RESUMO
Aim: To determine prevalence, severity, and risk factors associated with Molar Incisor Hypomineralization (MIH) in schoolchildren between 6 and 15 years of age in Medellin, Colombia. Study design: We conducted a retrospective observational study including 1.075 children born and residing in Medellin, Colombia. A structured questionnaire addressing gestational period and first three years of child's life was administered to biological mothers. Two calibrated examiners established MIH diagnosis following the European Academy of Paediatric Dentistry criteria. Data were analyzed using descriptive statistics, bivariate analysis, and linear regression with a 5% significance. Results: Study population was predominantly male (70.7%), average age was 9.3±1.9 years. Prevalence of MIH was 11,2%. The majority of defects (85%) were mild. MIH was associated with alterations during last gestational trimester, type of childbirth and respiratory problems. Conclusion. MIH prevalence in schoolchildren between 6 and 15 years of age was 11.2%, being mild defects more frequently found. MIH was associated with different factors during pregnancy and the first three years of life.
Assuntos
Hipoplasia do Esmalte Dentário , Complicações na Gravidez , Doenças Respiratórias , Adolescente , Criança , Colômbia , Hipoplasia do Esmalte Dentário/complicações , Hipoplasia do Esmalte Dentário/epidemiologia , Feminino , Humanos , Incisivo , Masculino , Dente Molar , Gravidez , Complicações na Gravidez/epidemiologia , Prevalência , Doenças Respiratórias/complicações , Doenças Respiratórias/epidemiologia , Estudos Retrospectivos , Fatores de RiscoRESUMO
AIM: To evaluate the ability of a calcium silicate-based sealer (iRoot SP) and an epoxy resin-based sealer (Topseal) using two gutta-percha filling techniques to fill artificial lateral canals (ALCs). METHODOLOGY: Seventy single-rooted human teeth were selected. Ten of these were used to obtain pilot data. Three ALCs were produced on mesial and distal surfaces of each root, one in each third, using size 10 engine reamers. The roots were randomly assigned to four experimental groups according to the filling technique and sealer used: 1, cold gutta-percha (single-point technique) with iRoot SP (SP-iR); 2, cold gutta-percha (single-point technique) with Topseal (SP-T); 3, continuous wave of condensation technique with iRoot SP (CWC-iR); and 4, continuous wave of condensation technique with Topseal (CWC-T). Digital periapical radiographs were taken. After the sealer had set, the roots were demineralized, cleared in methyl-salicylate and examined under a stereomicroscope. The depth of penetration of sealer and/or gutta-percha into the ALC was scored using a 5-point system, conducting an analysis on four surfaces. Filling scores of 0-1 were considered not acceptable, whilst scores of 2-4 were considered acceptable. Pearson's chi-square test was used to compare the experimental groups (P < 0.05). RESULTS: CWC-T was associated with the highest acceptable filling (57.8%), followed by CWC-iR (53.3%), SP-T (48.9%) and SP-iR (36.7%). Only when SP-iR was compared to the other groups, was the difference significant (P < 0.05). The apical third was associated with the lowest acceptable filling (37.5%). It was followed, in ascending order, by the middle (51.6%) and coronal thirds (58.3%). These differences were significant only when the apical thirds were compared to the other root thirds (P < 0.05). CONCLUSION: The calcium silicate-based sealer with continuous wave of condensation was more effective in artificial filling lateral canals than the single-point technique. The epoxy resin-based sealer with both filling techniques was effective in artificial filling lateral canals.
Assuntos
Compostos de Cálcio/química , Resinas Epóxi/química , Guta-Percha/química , Materiais Restauradores do Canal Radicular/química , Obturação do Canal Radicular/métodos , Silicatos/química , Humanos , Técnicas In Vitro , Microscopia Eletrônica de Varredura , Projetos Piloto , Distribuição Aleatória , Preparo de Canal Radicular/métodosRESUMO
UNLABELLED: Indoor air pollution is considered to be a serious public health issue in Mexico; therefore, more studies regarding this topic are necessary. In this context, we assessed exposure to polycyclic aromatic hydrocarbons (PAHs) and volatile organic compounds in: (i) women who use firewood combustion (indoor) for cooking and heating using traditional open fire; (ii) women who use firewood combustion (outdoor) for cooking and heating using traditional open fire; and (iii) women who use LP gas as the principal energy source. We studied 96 healthy women in San Luis Potosi, México. Urine samples were collected, and analyses of the following urinary exposure biomarkers were performed by high-performance liquid chromatography: 1-hydroxypyrene (1-OHP), trans, trans-muconic acid, and hippuric acid (HA). The highest levels of 1-OHP, trans, trans-muconic acid, and HA were found in communities where women were exposed to indoor biomass combustion smoke (or products; geometric mean ± s.d., 3.98 ± 5.10 µmol/mol creatinine; 4.81 ± 9.60 µg/l 1-OHP; 0.87 ± 1.78 mg/g creatinine for trans, trans-muconic acid; and 1.14 ± 0.91 g/g creatinine for HA). Our findings indicate higher exposure levels to all urinary exposure biomarkers studied in women who use indoor firewood combustion for cooking and heating (using traditional open fire). PRACTICAL IMPLICATIONS: High mean levels of 1-hydroxypyrene, t,t-muconic acid, and hippuric acid were found in women who use firewood combustion (indoor) for cooking and heating using traditional open fire and taking into account that millions of women and children in Mexico are living in scenarios similar to those studied in this report, the assessment of health effects in women and children exposed to polycyclic aromatic hydrocarbons and volatile organic compounds is urgently needed. Moreover, it is immediately necessary an intervention program to reduce exposure.
Assuntos
Poluição do Ar em Ambientes Fechados/efeitos adversos , Benzeno/efeitos adversos , Hidrocarbonetos Policíclicos Aromáticos/efeitos adversos , Tolueno/efeitos adversos , Adolescente , Adulto , Poluentes Atmosféricos/efeitos adversos , Culinária , Fontes Geradoras de Energia , Feminino , Calefação/efeitos adversos , Hipuratos/urina , Humanos , México , Pessoa de Meia-Idade , Grupos Populacionais , Saúde Pública , Pirenos/análise , Fumaça/efeitos adversos , Ácido Sórbico/análogos & derivados , Ácido Sórbico/análise , Compostos Orgânicos Voláteis/efeitos adversos , Madeira , Adulto JovemRESUMO
Sediment cores from the Colorado River (CR) remnant delta were used to assess the changing sedimentation and pollutant deposition processes in response to extensive human manipulation of the river. The cores are formed of alternating layers of clays and silts, with isolated sandy horizons. The clayey units are interpreted as periods of flood flows into this low gradient and meandering estuary after dam construction in the United States. The geochemistry of these sediments is particular because of the association of MnO with CaO rather than with the Fe(2)O(3)-rich clays. Past pollution of the CR delta by As, and probably also Pb and Cu, is recorded in some cores. Enrichment factors (EFs) >1 for these elements and their statistical association suggest anthropogenic inputs. The most likely sources for these element enrichments (especially As) are the arsenate-based pesticides used intensively in the area during the first half of the 20th century. The transport of these elements from the nearby agricultural lands into the present river reaches appears to have been driven in part by flooding events of the CR. Flushing by river and tide flows appear to be responsible of a lower pollutant deposition in the CR compared to the adjacent Hardy River (HR). Arsenic in the buried clay units of the HR has concentrations above the probable toxic effect level (PEL) for dwelling organisms, with maximum concentrations of 30 microg g(-1). Excess (210)Pb activities ((210)Pb(xs)) indicate that fluxes of this unsupported atmospheric isotope were not constant in this estuarine environment. However, the presence of (210)Pb(xs) does indicate that these sediments accumulated during the last ~100 years. Aproximate sediment ages were estimated from the correlation of historic flooding events with the interpretation of the stratigraphic record. They are in fair agreement with the reported onset of DDT metabolites at the bottom of one core.