The aim of this cross-sectional study was to assess whether favorable factors related to school characteristics have a positive effect on the impact of traumatic dental injury (TDI) on oral health-related quality of life (OHRQoL). An epidemiological survey of oral health was conducted with 12-year-old schoolchildren from Quito, Ecuador. Children were examined for TDI, dental caries, and malocclusion. Individual socioeconomic data were also collected. Information on the physical environment, health practices, and occurrence of negative episodes at school was collected from the school coordinators. The Child Perceptions Questionnaire 11-14 (CPQ 11-14 ) was used to evaluate the OHRQoL (outcome variable). Multilevel Poisson regression analysis was conducted. Severe TDI was associated with higher CPQ 11-14 scores, even in the multiple model adjusted for oral health conditions, sex, individual socioeconomic variables, and school-related variables. Children from schools that had an appropriate tooth-brushing environment for their students exhibited a lower impact on OHRQoL, even after adjustment for the occurrence of TDI and other variables. A favorable school environment may exert a positive effect on OHRQoL, independent of the occurrence of TDI.

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Efectos de aplicación de gel de doxiciclina y solución de clorhexidina en tratamientos bucales Effects of Doxycycline gel application and chlorhexidine solution in oral treatments Efeitos da aplicação do gel de doxiciclina e clorohexidina solução em tratamentos orais Esp.

La prueba BANA determina la actividad proteolítica de las principales bacterias periodontales del complejo rojo, la facilidad y la versatilidad clínica de la prueba la ha convertido en una opción viable para valorar el tratamiento periodontal. El Objetivo de esta investigación es la identificación de microorganismos, anaerobios reactivos a la prueba BANA antes y después de la terapia periodontal no quirúrgica en pacientes diabéticos. Materiales y Métodos: para este estudio se trabajó con pacientes que acuden al Club de Diabéticos del Centro de Salud N.- 4 de Chimbacalle perteneciente al Ministerio de Salud Pública del Distrito Metropolitano de Quito. Se realizó un muestreo no probabilístico a conveniencia de un total de 30 pacientes diabéticos con edades de 35 a 75 años de edad de ambos sexos, a los cuales se les realizó el análisis microbiológico BANA, antes y después de la terapia periodontal no quirúrgica. Se realizó un estudio prospectivo antes de la terapia periodontal no quirúrgica, y un mes después en pacientes diabéticos con periodontitis crónica en sitios con profundidades de sondaje y nivel de inserción ≥ 5mm. Resultados: los resultados del estudio no mostraron diferencias significativas entre los pacientes del estudio antes y después de la terapia periodontal no quirúrgica para la prueba microbiológica BANA. Conclusiones: La terapia periodontal no quirúrgica es un tratamiento eficaz en la eliminación de la enfermedad periodontal siempre y cuando exista la colaboración del paciente. Los resultados de la prueba microbiológica en este estudio no demostraron diferencias significativas.

Purpose: To assess whether favourable factors related to school characteristics have a positive effect on the impact on OHRQoL related to occurrence TDI.Methods: An epidemiological survey of oral health was conducted with 12-year-old scholars from Quito, Ecuador. Children were examined regarding TDI, dental caries, and malocclusion. Individual socioeconomic data was collected. Information on the physical environment, health practices and occurrence of negative episodes in the schools were collected with the school’s coordinators. The Child Perceptions Questionnaire 11-14 (CPQ11-14) was answered to evaluate the OHRQoL (outcome variable). Multilevel Poisson regression analysis was conducted. Results: Occurrence of severe TDI was associated with higher CPQ11-14 scores, even in the multiple model adjusted for oral health conditions, sex, individual socioeconomic variables, and school-related variables. Children from schools that had an appropriate tooth brushing environment for their students exhibited a lower impact on OHRQoL, even when adjusted for occurrence of TDI and other variables. Conclusion: A favourable school environment may exert a positive effect on the OHRQoL, independently of the occurrence of TDI.