Dental Caries in Latin American and Caribbean countries: urgent need for a regional consensus

Sampaio, Fábio Correia; Malheiros, Zilson; Benítez, Carlos; Stewart, Bernal; Bönecker, Marcelo

doi:10.1590/1807-3107bor-2021.vol35.0057

Cited by 5 publications

(2 citation statements)

References 9 publications

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“…Outra condição que atinge significativamente os pacientes oncológicos é a cárie dentária, considerada uma doença crônica, multifatorial e dinâmica biofilme-açúcar dependente, que danifica o tecido dental mineralizado (Kidd & Fejerskov, 2004;Sampaio et al, 2021). Nesse contexto, a radioterapia e a quimioterapia são fatores de risco para a cárie, tendo em vista o dano causado às glândulas salivares e a consequente hipossalivação, bem como a lesão na estrutura do esmalte dentário (Moore et al, 2020).…”

Section: Wu Et Al (2020)unclassified

Importância da assistência odontológica nos cuidados paliativos de pacientes oncológicos: uma revisão integrativa da literatura

Soares

Teixeira²,

Alves³

et al. 2022

RSD

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O objetivo deste estudo foi destacar o papel do cirurgião-dentista nos cuidados paliativos de pacientes adultos oncológicos. Trata-se de uma revisão integrativa com busca nas plataformas PubMed, SciELO, Scopus, LILACS e Embase. Foram incluídos artigos primários, publicados entre os anos de 2010 e 2022 nos idiomas inglês e português. Estudos sem relação direta com o tema foram excluídos. Dentre 550 artigos encontrados, foram selecionados 11. Em relação ao tratamento de pacientes oncológicos, as terapias como cirurgia, radioterapia e quimioterapia prejudicam a saúde oral, acarretando o aparecimento de manifestações orais durante e após as terapias, sendo mais frequentes os seguintes problemas: xerostomia, mucosite ou estomatite, candidíase, cárie pós-radioterapia e osteorradionecrose. Nesse sentido, o manejo odontológico é responsável por prevenir e tratar tais complicações, sendo imprescindíveis avaliações e procedimentos pré-terapêuticos, bem como educação em higiene oral e consultas periódicas com o dentista. O papel do dentista consiste também em prevenir infecções oportunistas, que são frequentes devido à imunossupressão causada por radioterapia ou quimioterapia, reduzindo o tempo de internação e o uso de medicamentos. Ademais, os pacientes podem apresentar dificuldade para deglutir e respirar, como também comprometimento estético e fonético, sendo necessária a reabilitação com dispositivos protéticos. A atuação odontológica nos cuidados paliativos em pacientes oncológicos é bastante importante para promover melhor qualidade de vida, tendo em vista as necessidades em cuidados orais que surgem durante todas as etapas do tratamento. O treinamento insuficiente nos cursos de graduação dificulta a preparação dos cirurgiões-dentistas na atuação em equipes de cuidados paliativos de pacientes com câncer.

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Section: Wu Et Al (2020)unclassified

Importância da assistência odontológica nos cuidados paliativos de pacientes oncológicos: uma revisão integrativa da literatura

Soares

Teixeira²,

Alves³

et al. 2022

RSD

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“…Their consequences on quality of life indicate a strong need for attention from health care systems worldwide [ 3 , 4 , 5 ]. Caries and periodontal diseases, two of the main oral diseases, affect a large percentage of the population in Latin America and Mexico; substantial oral health care needs have been observed [ 6 , 7 , 8 ].…”

Section: Introductionmentioning

confidence: 99%

Socioeconomic Inequalities and Toothbrushing Frequency among Schoolchildren Aged 6 to 12 Years in a Multi-Site Study of Mexican Cities: A Cross-Sectional Study

et al. 2022

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Periodic toothbrushing is the most common, effective, and reliable way to mechanically remove biofilm from oral tissues. The objective of the present study was to determine the association between toothbrushing frequency and socioeconomic position for schoolchildren between 6 and 12 years of age in four cities in Mexico. A cross-sectional study was conducted on 500 Mexican schoolchildren between 6 and 12 years of age from public schools in four Mexican cities. Questionnaires were administered to the parents/guardians of the schoolchildren to obtain the variables included in the study. The dependent variable was toothbrushing frequency, dichotomized as: 0 = less than twice a day and 1 = at least twice a day. The analysis was performed in Stata. The average age of the schoolchildren was 8.9 ± 1.9 years; 50.4% were female. The prevalence of toothbrushing was 52.8% (at least twice a day) (95% CI = 48.4−57.1). In the multivariate model, the variables associated (p < 0.05) with toothbrushing frequency were older age of the schoolchild (OR = 1.14); younger age of the mother (OR = 0.93); being a girl (OR = 1.70); being enrolled in Seguro Popular (OR = 0.69); being in a household that was owned (OR = 2.43); and being a schoolchild who lived in a home that owned a car (OR = 1.31). The prevalence of toothbrushing at least twice a day was just over 50% in these Mexican children. We found demographic and socioeconomic variables to be associated with toothbrushing. Based on socioeconomic variables that were associated with toothbrushing frequency—such as health insurance, home ownership and the household owning a car—the results of the present study confirm the existence of health inequalities in toothbrushing frequency.

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Management of dental caries lesions in Latin American and Caribbean countries

Pozos‐Guillén

Molina

Soviero³

et al. 2021

Braz. oral res.

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Caries management at the lesion level is dependent on the lesion activity, the presence of a cavitation (either cleanable or non-cleanable), and lesion depth as evaluated via radiographic examination. A variety of non-invasive, micro-invasive, and minimally invasive treatment (with or without restoration) options are available for primary and permanent teeth. Non-invasive strategies include oral hygiene instructions, dietary counseling, and personal as well as professional use of fluoridated products that reduce demineralization and increase re-mineralization. Micro-invasive procedures include the use of occlusal resin sealants and resin infiltrants, while minimally invasive strategies comprise those related to selective removal of caries tissues and placement of restorations. Deep caries management includes indirect pulp capping, while exposed pulp may be treated using direct pulp capping and partial or complete pulpotomy. The aim of the present study was to review available evidence on recommended preventive and restorative strategies for caries lesions in Latin American/Caribbean countries, and subsequently develop evidence-based recommendations for treatment options that take into consideration material availability, emphasize ways to adapt available treatments to the local context, and suggest ways in which dentists and health systems can adopt these treatments.

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Dental Caries in Latin American and Caribbean countries: urgent need for a regional consensus

Cited by 5 publications

References 9 publications

Importância da assistência odontológica nos cuidados paliativos de pacientes oncológicos: uma revisão integrativa da literatura

Importância da assistência odontológica nos cuidados paliativos de pacientes oncológicos: uma revisão integrativa da literatura

Socioeconomic Inequalities and Toothbrushing Frequency among Schoolchildren Aged 6 to 12 Years in a Multi-Site Study of Mexican Cities: A Cross-Sectional Study

Management of dental caries lesions in Latin American and Caribbean countries

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