11 research outputs found
Estudo de fatores associados à cárie dental em crianças que recebem atendimento odontológico precoce
Get PDFThe present study investigated the factors associated with the development of dental caries in preschool children who receive regular dental care and follow-up. The research was carried out at the Baby Clinic, Londrina State University, and comprised two hundred preschool children, whose ages ranged from 24 to 48 months, as well as their mothers, who had already taken part in a dental program at the Baby Clinic during, at least, the previous twelve months. Regarding oral hygiene habits, there was no significant difference between the preschool children who presented with caries and those who did not present with caries. However, the presence of visible bacterial plaque on the upper incisors was strongly associated with the presence of dental caries. Other factors associated with the presence of caries were: period of formal education of the father or of both parents equal or inferior to 8 years, high sugar consumption and bottle-feeding during sleep. In the studied population, the dietary pattern is still the main cause of carious lesions. In addition, the presence of visible bacterial plaque on the labial surface of the upper incisors must be considered as an important clinical sign, often associated with inadequate patterns of diet and oral hygiene.Esta pesquisa estudou os fatores associados com o desenvolvimento de cárie dentária em pré-escolares que recebem acompanhamento e intervenção odontológica. O estudo abrangeu 200 crianças, de 24 a 48 meses de idade, que participavam do programa da Bebê-Clínica (Universidade Estadual de Londrina) havia pelo menos 12 meses. A comparação entre as crianças com cárie e sem cárie não apresentou diferenças estatisticamente significantes com relação aos hábitos de higiene bucal. No entanto, a presença de placa visível nos incisivos superiores esteve fortemente associada com a presença de cárie dentária. Outros fatores relacionados à presença de cárie foram a educação formal paterna ou de ambos os pais igual ou menor do que 8 anos, alto consumo de açúcar e uso de mamadeira durante o sono. Na população estudada, o padrão dietético continua sendo o principal responsável pelo desenvolvimento de lesões de cárie. Além disso, a presença de placa bacteriana visível na superfície vestibular dos incisivos superiores deve ser considerada um importante sinal clínico, freqüentemente associado a padrões inadequados de higiene bucal e dieta
The influence of asthma onset and severity on malocclusion prevalence in children and adolescents
Get PDFOBJECTIVE: The influence of asthma, its severity levels and onset time on malocclusion occurrence were investigated. METHODS: The sample was composed by 176 children/adolescents, of both genders, aged 3 to 15 years, that were divided in two groups. The asthma group (AG) enrolled 88 children/adolescents that were seen at the Breathe Londrina Program. The asthma-free group (AFG) enrolled 88 preschool and school children recruited in 2 public schools. Malocclusion diagnosis was made according to WHO criteria (OMS, 1999). RESULTS: A higher prevalence in malocclusions in asthmatic patients in mixed dentition was observed when compared to controls (p<0.05). On the other hand, these results were not observed for deciduous (p>0.05) and permanent dentition (p>0.05). A significant association was seen between asthma onset time and marked maxillary overjet (p<0.05), and open bite (p<0.05) in the mixed dentition, being both conditions more common among those that have presented the symptoms of asthma prior to 12 months of age. CONCLUSION: The results of this study indicate that the early manifestation of asthma at first year of life can cause dentofacial changes. Therefore, the prompt diagnostic of the illness, as well as the establishment of a proper therapy could improve the symptoms and chronic complications of asthma and also reduce its impact on craniofacial development
Dentistry for babies: Caries experience vs. Assiduity in clinical care
No full textAim: This study analyzed and compared the experience of dental caries in 300 children aged 0 to 48 months, who were participants and non-participants of a preventive program 'Dentistry for babies', as well as the correlation between assiduity of dental visits and experience of dental caries. Methods: The subjects were randomly selected and divided into two groups: G1 'Non participant children of the Program' (n=100) and G2 'Participant Children of the Program' (n=200). Each group was subdivided in two subgroups: 0-24 months and 25-48 months. The collected data from G2 were analyzed, relating the variation of the dmft index (dmft refers to primary teeth: d = decayed, m = missing/extracted due to caries, f = filled, t = teeth) (C) and dental caries prevalence (P) with the influence of assiduity factor in each subgroup. To collect data, clinical examinations were performed using tactile and visual criteria by a single calibrated examiner. The data were statistically analyzed using the 'paired t-test', 'Mann-Whitney' and 'Chi-Squared' tests (p<0.05). Results: It was found that prevalence and dmft index were statistically significant (P=0.0001) with the greatest values observed in G1 (p=0.0001). The values were: PG1 (73%), PG2 (22%), CG1 (3.45±3.84), CG2 (0.66±1.57). Assiduity was significant in G2 (p=0.0001). The values observed were: P-Assiduous (2%), P-Non-assiduous (42%), C-Assiduous (0.04±0.31), and C-Non-assiduous (1.29±2.01). Conclusions: The participation in the program had a positive influence on the oral health of babies. Complete assiduity to the program resulted in the lowest rates and prevalence of dental caries
Dentistry for babies: caries experience vs. assiduity in clinical care
No full textis study analyzed and compared the experience of dental caries in 300 children aged 0 to 48 months, who were participants and non-participants of a preventive program Dentistry for babies, as well as the correlation between assiduity of dental visits and experience of dental caries. Methods: The subjects were randomly selected and divided into two groups: G1 Non participant children of the Program (n=100) and G2 Participant Children of the Program (n=200). Each group was subdivided in two subgroups: 0-24 months and 25-48 months. The collected data from G2 were analyzed, relating the variation of the dmft index (dmft refers to primary teeth: d = decayed, m = missing/extracted due to caries, f = filled, t = teeth) (C) and dental caries prevalence (P) with the influence of assiduity factor in each subgroup. To collect data, clinical examinations were performed using tactile and visual criteria by a single calibrated examiner. The data were statistically analyzed using the paired t-test, Mann-Whitney and Chi-Squared tests (p<0.05). Results: It was found that prevalence and dmft index were statistically significant (P=0.0001) with the greatest values observed in G1 (p=0.0001). The values were: PG1 (73%), PG2 (22%), CG1 (3.45±3.84), CG2 (0.66±1.57). Assiduity was significant in G2 (p=0.0001). The values observed were: P-Assiduous (2%), P-Non-assiduous (42%), C-Assiduous (0.04±0.31), and C-Non-assiduous (1.29±2.01). Conclusions: The participation in the program had a positive influence on the oral health of babies. Complete assiduity to the program resulted in the lowest rates and prevalence of dental caries
Response of human dental pulp to calcium hydroxide paste preceded by a corticosteroid/antibiotic dressing agent
No full textAim: To investigate: a) caries experience in 5 year-old children and
its relationship to the caries risk evaluation made before 1 year of
age; b) compliance of parents to an infant oral health program as well
as the abandonment reasons. Methods: Group A (GA) - 242 children (60-71
months old) who stayed in the program and had been enrolled since their
first year of life underwent a clinical examination according to the
WHO's criteria; their parents/caregivers were interviewed to ascertain
their compliance to the program. Group B (GB) - parents of 60 children,
who had dropped out of the program, were interviewed to check the
reasons of withdrawing. The caries risk classification was based on the
file at the first appointment. Chi-square test was used (α=0.05)
for statistical analyses. Results: Most of the children were free of
caries (71.1%). Caries risk evaluation showed low sensibility (34.3%,
95% CI = 22.4-46.1) and high specificity (74.4%, 95% CI = 67.6-81.2) to
caries experience. Sixty-two mothers (25.6%) reported difficulty to
follow the guidelines. The main reason for dropping out was changing to
similar health services (40.0%). Conclusions: Caries risk in the first
year of life was not efficient to predict dental caries experience at 5
years of age. Educational practice should be improved to increase the
compliance of the parents to the program
Dentistry for babies: caries experience vs. assiduity in clinical care
No full textAim: This study analyzed and compared the experience of dental caries
in 300 children aged 0 to 48 months, who were participants and
non-participants of a preventive program 'Dentistry for babies', as
well as the correlation between assiduity of dental visits and
experience of dental caries. Methods: The subjects were randomly
selected and divided into two groups: G1 'Non participant children of
the Program' (n=100) and G2 'Participant Children of the Program'
(n=200). Each group was subdivided in two subgroups: 0-24 months and
25-48 months. The collected data from G2 were analyzed, relating the
variation of the dmft index (dmft refers to primary teeth: d = decayed,
m = missing/extracted due to caries, f = filled, t = teeth) (C) and
dental caries prevalence (P) with the influence of assiduity factor in
each subgroup. To collect data, clinical examinations were performed
using tactile and visual criteria by a single calibrated examiner. The
data were statistically analyzed using the 'paired t-test',
'Mann-Whitney' and 'Chi-Squared' tests (p<0.05). Results: It was
found that prevalence and dmft index were statistically significant
(P=0.0001) with the greatest values observed in G1 (p=0.0001). The
values were: PG1 (73%), PG2 (22%), CG1 (3.45±3.84), CG2
(0.66±1.57). Assiduity was significant in G2 (p=0.0001). The
values observed were: P-Assiduous (2%), P-Non-assiduous (42%),
C-Assiduous (0.04±0.31), and C-Non-assiduous (1.29±2.01).
Conclusions: The participation in the program had a positive influence
on the oral health of babies. Complete assiduity to the program
resulted in the lowest rates and prevalence of dental caries
Dental caries experience in children attending an infant oral health program
No full textAim: To investigate: a) caries experience in 5 year-old children and its relationship to the caries risk evaluation made before 1 year of age; b) compliance of parents to an infant oral health program as well as the abandonment reasons. Methods: Group A (GA) - 242 children (60-71 months old) who stayed in the program and had been enrolled since their first year of life underwent a clinical examination according to the WHO's criteria; their parents/caregivers were interviewed to ascertain their compliance to the program. Group B (GB) - parents of 60 children, who had dropped out of the program, were interviewed to check the reasons of withdrawing. The caries risk classification was based on the file at the first appointment. Chi-square test was used (α=0.05) for statistical analyses. Results: Most of the children were free of caries (71.1%). Caries risk evaluation showed low sensibility (34.3%, 95% CI = 22.4-46.1) and high specificity (74.4%, 95% CI = 67.6-81.2) to caries experience. Sixty-two mothers (25.6%) reported difficulty to follow the guidelines. The main reason for dropping out was changing to similar health services (40.0%). Conclusions: Caries risk in the first year of life was not efficient to predict dental caries experience at 5 years of age. Educational practice should be improved to increase the compliance of the parents to the program
Study of the factors associated with dental caries in children who receive early dental care Estudo de fatores associados à cárie dental em crianças que recebem atendimento odontológico precoce
Get PDFThe present study investigated the factors associated with the development of dental caries in preschool children who receive regular dental care and follow-up. The research was carried out at the Baby Clinic, Londrina State University, and comprised two hundred preschool children, whose ages ranged from 24 to 48 months, as well as their mothers, who had already taken part in a dental program at the Baby Clinic during, at least, the previous twelve months. Regarding oral hygiene habits, there was no significant difference between the preschool children who presented with caries and those who did not present with caries. However, the presence of visible bacterial plaque on the upper incisors was strongly associated with the presence of dental caries. Other factors associated with the presence of caries were: period of formal education of the father or of both parents equal or inferior to 8 years, high sugar consumption and bottle-feeding during sleep. In the studied population, the dietary pattern is still the main cause of carious lesions. In addition, the presence of visible bacterial plaque on the labial surface of the upper incisors must be considered as an important clinical sign, often associated with inadequate patterns of diet and oral hygiene.<br>Esta pesquisa estudou os fatores associados com o desenvolvimento de cárie dentária em pré-escolares que recebem acompanhamento e intervenção odontológica. O estudo abrangeu 200 crianças, de 24 a 48 meses de idade, que participavam do programa da Bebê-Clínica (Universidade Estadual de Londrina) havia pelo menos 12 meses. A comparação entre as crianças com cárie e sem cárie não apresentou diferenças estatisticamente significantes com relação aos hábitos de higiene bucal. No entanto, a presença de placa visível nos incisivos superiores esteve fortemente associada com a presença de cárie dentária. Outros fatores relacionados à presença de cárie foram a educação formal paterna ou de ambos os pais igual ou menor do que 8 anos, alto consumo de açúcar e uso de mamadeira durante o sono. Na população estudada, o padrão dietético continua sendo o principal responsável pelo desenvolvimento de lesões de cárie. Além disso, a presença de placa bacteriana visível na superfície vestibular dos incisivos superiores deve ser considerada um importante sinal clínico, freqüentemente associado a padrões inadequados de higiene bucal e dieta
Health-status outcomes with invasive or conservative care in coronary disease
No full textBACKGROUND In the ISCHEMIA trial, an invasive strategy with angiographic assessment and revascularization did not reduce clinical events among patients with stable ischemic heart disease and moderate or severe ischemia. A secondary objective of the trial was to assess angina-related health status among these patients. METHODS We assessed angina-related symptoms, function, and quality of life with the Seattle Angina Questionnaire (SAQ) at randomization, at months 1.5, 3, and 6, and every 6 months thereafter in participants who had been randomly assigned to an invasive treatment strategy (2295 participants) or a conservative strategy (2322). Mixed-effects cumulative probability models within a Bayesian framework were used to estimate differences between the treatment groups. The primary outcome of this health-status analysis was the SAQ summary score (scores range from 0 to 100, with higher scores indicating better health status). All analyses were performed in the overall population and according to baseline angina frequency. RESULTS At baseline, 35% of patients reported having no angina in the previous month. SAQ summary scores increased in both treatment groups, with increases at 3, 12, and 36 months that were 4.1 points (95% credible interval, 3.2 to 5.0), 4.2 points (95% credible interval, 3.3 to 5.1), and 2.9 points (95% credible interval, 2.2 to 3.7) higher with the invasive strategy than with the conservative strategy. Differences were larger among participants who had more frequent angina at baseline (8.5 vs. 0.1 points at 3 months and 5.3 vs. 1.2 points at 36 months among participants with daily or weekly angina as compared with no angina). CONCLUSIONS In the overall trial population with moderate or severe ischemia, which included 35% of participants without angina at baseline, patients randomly assigned to the invasive strategy had greater improvement in angina-related health status than those assigned to the conservative strategy. The modest mean differences favoring the invasive strategy in the overall group reflected minimal differences among asymptomatic patients and larger differences among patients who had had angina at baseline
