar as percepções das condições periodontais de mulheres com câncer de mama (CM) em tratamento no Hospital Universitário de Santa Maria, maiores de 18 anos, no período de agosto de 2017 a junho 2018. Os desfechos foram as percepções de condições periodontais, obtidos por meio de questionário de autorrelato e entrevista para coleta de informações epidemiológicas, dados sociodemográficos, estilo de vida e dados clínicos de saúde geral. Os resultados mostram que as mulheres com CM têm pequena percepção das suas condições periodontais, considerando boa a sua saúde bucal. Mais de 50% da amostra relatou não fazer uso de fio dental e apresentar dentes frouxos e apenas 20% relataram ter sangramento gengival. Além disso, muitas apresentam doenças sistêmicas, como diabetes mellitus.

Staining and calculus formation after 0.12% chlorhexidine rinses in plaque-free and plaque-covered surfaces : a randomized trial

Objectives: Studies concerning side effects of chlorhexidine as related to the presence of plaque are scarce. The purpose of this study was to compare the side effects of 0.12% chlorhexidine gluconate (CHX) on previously plaque-free (control group) and plaque-covered surfaces (test group). Methods: This study had a single-blind, randomized, split-mouth, 21 days-experimental gingivitis design, including 20 individuals who abandoned all mechanical plaque control methods during 25 days. After 4 days of plaque accumulation, the individuals had 2 randomized quadrants cleaned, remaining 2 quadrants with plaque-covered dental surfaces. On the fourth day, the individuals started with 0.12% CHX rinsing lasting for 21 days. Stain index intensity and extent as well as calculus formation were evaluated during the experimental period. Results: Intergroup comparisons showed statistically higher (p<0.05) stain intensity and extent index as well as calculus formation over the study in test surfaces as compared to control surfaces. Thus, 26.19% of test surfaces presented calculus, whereas calculus was observed in 4.52% in control surfaces. Conclusions: The presence of plaque increased 0.12% CHX side effects. These results strengthen the necessity of biofilm disruption prior to the start of CHX mouthrinses in order to reduce side effects

Incorporação de ar em argamassas estabilizadas: influência dos aditivos, agregados e tempo de mistura

A incorporação de ar em argamassas é um tema complexo que afeta suas propriedades no estado fresco e endurecido. A argamassa estabilizada é uma mistura pronta que contém alto teor de ar incorporado e possui aplicabilidade de até três dias devido ao emprego dos aditivos incorporadores de ar (AIA) e estabilizadores de hidratação (AEH). Este trabalho avaliou a influência dos aditivos AIA e AEH do tipo de agregado e o tempo de mistura na incorporação de ar de argamassas. Para tanto, foram confeccionadas 36 misturas de argamassas, submetidas a diferentes tempos de mistura (150s, 210s, 270s e 330s). Foram estudadas duas granulometrias de areias, empregando-se os teores do AEH (0%, 0,6% e 0,9%) e do AIA (0% a 0,5%), traço padrão para revestimentos (1:6,5) e proporção água/aglomerante de 1,0. Os resultados apontaram para uma estabilização da incorporação de ar com tempo de mistura de 270s e teor do AIA entre 0,3% e 0,4%, enquanto o AEH não contribuiu significativamente para a incorporação de ar. O tempo de mistura influenciou a incorporação de ar das argamassas apenas para teores de AIA a partir de 0,3%, já a granulometria do agregado influenciou apenas nas argamassas sem AIA ou com AIA até 0,2%