Background:Obesity and its surgical treatment have been related with oral diseases. Aim: To evaluate and compare dental wear and dental loss in eutrophic and morbidly obese patients submitted to Roux-en-Y gastric bypass. Method:Observational and analytical study with gender and age matching. The sample consisted of 240 patients, divided into four groups: eutrophic (GC=60), morbidly obese (GO=60), operated with up to 24 months (G24=60) and operated on for more than 36 months (G36=60). The following variables were analyzed: race, schooling, economic class, hypertension, diabetes, triglycerides, cholesterol, BMI, weight loss, waist-hip ratio, smoking, alcoholism, tooth loss and tooth wear. Results:GO presented lower economic class (p=0.012), hypertension (p<0.001), diabetes (p<0.001), cholesterol (p=0.001), BMI (p<0.001), waist-hip ratio (p<0.001) and percentage of weight loss percent (p<0.001) than groups G24 and G36. Dental wear was higher among the II and V sextants. Conclusion:Individuals submitted to Roux-en-Y gastric bypass, regardless of the surgery period, presented more dental wear on the incisal/occlusal surfaces, and the anterior teeth were the most affected. Dental wear was associated with age and number of missing teeth.
La neutralidad en relación con la comunidad científica y publicación de resultados es esencial, en vista de que toda teoría aplicada en las diversas áreas del conocimiento es generada por investigaciones científicas. La manipulación o falsificación de resultados es una de las prácticas más condenables, ya que difunde datos falsos o incorrectos. Este estudio evaluó si la producción científica y la obtención de resultados estuvieron pautadas en la ética y en el principio de neutralidad, a través de una revisión integradora de la literatura. Los resultados demostraron que en el 100 % de los trabajos seleccionados existe mala conducta científica, y que esta ha aumentado significativamente en todo el mundo, siendo difícil su identificación. Los motivos más comunes para la falsificación de datos fueron la búsqueda de reconocimiento y la competencia en el medio académico. Por lo tanto, una conducta responsable y ética de sociedades y comités científicos, y editores de periódicos se torna imprescindible en la credibilidad de los resultados encontrados en las investigaciones científicas.
Fonte de financiamento: CAPES ARTIGO ORIGINAL RESUMO | Contexto: A Odontologia do Trabalho é responsável por estudar, interpretar e solucionar os diferentes problemas bucais dos trabalhadores, contribuindo para sua qualidade de vida e maior produtividade. Objetivos: Avaliar as condições bucais de trabalhadores em duas fábricas de baterias e o uso de serviços odontológicos em Bauru, São Paulo. Métodos: A amostra foi constituída por 134 indivíduos que responderam a um questionário sobre o uso de serviços. Os exames foram realizados utilizando-se o Índice CPOD para a cárie dentária, Índice Periodontal Comunitário (IPC) e Perda de Inserção Periodontal (PIP) para a doença periodontal, e o Índice de Desgaste Dentário (IDD) (Kappa>0,94). A análise foi descritiva, por meio de frequências absolutas e relativas. Resultados: Com relação ao uso de serviços, 55,22% relataram consulta odontológica há menos de 1 ano, 76,87% buscaram atendimento particular/convênio e 33,58% como consulta de rotina. Apenas 12,60% dos trabalhadores apresentaram-se livres de cárie, sendo observado CPOD médio de 8,49. Houve presença de cálculo em 56,70%, bolsas rasas em 17,90% e bolsas profundas em 1,50% dos trabalhadores. A perda de inserção periodontal foi observada em 26,52%. Todos os trabalhadores apresentaram desgaste dentário, sendo esse mais prevalente em dentina. Conclusão: Os serviços odontológicos oferecidos pelas empresas pesquisadas propiciaram uma condição bucal satisfatória aos trabalhadores. Palavras-chave | odontologia do trabalho; saúde do trabalhador; serviços de saúde do trabalhador.ABSTRACT | Context:Occupational Dentistry is responsible for studying, interpreting and solving the various oral problems of workers, contributing to their quality of life and greater productivity. Objectives: To evaluate the oral conditions of workers in two battery factories and the use of dental services in Bauru, São Paulo, Brazil. Methods: The sample consisted of 134 individuals who responded to a questionnaire on the use of services. The tests were conducted using the DMFT index for dental caries, Community Periodontal Index (CPI) and Periodontal Attachment Loss (PAL) for periodontal disease, and the Dental Wear Index (DWI) (Kappa>0.94). A descriptive analysis was done by means of absolute and relative frequencies. Results: Regarding the use of services, 55.22% reported dental visits in less than 1 year, 76.87% sought private care, and 33.58% as part ofa routine consultation. Only 12.60% of the workers were free of caries, with mean DMFT of 8.49. There was calculus in 56.70%, shallow pockets in 17.90% and deep pockets in 1.50% of the workers. The periodontal attachment loss was observed in 26.52%. All workers had tooth wear, which was more prevalent in dentin. Conclusion: The dental services offered by the surveyed companies provided a satisfactory oral health to the workers.
Desgaste dentário e perdas dentárias em pacientes eutróficos, portadores de obesidade mórbida e submetidos à cirurgia bariátrica Bauru 2018
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