Objective: To determine a probabilistic model that represents the likelihood of the event Dental Pain to occur in Brazilians patients affected by hereditary coagulopathies. Material and Methods: In this cross-sectional study, information on use and access to dental services, oral morbidity, self-perceived oral health and behavioral health habits were obtained through semi-structured questionnaire and analyzed by means of logistic regression. Results: High prevalence of dental caries was observed for children aged 1-5 years (50%) and for adolescents aged 13-19 years (66%). Cumulative pattern of dental caries in the age groups of 20-35 years and 36-59 years was observed. Most patients did not report pain in the last six months prior to the survey (24.5%). It was observed that searching for dental care for the last time in case of localized pain (OR=26.7), for feeling uncomfortable when brushing teeth (OR=7.3) and difficulty searching for health professionals, not only the dentist (OR 3.7) was considered risk factors for the determination of Dental Pain diagnosis. However, if the patient has mild hemophilia A (OR=0.21), this likelihood decreases, being thus a protective factor. Conclusion: Patients affected by hereditary coagulopathies have high prevalence of caries, indicating the cumulative nature of this disease, which suggests the symptomatic effect of Dental Pain.
BackgroundThe most common and best known hereditary coagulopathies are hemophilia A and B followed by von Willebrand Disease. ObjectiveThis study aimed to estimate the prevalence of tooth loss and investigate its association with demographic and socioeconomic data, as well as to discuss self-reported oral morbidity and use of health services by patients with coagulopathies treated in blood centers in Paraíba, Brazil. MethodsThis was a quantitative cross-sectional epidemiological survey. Data was collected in the period from October 2011 to July 2012 by clinical examination and by assessing interviews using a semi-structured questionnaire. The findings were analyzed by descriptive and inferential statistics with the level of significance (α) being set at 10%. ResultsOne hundred and six, predominantly male (88.8%), patients with coagulopathies were evaluated. The ages ranged from one to 59 years. Most patients were of mixed race (61.3%), most reported family incomes between R$ 501.00 and R$ 1500.00 (49.1%), and most had not completed elementary school (37.1%). Hemophilia A was found in 76.4% of the cases. The prevalence of dental caries among individuals was 50.0% predominantly in the 13- to 19-year-old age range (66.7%). As regards to tooth loss, teeth were missing in 35.1% of the study participants. ConclusionTooth loss is high in this population. Males with severe hemophilia A, those who use fluoride and have a good or very good perception about their last dental appointment have a reduced chance of losing their teeth.
Objetivo: Analisar o padrão de desmineralização do esmalte bovino submetido à ação de bebidas lácteas fermentadas frente a variações de tempo e avaliar as propriedades físico-químicas destes componentes da dieta líquida. Método: Analisaram-se seis marcas de bebidas lácteas, utilizando-se refrigerante a base de cola e água destilada como controle positivo (CP) e negativo (CN), respectivamente. Avaliou-se o pH por meio de pHmêtro digital enquanto a concentração de sólidos solúveis totais (°Brix) foi mensurada por um refratômetro específico de campo. Por meio de um viscosímetro capilar aferiu-se a viscosidade cinemática. Analisou-se a ação das bebidas sobre o esmalte em Microscopia Eletrônica de Varredura (MEV) após exposição às soluções nos intervalos de tempo: 5, 15 e 30 minutos, sendo as alterações microestruturais classificadas em escores, de acordo com o grau de desmineralização promovido na estrutura dentária. Resultados: Os valores de pH variaram de 2,59 (CP) a 6,24 (CN), estando as demais bebidas lácteas fermentadas abaixo do pH 3,92. Os valores de °Brix oscilaram de 0° a 19° Brix e a viscosidade variou de 2,41 mm²/s a 7,26 mm²/s. Alterações sugestivas de erosão foram evidentes nos espécimes submetidos ao CP e ao produto de menor pH. A maioria das bebidas registrou dissoluções iniciais a partir de 15 minutos, correspondendo a alterações Grau 1 (leve alteração microestrutural). Conclusão: As bebidas lácteas revelaram-se potencialmente erosivas e cariogênicas, apresentando valores de pH críticos para dissolução do esmalte, bem como presença de sólidos solúveis totais e expressiva variação de viscosidade. A análise morfológica pela MEV da superfície dentária revelou alterações microestruturais de leve a acentuada, de acordo com o tempo de exposição às bebidas.Erosão dentária; Dieta cariogênica; Esmalte dentário. Objective:To analyze the pattern of demineralization of bovine enamel subjected to the action of fermented dairy beverages after different times and to evaluate their physical-chemical properties. Method: Six brands of dairy beverages were analyzed, having cola-type soft drink and distilled water as positive (PC) and negative (NC) controls, respectively. The pH was evaluated using a digital pH-meter and the soluble solids content (°Brix) was measured using a specific field refractometer. A capillary viscometer measured the kinematic viscosity. The action of the beverages on enamel was analyzed by scanning electron microscopy (SEM) after exposure to solutions at the following time intervals: 5, 15 and 30 minutes. The microstructural alterations were scored according to the degree of demineralization observed on tooth structure. Results:The pH values ranged from 2.59 (PC) to 6.24 (NC), while the pH of the fermented dairy beverages was below 3.92. The soluble solids content values ranged from 0° to 19° Brix and viscosity ranged from 2.41 to 7.26 mm²/s. Changes suggestive of erosion were evident in the specimens submitted to the PC and to the beverage with the lowest pH. Most beverages promoted initial ena...
Objective: To analyze self-perceived need for complete denture use or replacement in the population aged 35-44 and 65-74 years, as well as to carry out the association between that self-assessment and social capital in the municipalities of Conde and Pedras de Fogo, Paraíba. Methods: A total of 134 adults and 54 elderlies participated in this sectional study. The outcome of interest was self-perceived need for complete denture use or replacement. Data were analyzed descriptively and association between variables was checked by means of statistical tests and regression models (a=5%). Results: self-perceived need for denture use or replacement was observed in 61.2% (n=82) of the adults and 59.2% (n=32) of the elderlies, and it was found to be associated with the use of dentures (c² test, p-value <0.05). Logistic regression revealed that education (OR=0.83, CI: 0.74-0.94), poor self-perceived oral health (OR=19.22, CI: 1.29-286.45) and global use of dentures (OR=0.16, CI: 0.07-0.40) were associated with the outcome. Conclusion: self-perceived need for complete denture use or replacement was more frequent among adults that wore dentures in comparison to the elderlies. In addition, individuals with lower education level, unsatisfied with their oral health and denture wearers were more inclined to report needing to use or replace their complete denture.Key words: Epidemiology, Dental Prosthesis/Use, Social CapitalCapital social e autopercepção da necessidade de uso ou troca da prótese total Resumo Objetivo: analisar a autopercepção da necessidade de uso ou troca de prótese total na população de 35-44 e 65-74 anos e testar sua associação com capital social nos municípios de Conde e Pedras de Fogo, Paraíba. Métodos: estudo seccional realizado com 134 adultos e 54 idosos. O desfecho de interesse foi a percepção da necessidade de uso ou troca de prótese total. Os dados foram analisados descritiva e inferencialmente para testar a associação entre as variáveis (a=5%). Resultados: a autopercepção da necessidade de uso ou troca da prótese total foi observada para 61,2% (n=82) dos adultos e 59,2% (n=32) dos idosos, estando associada ao uso de prótese dentária (Teste c²; p-valor<0,05). Por regressão logística, a escolaridade (OR=0,83; IC: 0,74-0,94), autopercepção de saúde bucal ruim (OR=19,22; IC: 1,45) e uso global de prótese dentária (OR=0,16; IC: 0,07-0,40) estiveram associadas ao desfecho. Conclusão: a autopercepção da necessidade de uso ou troca da prótese total foi mais frequente entre os adultos que faziam uso de prótese dentária comparativamente aos idosos. Adicionalmente, indivíduos com menor escolaridade, insatisfeitos com a saúde bucal e usuários de prótese dentária foram mais propensos a relatar que necessitavam usar ou trocar prótese total.Palavras-chave: Epidemiologia, Prótese dentária/utilização, Capital Social 58Rev Odonto Cienc 2014;29(2):57-62Social capital and self-perceived need for complete denture use | Moreira et al.
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