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1.
Rev. Flum. Odontol. (Online) ; 2(67): 53-59, mai-ago.2025.
Artigo em Português | LILACS, BBO - Odontologia | ID: biblio-1572976

RESUMO

A ozonioterapia engloba o emprego do gás no setor saúde, advindo de suas características analgésicas, imunomoduladoras, antimicrobianas e imunoestimulantes, o que possibilita que ele atue no enfrentamento de inúmeras patologias. O uso do ozônio tem ocorrido nas áreas de Medicina e de Odontologia, advindo do fato de que esse gás é empregado sob concentrações baixas, o que caracteriza esse tipo de terapia como sendo um recurso seguro, que deve proceder por intermédio da aplicação efetuada por um profissional de saúde apto e capacitado para tal. O objetivo do presente artigo foi evidenciar como a ozonioterapia pode ser aplicada em âmbito odontológico. Em Odontologia, pode-se efetuar terapia com esse gás nas áreas de Periodontia, Dentística, Cirurgia e Endodontia. Sua aplicabilidade odontológica advém de suas propriedades antimicrobianas, curativas e imunometabólicas. A ozonioterapia corretamente aplicada e selecionada para uso odontológico pode possibilitar condições de obter-se um melhor desfecho no tratamento preconizado aos pacientes.


Ozone therapy encompasses the use of gas in the health sector, arising from its analgesic, immunomodulatory, antimicrobial and immunostimulant characteristics, which allows it to act in the fight against numerous pathologies. The use of ozone has occurred in the areas of Medicine and Dentistry, arising from the fact that this gas is used at low concentrations, which characterizes this type of therapy as a safe resource, which must proceed through the application carried out by a qualified and qualified health professional. The objective of this article was to show how ozone therapy can be applied in the dental field. In Dentistry, therapy with this gas can be carried out in the areas of Periodontics, Dentistry, Surgery and Endodontics. Its dental applicability comes from its antimicrobial, curative and immunometabolic properties. Ozone therapy correctly applied and selected for dental use can enable conditions to obtain a better outcome in the treatment recommended for patients.


Assuntos
Terapias Complementares , Assistência Odontológica , Odontologia , Ozonioterapia
2.
Rev. Flum. Odontol. (Online) ; 2(67): 75-87, mai-ago.2025.
Artigo em Português | LILACS, BBO - Odontologia | ID: biblio-1572996

RESUMO

A osteoporose é caracterizada pela perda óssea e pelo comprometimento da resistência do osso. Essa patologia afeta, também, os ossos da face e consequentemente interfere na atuação dos profissionais da odontologia. Assim sendo, o presente trabalho revisou a literatura acerca da relação entre osteoporose e odontologia. O levantamento dos dados se deu por consulta a livros e nas bases de dados Biblioteca Virtual em Saúde (BVS), PubMed e Scientific Eletronic Library Online (SciELO) e como Descritores em Ciência da Saúde (Decs) foram adotados os termos: "Odontologia", "Osteoporose" e "Saúde bucal". A osteoporose diminui a massa e aumenta a porosidade óssea na maxila e na mandíbula, podendo provocar até quatro vezes mais perda dentária. Os bifosfonatos, principal classe medicamentosa utilizada para o tratamento de osteoporose, estão associados à ocorrência de osteonecrose dos maxilares e ao aumento de tempo de tratamento ortodôntico. Assim, pode-se concluir que é imprescindível o conhecimento do cirurgião-dentista acerca da osteoporose para uma segura abordagem e execução de tratamento.


Osteoporosis is characterized by bone loss and compromised bone strength. This pathology also affects the bones of the face and consequently interferes with the work of dentists. Therefore, the present study reviewed the literature about the relationship between osteoporosis and dentistry. Data collection was carried out by consulting books and the databases Biblioteca Virtual em Saúde (BVS), PubMed and Scientific Electronic Library Online (SciELO) and as Medical Subjects Headings (MeSH) the terms adopted were: "Dentistry", "Osteoporosis" and "Oral health". Osteoporosis reduces bone mass and increases bone porosity in the maxilla and jaw, which can cause up to four times more tooth loss. Bisphosphonates, the main class of medications used to treat osteoporosis, are associated with the occurrence of osteonecrosis of the jaw (ONJ) and increase the time of orthodontic treatment. Thus, it can be concluded that the dentist's knowledge of osteoporosis is necessary for a safe approach and execution of treatment.


Assuntos
Osteoporose , Saúde Bucal , Odontologia , Difosfonatos
3.
Rev. Flum. Odontol. (Online) ; 2(67): 136-156, mai-ago.2025. ilus, tab
Artigo em Português | LILACS, BBO - Odontologia | ID: biblio-1573237

RESUMO

Este trabalho teve como o objetivo comparar dois Projetos Políticos Pedagógicos, descrever e analisar o desenvolvimento da visão humanística no curso de graduação em Odontologia da Universidade Federal Fluminense, a partir da ótica dos acadêmicos do referido curso. Realizou-se uma pesquisa descritivo-exploratória com enfoque quanti-qualitativo. A coleta de dados deu-se em 03 etapas, as duas primeiras por meio de categorização dos fatores selecionados pelos alunos e a terceira pelo método denominado grupo focal. As estratégias de análises utilizadas foram a categorização, operações estatísticas simples, análise temática e análise crítica com a literatura revisada. Entre os resultados da pesquisa têm-se: não existe diferença entre a visão humanística dos alunos no período inicial quando comparada com as dos alunos no final do período do ciclo profissional no Projeto Pedagógico Antigo, no Projeto Pedagógico Novo, em curso, os alunos demonstram em sua maioria estar voltados para uma visão mais humanística. Conclui-se que a humanização, do processo ensino-aprendizagem no contexto acadêmico pesquisado, apresenta ainda deficiências, constituindo-se, portanto, em um caminho a perseguir, onde o comprometimento de todos os envolvidos neste processo de transformação e formação tem um papel fundamental.


The aim of this paper was to compare two Pedagogical Political Projects, to describe and analyze the development of humanistic vision in the undergraduate course in Dentistry of the Federal University of Fluminense, from the perspective of the academics of this course. A descriptive-exploratory research with quantitative-qualitative approach was carried out. The data collection took place in 03 stages; the first two by categorizing the factors selected by the students and the third by the method called the focal group. The analysis strategies used were categorization, simple statistical operations, thematic analysis and critical analysis with the reviewed literature. The results of the research are: there is no difference between the humanistic view of the students in the initial period when compared to the students at the end of the professional cycle in the Pedagogical Project. In the New Pedagogical Project, in progress, students demonstrate, in majority, aimed at a more humanistic view. It is concluded that the humanization of the teaching-learning process in the researched academic context still presents deficiencies, constituting, therefore, a path to be pursued, where the commitment of all those involved in this process of transformation and formation plays a fundamental role.


Assuntos
Humanos , Masculino , Feminino , Estudantes de Odontologia , Ensino , Educação em Odontologia , Humanização da Assistência , Aprendizagem
4.
Artigo em Inglês | MEDLINE | ID: mdl-39887306

RESUMO

OBJECTIVES: Digital impressions using intraoral scanners (IOS) are replacing conventional impressions, requiring a learning process. This study compared the learning curves of 29 dentists with no prior IOS experience, randomly assigned to groups: Eagle, Omnicam- AF, and IS-3700. METHODS: After a lecture, participants performed three full scans (maxilla, mandible, and occlusion record) on a phantom and completed a survey about their experience. Scanning times to achieve adequate scans were recorded, and Wright's model was used to estimate the number of trials required for proficiency. Statistical analyses used Kruskal-Wallis and Chi-Square tests. RESULTS: Proficiency was achieved after 10 trials with Eagle and 11 trials with Omnicam-AF and IS-3700. Participants using IS- 3700 reached the plateau faster (167.9 s) than those using Eagle (245.5 s, P=0.041) and Omnicam-AF (260.6 s, P=0.014). While all groups appreciated the time-saving benefits over conventional impressions, 60-70% identified the need for further training. CONCLUSION: Despite similar trials required for proficiency, differences in average scanning times suggest that IOS characteristics may influence learning efficiency and user perceptions. CLINICAL RELEVANCE: Understanding learning curves and device-specific performance can help optimize IOS training programs and guide clinicians in adopting digital workflows effectively.

5.
J Biomed Mater Res B Appl Biomater ; 113(2): e35536, 2025 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-39888107

RESUMO

In the present study, chitosan microspheres (MSCH) loaded with different concentrations of simvastatin (2%, 5%, and 10%) were synthesized as a biomaterial for dentin tissue engineering. The microspheres were prepared by emulsion crosslinking method, and simvastatin was incorporated during the process. The microspheres were then physicochemically and morphologically characterized. Scanning electron microscopy and infrared spectroscopy confirmed the spherical morphology of synthesized microspheres and the chemical incorporation of simvastatin into MSCH, respectively. UV-visible absorption confirmed the controlled and continuous release pattern of the drug. To mimic the clinical application in vitro, the microspheres were applied onto three-dimensional (3D) cultures of human dental pulp cells (HDPCs). Cell viability, proliferation, and in situ-mineralized matrix deposition were evaluated. The results indicated no cytotoxic effects for all 3D cultures for all tested biomaterials, with cells being able to proliferate significantly over time. HDPCs showed a significant increase in the deposition of mineralization nodules when 3D cultures were in direct contact with chitosan microspheres in comparison to control; nevertheless, the highest expression was observed for MSCH encapsulated with 5% and 10% simvastatin, which was significantly higher than plain MSCH. Therefore, chitosan microsphere systems loaded with 5%-10% simvastatin provided the development of a controlled release system in bioactive dosages for dentin tissue engineering.


Assuntos
Quitosana , Polpa Dentária , Dentina , Microesferas , Sinvastatina , Engenharia Tecidual , Sinvastatina/química , Sinvastatina/farmacologia , Quitosana/química , Humanos , Polpa Dentária/citologia , Polpa Dentária/metabolismo , Dentina/química , Dentina/metabolismo , Materiais Biocompatíveis/química , Células Cultivadas , Sobrevivência Celular/efeitos dos fármacos
6.
Rev. Flum. Odontol. (Online) ; 1(66): 84-103, jan-abr.2025. ilus
Artigo em Português | LILACS, BBO - Odontologia | ID: biblio-1570715

RESUMO

Introdução: A fitoterapia se baseia na utilização de plantas medicinais, através de diferentes formulações farmacêuticas com fins terapêuticos. Na Odontologia, os fitoterápicos têm sido alvo de estudos, devido suas propriedades benéficas, além de apresentarem biocompatibilidade, baixo custo e fácil acesso. Objetivo: Realizar um levantamento na literatura científica sobre a utilização da fitoterapia na Odontologia, com vistas aos efeitos antimicrobiano, anti-inflamatório e reparador. Material e Métodos: A busca ocorreu entre fevereiro a julho/2023, nas bases PubMed e LILACS, além de livre busca, cruzando-se os descritores "Phytotherapy", "Dentistry", "Anti-inflamatory Agents", "Anti-Infective Agents", "Wound Healing", "Fitoterapia", "Odontologia", "Anti-inflamatório", "Antimicrobiano" e "Cicatrização". Após leitura inicial, seguida da análise crítica com aplicação dos critérios estabelecidos, foram selecionadas 50 referências. Desenvolvimento: Diversas plantas são empregadas sob a forma de fitoterapia, como Aloe vera (babosa), Matricaria recutita (camomila), Copaifera (copaíba), Punica granatum (romã), Uncaria tomentosa (unha-de-gato), Malva sylvestris (malva), Althaea officinalis (malvaísco), Myracrodruon urundeuva (Aroeira), Lippia sidoides (Alecrim pimenta) e Glycyrrhiza glabra (Alcaçuz). Na Odontologia, pesquisas evidenciaram resultados satisfatórios para o tratamento de afecções da cavidade oral, especialmente com caráter inflamatório e infeccioso, além de aclerar a cicatrização. Esses achados apontam que a fitoterapia é um tratamento eficaz, acessível e com mínimos efeitos colaterais. Considerações finais: Com base na literatura revisada, a fitoterapia parece ser uma alternativa promissora no tratamento de afecções orais, devido aos seus notáveis efeitos cicatrizantes, antimicrobianos e anti-inflamatórios. Contudo, mais pesquisas com metodologias adequadas são necessárias para que se estabeleçam protocolos clínicos seguros e eficazes.


Introduction: Phytotherapy is based on the use of medicinal plants through different pharmaceutical formulations for therapeutic purposes. In Dentistry, phytotherapeutics have been the subject of studies due to their beneficial properties, as well as their biocompatibility, low cost, and easy accessibility. Objective: To conduct a literature review on the use of phytotherapy in Dentistry, focusing on antimicrobial, anti-inflammatory, and reparative effects. Materials and Methods: The search took place between February and July 2023, using PubMed and LILACS databases, in addition to a free search, crossing the descriptors "Phytotherapy," "Dentistry," "Anti-inflammatory Agents," "Anti-Infective Agents," "Wound Healing," "Fitoterapia," "Odontologia," "Anti-inflammatory," "Antimicrobial," and "Cicatrização." After an initial reading, followed by critical analysis with the application of established criteria, 50 references were selected. Development: Various plants are employed in phytotherapy, such as Aloe vera (aloe), Matricaria recutita (chamomile), Copaifera (copaiba), Punica granatum (pomegranate), Uncaria tomentosa (cat's claw), Malva sylvestris (mallow), Althaea officinalis (marshmallow), Myracrodruon urundeuva (Brazilian copaiba), Lippia sidoides (rosemary pepper), and Glycyrrhiza glabra (licorice). In Dentistry, research has shown satisfactory results for the treatment of oral cavity conditions, especially those with inflammatory and infectious characteristics, as well as accelerating healing. These findings suggest that phytotherapy is an effective, accessible treatment with minimal side effects. Final considerations: Based on the reviewed literature, phytotherapy appears to be a promising alternative in the treatment of oral conditions due to its notable healing, antimicrobial, and anti-inflammatory effects. However, more research with appropriate methodologies is necessary to establish safe and effective clinical protocols.


Assuntos
Terapêutica , Cicatrização , Odontologia , Fitoterapia , Anti-Inflamatórios , Boca
7.
J Esthet Restor Dent ; 2025 Jan 17.
Artigo em Inglês | MEDLINE | ID: mdl-39822083

RESUMO

PURPOSE: To compare the color alteration, surface roughness and microhardness and cross-sectional microhardness of bovine enamel treated with at-home whitening strips and gels. MATERIALS AND METHODS: Sixty-six pigmented specimens (n = 11) were allocated to six groups: C-cotton wool moistened with distilled water for 1 h; SDS-sodium dithionite strip, for 1 h; HPS-6.5% hydrogen peroxide strip, for 1 h; CPS-20% carbamide peroxide strip, for 1 h; HPG-7.5% hydrogen peroxide gel, for 1 h; CPG-10% carbamide peroxide gel, for 4 h. The treatments lasted 10 days, calculating the ∆E, ∆E00, and ∆WID at baseline, 5 and 10 days, and 14 days after completion. Additional 66 polished discs (n = 11) were used to analyze the surface roughness and microhardness of enamel before and after bleaching, cross-sectional microhardness and integrated mineral loss (ΔZ; %Vol × µm). Data were subjected to statistical analysis by two-way Anova RM and Tukey post-test (α = 0.05). RESULTS: In ∆E and ∆WID analysis, greater values were obtained in CPG (p < 0.001), followed by HPG and HPS (p = 0.271). SDS and CPS (p < 0.001) exceeded only C (p < 0.001). In ∆E00, at completion of treatments, the results were similar; however, HPG = HPS = CPS (p = 0.237). There was an increase in roughness and decrease in surface microhardness in all bleaching groups (p < 0.005). Concerning the cross-sectional microhardness, the treatments were equal to C at 150 µm, the last depth analyzed. For ΔZ, the values of SDS, CPS, HPG, and CPG groups showed similar mineral loss (p > 0.001), and the lowest value was exhibited in the Control group, followed by HPS group (p < 0.001). CONCLUSION: Although the strips were aesthetically effective, the CPG and HPG groups presented highest values in the ∆E00 and ∆WID analysis. However, all treatments influenced the enamel surface, increasing roughness and decreasing surface and transverse microhardness. CLINICAL RELEVANCE: The whitening gels promoted greater chromatic changes, but all treatments affected the enamel surface, increasing roughness and decreasing surface and transverse microhardness.

8.
Clin Oral Investig ; 29(1): 58, 2025 Jan 13.
Artigo em Inglês | MEDLINE | ID: mdl-39804393

RESUMO

AIM: To perform a systematic review to investigate if the use of audio distraction reduces signs of stress and anxiety in paediatric patients undergoing dental treatment. MATERIALS AND METHODS: Search was made in electronic databases (MEDLINE, Scopus, Embase, Web of Science, Scielo, BVS, Springer Link, Science Direct, Cochrane Library, and grey literature) until March 11th, 2024. The eligibility criteria were: paediatric patients under dental treatment; use of audio as a distraction method; comparison between groups with and without use of audio distraction; Clinical trials. The outcomes measured were alterations in the anxiety, fear and/or stress levels. Evaluation of the risk of bias and assessment of the certainty of the evidence (GRADE) were performed. Meta-analysis was conducted for four outcomes, considering 95% confidence interval (CI), random effects and heterogeneity from Tau². RESULTS: From 5,495 results, 25 studies composed the narrative sample and 12 composed the meta-analysis. High risk of bias was generally observed. Three results from the meta-analysis showed high heterogeneity and some outcomes presented a statistical association: systolic blood pressure reduction (p = 0.52; CI= -6.05 [-7.50 to -4.60]), pulse rate (p < 0.00001; CI= -4.95 [-9.95 to -3.52]), Venham's test scores (p < 0.00001; CI= -1.24 [-1.79 to -0.68]), and oxygen saturation (p < 0.00001; CI = 0.14 [-0.04 to 0.33]). The outcomes presented "very low" and "low" certainty of evidence. CONCLUSION: Although a low certainty of evidence was observed, our study suggests that audio may be an effective alternative for reducing stress and anxiety and pain perception during non-invasive treatments. Future well-designed studies are necessary. CLINICAL RELEVANCE: Audio distraction presents a potential role as an efficient method to reduce stress in children undergoing dental treatment. More RCTs are necessary to improve the evidence level, considering the main variables related to audio distraction.


Assuntos
Estresse Psicológico , Humanos , Criança , Estresse Psicológico/prevenção & controle , Ansiedade ao Tratamento Odontológico/prevenção & controle , Assistência Odontológica para Crianças/métodos , Ansiedade/prevenção & controle
9.
Eur J Dent Educ ; 2025 Jan 11.
Artigo em Inglês | MEDLINE | ID: mdl-39797605

RESUMO

INTRODUCTION: Generic competencies are transferable skills, knowledge and attitudes essential for personal and professional development and not restricted to any particular field. Evidence shows the relevance of incorporating them into the dentistry curriculum. However, defining which competencies to prioritise is complex and requires input from the academic community. This research aimed to understand the perception of dentistry students and teachers at Universidad Diego Portales regarding the importance of generic competencies in the profession and their development during undergraduate studies. MATERIALS AND METHODS: 74 teachers and 256 students participated, representing 55% of the study population. The Tuning Latin America project's generic competencies questionnaire was used, assessing 27 competencies in terms of relevance, ranking, and development. RESULTS: A positive perception regarding the importance of generic competencies was observed, with over 90% of participants considering them quite or highly relevant. When ranking, five skills stood out: three from the learning process, one from social values, and one from interpersonal skills. Regarding the development of such skills, both teachers and students expressed that many competencies were not well implemented; over 50% of participants considered 14 of the presented skills as poorly developed or not developed at all. DISCUSSION: Each programme must select generic competencies for their students' training, as this definition varies according to the consulted group and country. CONCLUSIONS: Both teachers and students recognised the professional relevance of generic competencies in dentistry. Both groups perceived that many were not adequately developed in the curriculum.

10.
Biomedicines ; 13(1)2025 Jan 15.
Artigo em Inglês | MEDLINE | ID: mdl-39857789

RESUMO

Background: Poor oral health and periodontitis have been epidemiologically linked to cognitive decline and mild cognitive impairment (MCI) in older adults. However, specific metrics directly linking these clinical signs are exceedingly limited. Methods: To address this gap and develop novel tools to help clinicians identify individuals at risk of cognitive decline, we established the PerioMind Colombia Cohort, comprising elderly Colombian subjects who underwent comprehensive neurocognitive and periodontal evaluations. Results: The results revealed that subjects diagnosed with MCI exhibited significantly higher scores in specific periodontal indices, including gingival erythema and pocket depth parameters. The predictive model identified positive associations with MCI, with gingival erythema showing the strongest correlation, followed by the presence of periodontitis and variations in pocket depth measurements. Additionally, lower educational attainment was associated with a higher likelihood of being classified in the periodontitis-MCI group. Conclusions: Here, we show that specific altered periodontal metrics are associated with MCI diagnosis, and the generated results provide defined metric ranges for identifying individuals at risk. Upon validation in larger cohorts, the findings reported here could offer dental practitioners and clinicians innovative tools to identify individuals at risk of MCI and age-related dementias through routine oral health assessments, thereby enabling more accessible and highly sought-after early intervention strategies in both developing and developed countries.

11.
BMC Oral Health ; 25(1): 138, 2025 Jan 26.
Artigo em Inglês | MEDLINE | ID: mdl-39865223

RESUMO

BACKGROUND: Dengue virus (DENV) infection, a mosquito-borne disease, presents a significant public health challenge globally, with diverse clinical manifestations. Although oral dengue manifestations are uncommon, they can serve as crucial diagnostic indicators and impact patient management in dental practice. This scoping review aims to map the evidence on the oral manifestations associated with DENV infection and their clinical implications for dental practice. METHODS: This review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) guidelines and was registered on PROSPERO (CRD42022337572). A comprehensive search was conducted across six electronic databases (MEDLINE, Web of Science, Scopus, Embase, Cochrane Library, and LILACS/BBO) up to June 2024. Eligible studies included case reports, case-control, cohort, and cross-sectional studies reporting oral manifestations in patients with DENV infection. RESULTS: A total of 41 studies were included, comprising 17 case reports, 15 retrospective cohort studies, 4 prospective cohort studies, and 5 cross-sectional studies. Gingival bleeding, oral ulceration, bilateral inflammatory increase in the parotid glands, and lingual hematoma were the most frequently reported oral manifestations. Less common manifestations included Ludwig's angina, osteonecrosis of the jaw, and angular cheilitis. These findings suggest a broad spectrum of oral symptoms that could aid in the early identification and management of dengue patients. CONCLUSIONS: This review highlights the importance of recognizing oral manifestations in dengue patients, which can facilitate early diagnosis and intervention, particularly in dengue-endemic regions. Dental professionals play a crucial role in identifying these symptoms and improving patient outcomes. Further research is needed to explore the pathophysiological mechanisms underlying these manifestations and to develop standardized protocols for clinical assessment and management. CLINICAL RELEVANCE: This paper highlights the role of dental professionals in early dengue diagnosis, emphasizing oral manifestations like gingival bleeding. It promotes interdisciplinary care, improving patient outcomes and management in dengue-endemic regions.


Assuntos
Dengue , Doenças da Boca , Humanos , Dengue/complicações , Doenças da Boca/etiologia , Doenças da Boca/virologia
12.
J Oral Rehabil ; 2025 Jan 28.
Artigo em Inglês | MEDLINE | ID: mdl-39871648

RESUMO

OBJECTIVE: The objective of this research is to evaluate the effectiveness and safety of photobiomodulation or low-level laser therapy on burning mouth syndrome compared to placebo, no-laser, clonazepam and alpha-lipoic acid. METHODS: A systematic review of randomised clinical trials was performed. The databases consulted were MEDLINE, CENTRAL, LILACS, EMBASE and clinical trial registries ClincalTrial.org and WHO-ICTRP, to retrieve citations published until April 4, 2023. In addition, we consulted the grey literature for unpublished studies. There were no restrictions on language, publication status and publication date. Outcomes included pain relief, change in oral health quality of life, adverse effects and change in the quality of life concerning anxiety and depression. Two independent authors performed the study selection, and the risk of bias was assessed using the Cochrane collaboration tool. The random effect was calculated with a 95% confidence interval to calculate the relative risk. We performed heterogeneity by I2 and subgroup analysis. For all calculations, we used Review Manager 5.4.1 software. RESULTS: In total, 528 references were located, and 13 studies were included, with 503 participants. Seven studies were evaluated qualitatively, and six were grouped for data meta-analysis according to the type of laser used, red or infrared. The following comparisons were evaluated: laser versus placebo, laser versus clonazepam and laser versus alpha-lipoic acid. Less pain was reported with the use of a laser, with low quality of evidence, in the comparisons: red laser versus placebo with a weighted mean difference (WMD) of -1.18; 95% CI [-2.16 to -0.19]; I2 = 61%; N = 58; 2 RCTs; infrared laser versus placebo with WMD = -1.34; 95% CI [-1.86 to -0.82]; I2 = 14%; N = 87; 3 RCTs; laser versus clonazepam with mean difference (MD) of -1.66; 95% CI [-3.17 to -0.15]; I2 = 0%; N = 33; 1 RCT. Oral health quality of life was better with the use of the laser, with very low quality of evidence, in the comparisons: red laser versus placebo with WMD = -1.08; 95% CI [-1.49 to -0.66]; I2 = 0%; N = 105; 2 RCTs; infrared laser versus placebo with WMD = -0.46; 95% CI [-1.70 to 0.78]; I2 = 86%; N = 85; 3 RCTs; laser versus clonazepam with MD = -19.65; 95% CI [-45.97 to 6.67]; N = 33; 1 RCT. For anxiety and depression, there was no significant difference between the groups, with very low quality of evidence, in the comparisons: infrared laser versus placebo, for anxiety with MD = 0.11; 95% CI [-2.64 to 2.86]; N = 28; 1 RCT; and for depression with MD = -0.66; 95% CI [-3.56 to 3.44]; N = 28; 1 RCT. Likewise, the comparison of laser versus clonazepam for anxiety and depression with MD = 1.05; 95% CI [-2.83 to 4.93]; N = 33; 1 RCT. CONCLUSION: Pain was less common, and quality of life was better when using a low-level laser than placebo and clonazepam. The certainty of the evidence obtained was low and very low, respectively, meaning that the true effect may differ substantially from the effect estimate. Further well-conducted RCTs are needed to increase the degree of certainty of the evidence obtained.

13.
Int J Legal Med ; 2025 Jan 28.
Artigo em Inglês | MEDLINE | ID: mdl-39873734

RESUMO

The age estimation by tooth cementum thickness is a method that has been discussed regarding its applicability. The aim of this study was to conduct a systematic review on the use of tooth cementum thickness as a biomarker for age estimation in adults, as well as a meta-analysis to assess the method's reliability. The search was conducted on Embase, LILACS, PubMed/MEDLINE, SciELO, Scopus, and Web of Science databases. Two independent reviewers used inclusion and exclusion criteria to select and assess relevant studies. For bias risk assessment, a checklist proposed by the Joanna Briggs Institute was applied. Pearson and Spearman correlation coefficients were considered as effect measures for the meta-analysis between tooth cementum thickness and chronological age. Heterogeneity among studies was evaluated using Cochran's Q test ( p < 0.05 ), I2 index, and Graphic Display of Heterogeneity plot. Meta-analysis robustness was assessed using Baujat plots, and publication bias was checked using DOI plots and the Luis Furuya-Kanamori index. Most selected studies showed low risk of bias. Although not all studies were included in the meta-analysis, moderate heterogeneity was found among those included. The synthesized result indicated that tooth cementum thickness has a moderate correlation with chronological age, both when the outlier study is included ( r = 0.59 [ 0.48 ; 0.69 ] ) and when the outlier is removed ( r = 0.57 [ 0.45 ; 0.68 ] ). It is concluded that tooth cementum thickness represents a potential age biomarker that can be useful in age estimation methods for adults. However, the presented results should be considered cautiously, emphasizing the need for further primary studies.

14.
Stem Cell Rev Rep ; 2024 Dec 06.
Artigo em Inglês | MEDLINE | ID: mdl-39641877

RESUMO

The use of tissue bioengineering strategies in dentistry has gained relevance. Many studies indicate that stem cells associated with biomaterials can regenerate intraoral tissues and have been applied to patients with cleft lip and palate (CLP). One of the treatments is alveolar bone reconstruction through bone grafts, where the bone is removed from the donor site and placed in the alveolar cleft. The use of stem cells from deciduous dental pulp, associated with a hydroxyapatite and collagen scaffold, can eliminate the need for autologous bone grafts, reducing pain and morbidity at the donor site. This study presents a case report in which a patient with cleft lip and palate was treated using this technique, resulting in complete filling of the alveolar cleft after 12 months.

15.
J Contemp Dent Pract ; 25(8): 803-808, 2024 Aug 01.
Artigo em Inglês | MEDLINE | ID: mdl-39653675

RESUMO

AIM: To analyze the scientific literature on infrared thermography and thermal therapies in dentistry published between January 2019 and August 2024 and to identify trends, collaborations, and the impact of research in this field. MATERIALS AND METHODS: A descriptive, bibliometric study was conducted. The search was performed in Scopus using different MeSH terms, thesauri and other Emtree terms. Data were subsequently exported to SciVal and Bibliometrix for comprehensive analysis. The study evaluated publication trends, institutional and international collaborations, co-authorship networks, keywords, and citation patterns. Key metrics assessed included scholarly output, views per publication, citations per publication, CiteScore 2023, SNIP 2023, collaboration maps by country, Lotka's Law, Bradford's Law, and the corresponding author's country. RESULTS: The bibliometric analysis identified 41 documents from 23 sources, exhibiting a negative annual growth rate of -4.3%. The average age of the papers was 2.4 years, with each paper receiving an average of 5.2 citations. A total of 153 specific keywords were identified, and 206 authors contributed to the publications, with no single-authored papers. Besides, Universidade Estadual da Paraíba in Brazil led with 4 publications and an average of 7 citations per publication. The journal of thermal analysis and calorimetry stood out with 12 publications with a cite score of 8.5 and 5.3 citations per publication. CONCLUSIONS: Brazil, China, and Indonesia have distinguished themselves through their substantial academic output and notable impact, as evidenced by the high number of citations per publication. CLINICAL SIGNIFICANCE: This bibliometric analysis underscores the most impactful and collaborative research areas on infrared thermography and thermal therapies in dentistry. Beyond collaborative research, the study highlights the diverse techniques employed, the advancements in these techniques, and the geographical regions contributing significantly to this field. The findings provide valuable insights that can guide future research directions, enhance clinical practices, and foster international collaborations in infrared thermography and thermal therapies in dentistry. How to cite this article:: Taquia-Faustino A, Alvitez-Temoche D, Mauricio F, et al. Trends, Collaborative Networks, and Impact of Infrared Thermography and Thermal Therapies in Dentistry: A Bibliometric Study. J Contemp Dent Pract 2024;25(8):803-808.


Assuntos
Bibliometria , Termografia , Termografia/métodos , Humanos , Raios Infravermelhos , Odontologia , Autoria
16.
Artigo em Inglês | MEDLINE | ID: mdl-39739758

RESUMO

OBJECTIVE: To examine the association between the lifetime utilisation of dental services and dental caries experience in mixed dentition among adolescents participating in the 2004 Pelotas Birth Cohort, Southern Brazil. METHODS: This longitudinal study analysed a sample of 996 adolescents aged 12-13 years. Dental caries experience and untreated dental caries were the outcomes, assessed by the mean of decayed, missed and filled in deciduous (dmfs index) and in permanent (DMFS index) teeth, based on World Health Organization criteria. The main exposure was lifetime use of dental services, defined as: always have gone to the dentist for preventive reason; have gone to the dentist at times for preventive reason, at times for problem-oriented reason; always have gone to the dentist for problem-oriented reason (reference category). Family income mobility during the first 4 years of the child's life, maternal schooling, adolescent sex and skin colour were the confounders. Crude and adjusted analyses were conducted using negative binomial regression, estimating mean ratios (MR), and 95% confidence intervals (95% CI). RESULTS: In the adjusted analysis, adolescents who consistently utilised dental services for preventive reasons exhibited a mean 49% lower dental caries indexes (MR = 0.51; 95% CI 0.35-0.76) and 56% lower mean of untreated dental caries (MR = 0.44; 95% CI 0.26-0.74) compared to their counterparts who consistently sought dental care for problem-oriented reasons. The utilisation of dental services occasionally for preventive reasons and occasionally for problem-oriented reasons was also associated with lower caries indexes. CONCLUSION: The lifetime utilisation of dental services, whether always or occasionally for preventive reasons, was found to be a protective factor for dental caries in adolescence. These findings reinforce the importance of raising awareness among the public regarding the preventive use of dental services. Additionally, there is a need to organise dental services to facilitate the provision of preventive dental care since early childhood.

17.
Artigo em Inglês | MEDLINE | ID: mdl-39676722

RESUMO

OBJECTIVE: To perform a systematic review of in vitro studies examining endodontically treated anterior teeth restored with fiberglass posts versus composite posts reinforced with: polyethylene fibers (Ribbond), fiber-reinforced resin (everStick) and composite resin (everX). METHODS: The search was performed using PubMed, Scopus, Web of Science and LILACS. The studies were selected by two independent reviewers. To assess the risk of bias of each study, the QUIN tool was used. We analyzed the data using a narrative synthesis. RESULTS: Five articles were retained for final analysis. The risk of bias was moderate to high. Most studies reported non-catastrophic failures. With 72 non-catastrophic failures for the glass fiber group and 60 for the fiber-reinforced resins. Catastrophic failures were more prevalent in fiber-reinforced composite, especially in the Ribbond-treated group. CONCLUSION: Within the limitations of this study, the use of fiberreinforced composites as custom intracanal posts is still questionable, with controversial results. It is not possible to establish the superiority of one approach over the other in endodontically treated anterior teeth without ferrule. CLINICAL RELEVANCE: It was not possible to identify a superior performance among the approaches analyzed for the restoration of endodontically treated anterior teeth without ferrule.

18.
Clin Pract ; 14(6): 2580-2589, 2024 Nov 27.
Artigo em Inglês | MEDLINE | ID: mdl-39727791

RESUMO

Background: Dental caries is one of the most prevalent dental illnesses in children. Untreated severe caries can damage teeth, requiring pulpotomy to save them. Objective: To evaluate the clinical success rate of treatments involving pulpotomies + IRM (Intermediate Restorative Material, composed of reinforced zinc oxide-eugenol polymers) + preformed metal crowns (PMCs) in primary teeth of children treated at a public university in Mexico. Materials and Methods: A cross-sectional ambispective study was conducted on children aged 10 years or younger, treated at a public university in Mexico. A total of 1281 medical records from February 2018 to June 2023 were reviewed, yielding a sample of 199 children treated with pulpotomy + IRM + PMC. Information was collected via telephone interviews with parents/caregivers to inquire about any symptoms following the pulpotomy and metal crown treatments. Success was defined as the absence of pain, inflammation, or infection. Results: During the study period, the number of teeth treated with pulpotomy + IRM + PMC was 414, with follow-ups ranging from 6 to 69 months. Most participants were girls (54.3%), while 45.7% were boys. Out of the 167 pulpotomy + IRM + PMC treatments included in the study, the clinical success rate was 98.2%. Conclusions: The clinical success rate of primary teeth treated with pulpotomy + IRM + PMCs was high, close to 100%, based on evidence and symptom reports from parents/caregivers. It would be beneficial to implement its use in public health institutions in countries such as Mexico.

19.
BMC Med Educ ; 24(1): 1526, 2024 Dec 24.
Artigo em Inglês | MEDLINE | ID: mdl-39719580

RESUMO

BACKGROUND: For health science students, publishing in scientific journals is a significant milestone that can positively impact their professional careers, providing recognition and credibility within the academic and professional community. However, despite the apparent increase in scientific production among undergraduate dental students in Latin America and the Caribbean, it remains low compared to other regions. The study aimed to determine the frequency of publication in scientific journals of the documents to obtain the professional title of dental surgeon by undergraduate dental students at a private Peruvian university over seven years. METHODS: This cross-sectional study considered all records of theses required for the professional title of dental surgeon from the Faculty of Dentistry at a private Peruvian university, as published in its institutional repository between 2017 and 2023. The main variable of the study was publication in scientific journals. In contrast, the year of formal submission of the document to obtain the professional title of dental surgeon, the type of document, the modality of obtaining the professional title, the area of dental specialty according to the American Dental Association, the year of publication, international indexing, impact factor (IF), and journal's quartile ranking were considered as covariates. Descriptive analysis was conducted to obtain absolute and relative frequencies. RESULTS: Between 2017 and 2023, 246 documents for the professional title of dental surgeon were published in the institutional repository of a Peruvian university, of which 23 were subsequently published in scientific journals. Of these, 20 (86.96%) were published in internationally indexed scientific journals, 1 (5.00%) was published in journals with an IF ≥ 2, and 2 (10.00%) were published in Q2 category journals. CONCLUSIONS: The seven-year analysis reveals significant challenges in converting undergraduate dental research at a Peruvian university into published scientific literature, with low rates of research documents achieving publication in scientific journals.


Assuntos
Editoração , Estudantes de Odontologia , Peru , Humanos , Estudos Transversais , Estudantes de Odontologia/estatística & dados numéricos , Editoração/estatística & dados numéricos , Universidades , Publicações Periódicas como Assunto/estatística & dados numéricos , Fator de Impacto de Revistas
20.
Rev Esp Geriatr Gerontol ; 60(3): 101618, 2024 Dec 28.
Artigo em Espanhol | MEDLINE | ID: mdl-39733731

RESUMO

INTRODUCTION/OBJECTIVE: Multidimensional geriatric assessment is an important diagnostic method in geriatrics. The objective of this article was to establish the relationship between nutritional, functional, cognitive status and oral health of institutionalized older adults. METHODOLOGY: A cross-sectional observational study was carried out, where 93 institutionalized older adults participated, including oral assessment and Barthel, Minimental, Mininutritional and Yesavage scales. An univariate, bivariate and multivariate analysis was performed at 2care sites in the city of Cali, Colombia. RESULTS: Mean age of the participants was 76.5 years; more than 50% with null or primary educational levels, 23% presented limitation in mobility, arterial hypertension was the most prevalent pathological history with 55%, followed by diabetes mellitus 24%; and 60% of the sample was independent to perform basic activities (Barthel index=100). Regarding the number of occlusal pairs prosthesis to prosthesis, it was found that the mean of men was lower than women (2.4 and 5.2, P=0.03). The results showed an altered plaque indicator in patients with cognitive impairment 61.5% versus 100% in patients with dementia screening. Additionally, a number of teeth less than 20 in people with depression indicators in 79.2%. The multivariate analysis showed a relationship with partial or total edentulism, being the total a risk for depressive traits (P=0.04). CONCLUSION: The results show that nutritional, functional, cognitive aspects and depression traits are related to oral health. In addition, it should be noted that a significant proportion of patients require dental intervention.

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