The SDF technique showed better results than IRT for the arrest of cavities in deciduous teeth, indicating that its use for underprivileged communities may justify a paradigm shift in paediatric dentistry.
The aim of the present study was to investigate the prevalence of non-nutritive sucking habits and anterior open bite as well as their main causes (associated factors) in Brazilian children aged 30-59 months. A cross-sectional study was carried out during the National Immunization Day for polio in the city of Recife in the northeastern region of Brazil. The sample was made up of 1,308 children. Data were collected from interviews with mothers or guardians as well as from clinical examinations carried out by previously trained dental students. The chi-square test was used for statistical analysis at 5% significance level. The prevalence of non-nutritive sucking habits was 40%, and the habits were associated with gender (p=0.001), age (p=0.003) and feeding type (p<0.001). Anterior open bite was detected in 30.4% of children, and it was significantly associated with feeding type (p<0.001) and non-nutritive sucking habits (p<0.001). The variables found to be associated factors in the present study for the occurrence of non-nutritive sucking habits and anterior open bite emphasize the need to establish strategies that include orientation regarding health promotion based on the "common determining factors" approach. Public health policies should be adopted to encourage a longer duration of breastfeeding, thereby contributing towards reducing the prevalence of non-nutritive sucking habits and anterior open bite.
2 RESUMOObjetivo: O presente artigo objetiva orientar os cirurgiões-dentistas, especificamente os clínicos, sobre o diagnóstico, a prevenção e o tratamento da erosão dental através da proposta de um protocolo clínico. Material E Métodos: Foi realizado um levantamento bibliográfico através da busca eletrônica nas bases de dados LILACS e MEDLINE, de textos completos publicados entre 1998 e 2008, escritos em português, inglês ou espanhol. Resultados: Foram selecionadas dezenove publicações que atenderam a todos os critérios definidos. Conclusão: A partir dos achados, sugere-se uma análise da dieta, o aconselhamento dietético, a mudança de hábitos prejudiciais e a correta higienização bucal para prevenção e controle da erosão, além do tratamento restaurador. Tudo isto deverá estar aliado ao monitoramento e ao controle periódico do paciente, objetivando a promoção de sua saúde. DESCRITORESErosão Dentária. Etiologia. Terapia Combinada. SUMMARYObjective: This article aims to guide dentists, clinicians specifically on the diagnosis, prevention and treatment of dental erosion by proposing a clinical protocol (guideline). Material And Methods:We conducted a literature through electronic search in the databases LILACS and MEDLINE, full text published between 1998 and 2008, written in Portuguese, English or Spanish. Results: We selected nineteen publications that met all the criteria. Conclusion: Based on the findings, we suggest an analysis of diet, dietary counseling, changing harmful habits and proper oral hygiene for prevention and control of erosion, in addition to restorative treatment. This should be coupled with monitoring and periodic control of the patient, aiming at the promotion of their health. DESCRIPTORSTooth Erosion. Aetiology. Combined Modality Therapy.http://periodicos.ufpb.br/ojs2/index.php/rbcs
Patients with eating disorders may have several clinical consequences, such as changes in body fat distribution, changes in bone mineral density, worsening of neurocognitive ability, and endocrine changes (e.g., hypercortisolemia), which in turn can lead to hyperglycemia, insulin resistance, hypertension, and increased risk of infections. The findings demonstrate that adolescents with eating disorders, especially anorexia nervosa, have increased cortisol levels, which are reduced after the treatment period. Further studies on differences in cortisol concentrations in adolescents with other eating disorders are needed, using different methods.
Purpose: Silver diamine fluoride (SDF) is a caries prevention and arresting agent that is easy to apply clinically. Interim therapeutic restorations (IRT) are also known to be a simple and effective method for treating caries in children. This study examines whether treatment with 30% silver diamine fluoride (SDF) will cause fewer adverse events than the available interim therapeutic restorations in underprivileged schoolchildren with cavities.Methods: We conducted a three-month pilot study comparing the adverse effects of IRT using glass ionomer cement (Fuji IX, GC America, Inc.) with those of 30% silver diamine fluoride (Cariostop Biodynamic ® , Brazil) in 50 children aged 6 years.Results: In the SDF group, all caries were arrested and no pain, abscess or fistula was reported. Of the children assigned to the Fuji IX group, 24% reported toothache (P < 0.05). There was no significant difference in the occurrence of fistula and abscess in the two groups.Conclusion: The authors suggest that for underprivileged schoolchildren with caries, the use of SDF when an appropriate clinical setting is not available resulted in fewer adverse effects than did treatment with an interim therapeutic restorative using FUJI IX. ResumoObjetivo: O Diamino fluoreto de prata, uma solução de fácil aplicação e que não precisa de um ambiente clínico para o seu uso, é um agente de notável capacidade de paralisar e prevenir cárie. Outro método simples e eficaz para o tratamento da cárie em crianças são Restaurações provisórias. Este estudo examinou o surgimento de efeitos adversos em escolares tratadas com Diamino fluoreto de prata (DFP) comparado com aquelas tratadas com o Tratamento Restaurador Provisório.Metodologia: Foi realizado um estudo piloto de três meses comparando os efeitos adversos das restaurações provisórias, utilizando cimento de ionômero de vidro Fuji IX (GC America, Inc.), com o Diamino fluoreto de prata a 30% (Cariostop Biodinâmica ® , Brasil), em 50 crianças com 6 anos de idade.Resultados: O grupo DFP teve todas as suas cáries paralisadas e não apresentou dor, abscesso ou fístula. Das crianças tratadas com Fuji IX, 24% delas relataram dor de dente (P < 0,05). Para fístula e abscesso, não foi verificado diferença estatisticamente significativa.Conclusão: Os autores sugerem que, para crianças portadoras de cárie, sem acesso aos serviços de saúde, o DFP apresentou menos efeitos adversos do que o tratamento restaurador provisório utilizando FUJI IX. Palavras-chave: Cárie; criança; diamino fluoreto de prata; restauração provisória Rev Odonto Cienc 2012;27(1):26-30 27 Santos Jr et al.
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