Objective:The objective of this study was to evaluate the incidence of adverse effects reported by adolescents following 14 days of use of a mouthrinse containing 0.05% NaF+0.12% chlorhexidine.Methods:This double-blind study was developed as part of a randomized clinical trial. The adolescents enrolled to the study were randomly divided into two groups to use either: 0.05% NaF+0.12% chlorhexidine (G1, n=85) or 0.05% NaF (G2, n=85). Both groups used a 10mL solution of the mouthwash during 1 minute daily for 2 weeks under supervision. After that period, the subject's acceptance of taste was measured using a verbal descriptive scale (Labeled Magnitude Scale - LMS)11. Participants were also interviewed regarding the occurrence of possible adverse effects during treatment (temporary palate disorders, tooth staining or unpleasant taste). The proportional differences between the groups were tested using the chi-square test.Results:Palate changes were reported by 26% of participants of each group; 17.7% of G1 and 32% of G2 reported an unpleasant taste (p = 0.062), while staining was reported by 55% of G1 and 68.9% of G2 (p = 0.117). Absenteeism rates were similar in both groups (G1= 2.58 ± 2.69; G2=2.81 ± 2.39), p=0.362.Conclusion:adherence was high in both groups and side effects reported by subjects were not perceived by them as being important. Since subjects' acceptance and compliance is fundamental to the success of an oral health program, chlorhexidine-fluoride could be a useful resource in a program of plaque control.
The aim of this study was to quantify, in vitro, the formation of CaF2 after the application of three fluoridated gels: one neutral, one acidulated and another highly acidulated, on a bovine enamel dental surface treated with a Dijkman's demineralizing solution (1990). 145 sections were utilized, obtained from 145 sound teeth and divided into seven groups: C (enamel without treatment); FN1 (enamel demineralized and treated with neutral gel for 1 minute); FN4 (enamel demineralized and treated with neutral gel for 4 minutes);FFA1 (enamel demineralized and treated with acidulated gel for 1 minute);FFA4 (enamel demineralized and treated with acidulated gel for 4 minutes); FAA1 (enamel demineralized and treated with highly acidulated gel for 1 minute) and FAA4 (enamel demineralized and treated with highly acidulated gel for 4 minutes). The formation of CaF2 was analyzed by SEM and chemically by Caslavska's method (1975). The average and standard deviations from the groups studied were respectively: C-0.63; 0.38; FN1-23.06; 16.52; FFA1-54.11; 49.00; FAA1-43.87; 32.66; FN4-34.92; 23.00; FFA4-67.91; 42.36; FAA4-56.03; 38.96. (Mann-Whitney non-parametric test). The time of application did not interfere in the CaF2 formation from the acidulated and highly-acidulated gels. A minor concentration of fluoride and amount of pH from highly-acidulated gel did not affect the higher formation from the CaF2 in relation to the acidulated gel in both cases when the application was evaluated.
Objetivo: avaliar a relação entre a necessidade de tratamento odontológico devido à cárie dental e níveis de ansiedade em adolescentes. Método: este estudo de corte transversal examinou 89 adolescentes de 11 a 19 anos de idade. Os pais/responsáveis pelos adolescentes assinaram um termo de consentimento informado para inclusão do jovem no estudo. A ansiedade odontológica foi estimada através da utilização da Escala de Ansiedade Dental de Corah (DAS). Os dados foram coletados e analisados pelo SPSS por meio de estatística descritiva e teste do qui-quadrado. de Pearson. Resultados: 1 adolescente (1,1%) não apresentou ansiedade (DAS = 0); 40 adolescentes (44,9%) tiveram níveis baixos (DAS = 5-9), 39 (43,8%) níveis moderados (DAS = 10-15) e 9 (10,1%) níveis elevados (DAS = 16-20). As meninas apresentaram níveis de ansiedade maiores do que os meninos (p= 0,04). O CPO-d médio foi de 2,69. Trinta e nove adolescentes (43,8%) apresentaram necessidade de tratamento odontológico. A relação entre necessidade de tratamento odontológico e ansiedade foi estatisticamente significante (p=0,003). Observou-se maior número de adolescentes com necessidades de tratamento nos níveis de ansiedade moderada e alta (28,1%). Adicionalmente, a necessidade de tratamento odontológico devido à cárie foi significativamente maior entre os adolescentes com maiores níveis de ansiedade dentária do que aqueles com níveis de ansiedade mais baixos (p=0,001). Conclusão: verificou-se relação estatisticamente significante entre a necessidade de tratamento odontológico e ansiedade. Adolescentes do sexo feminino apresentaram maiores níveis de ansiedade.
INTRODUCTION: During adolescence, changes in oral health status can influence even more the quality of life since in this phase there is greater physical, psychological and social vulnerability, being a moment in which the individual is shaping his identity. OBJECTIVE: to evaluate the level of evidence and scientific knowledge currently available in the literature on the association between the status of the oral condition of adolescents and the quality of life reported by them. METHODOLY: This integrative review followed the steps idealized by Cooper (1982). After the problem was formulated, data were collected from the studies found in Pubmed and Lilacs databases. The studies that attended the inclusion and exclusion criteria previously established were selected and completely read. During the analysis of collected data, each article was classified according to their level of evidence. Afterwards, it was realized the analysis and interpretation of data and finally the public presentation. RESULTS: From the adopted criteria, 13 articles were selected, most of them were cross-sectional studies. Systematic reviews or randomized controlled trials were not found. The Oral Health Impact Profile (OHIP-14) was the most used instrument. CONCLUSION: There were few studies with a high level of scientific evidence that evaluated the association between the status of adolescents' oral condition and the quality of life reported by them. The literature is still inconclusive regarding the association of oral health and quality of life of adolescents.
INTRODUÇÃO: a cárie dentária ainda é uma patologia presente na maioria da população mundial. Cariostáticos à base de diamino fluoreto de prata (DFP) são conhecidos pela sua capacidade de controlar a progressão de lesões de cárie, favorecendo a adequação do meio bucal de crianças. OBJETIVO: verificar o nível de evidência científica dos estudos que indicam a capacidade do DFP em controlar e/ou prevenir lesões de cárie em crianças e identificar outras indicações clínicas do material. MÉTODOS E MATERIAIS: esta revisão integrativa seguiu os seguintes passos idealizados por Cooper (1982): formulação do problema, coleta dos dados dos estudos selecionados, avaliação dos dados coletados, análise e interpretação dos dados coletados e apresentação pública. RESULTADOS: a partir dos critérios de inclusão e exclusão adotados, foram selecionadas 28 publicações. Entre aquelas que relatavam a eficácia da substância para controle e/ou prevenção de lesões cariosas em crianças, duas foram revisões sistemáticas e três foram ensaios clínicos randomizados. A principal indicação clínica do DFP encontrada foi na cariologia, seguida por endodontia e no tratamento de hipersensibilidade dentinária. CONCLUSÃO: existem poucos estudos com alto nível de evidência que indiquem a eficácia do DFP para controle e/ou prevenção das lesões de cárie em crianças. Outras indicações do material foram na prevenção de cárie radicular em idosos, na endodontia e no tratamento de hipersensibilidade dentinária, também com poucos estudos de alto nível de evidência.
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