RESUMO
The aim of this study was to provide an updated review of dental procedures undertaken at the dental unit of the Onco-hematology service of the Instituto da Criança at the Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo (ICr/HC-FMUSP). We retrospectively reviewed 565 of 1902 medical and dental records of patients diagnosed with onco-hematological diseases who were seen in a 3-year study (January 2015 to December 2017). We assessed data regarding population characteristics, onco-hematological diagnosis and dental procedures performed. Of the selected medical records, preventive dentistry was the most common procedure undertaken in this population, followed by oral maxillofacial surgeries, restorative dentistry and oral mucositis treatment. The most prevalent malignant diagnosis was acute lymphocytic leukemia, and the most prevalent nonmalignant diagnosis was sickle-cell anemia. Preventive dental procedures represent most of the dental procedures undertaken in hospitalized onco-hematological pediatric patients.
Assuntos
Assistência Odontológica para Crianças/estatística & dados numéricos , Neoplasias/terapia , Doenças Estomatognáticas/prevenção & controle , Adolescente , Criança , Pré-Escolar , Prestação Integrada de Cuidados de Saúde , Serviços de Saúde Bucal , Humanos , Lactente , Recém-Nascido , Prontuários Médicos , Estudos Retrospectivos , Doenças Estomatognáticas/terapiaRESUMO
The aim of this study was to provide an updated review of dental procedures undertaken at the dental unit of the Onco-hematology service of the Instituto da Criança at the Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo (ICr/HC-FMUSP). We retrospectively reviewed 565 of 1902 medical and dental records of patients diagnosed with onco-hematological diseases who were seen in a 3-year study (January 2015 to December 2017). We assessed data regarding population characteristics, onco-hematological diagnosis and dental procedures performed. Of the selected medical records, preventive dentistry was the most common procedure undertaken in this population, followed by oral maxillofacial surgeries, restorative dentistry and oral mucositis treatment. The most prevalent malignant diagnosis was acute lymphocytic leukemia, and the most prevalent nonmalignant diagnosis was sickle-cell anemia. Preventive dental procedures represent most of the dental procedures undertaken in hospitalized onco-hematological pediatric patients.
Assuntos
Humanos , Recém-Nascido , Lactente , Pré-Escolar , Criança , Adolescente , Doenças Estomatognáticas/prevenção & controle , Assistência Odontológica para Crianças/estatística & dados numéricos , Neoplasias/terapia , Doenças Estomatognáticas/terapia , Prontuários Médicos , Estudos Retrospectivos , Prestação Integrada de Cuidados de Saúde , Serviços de Saúde BucalRESUMO
BACKGROUND: The aim of this study was to investigate dental disorders of brown howler monkeys maintained in captivity. The hypothesis is that the identification and diagnosis of the lesions may contribute to control and prevention. METHODS: Sixteen intact brown howler monkeys (Alouatta guariba clamitans), eight females and eight males, weighing from 3.9 to 6.8 kg, were studied. Under general anesthesia, the teeth were evaluated by visual inspection, probing, palpation, and intra-oral radiographic exam. The findings were registered on a dental chart specific for primates. RESULT: Of the 16 monkeys evaluated in the present study, 94% (n = 15) had some type of dental disorder. The lesions observed were dental calculus (88%), dental wear (81%), missing teeth (38%), gingivitis (19%), gingival recession (6%), dental fracture (19%), pulp exposure (19%), and dental staining (25%). CONCLUSIONS: Alouatta guariba clamitans maintained in captivity have a high rate of dental problems.
Assuntos
Alouatta , Doenças dos Macacos/diagnóstico , Doenças Estomatognáticas/veterinária , Animais , Animais de Zoológico , Brasil/epidemiologia , Cálculos Dentários/diagnóstico , Cálculos Dentários/epidemiologia , Cálculos Dentários/veterinária , Exposição da Polpa Dentária/diagnóstico , Exposição da Polpa Dentária/epidemiologia , Exposição da Polpa Dentária/veterinária , Diagnóstico Bucal , Feminino , Retração Gengival/diagnóstico , Retração Gengival/epidemiologia , Retração Gengival/veterinária , Gengivite/diagnóstico , Gengivite/epidemiologia , Gengivite/veterinária , Masculino , Doenças dos Macacos/epidemiologia , Doenças dos Macacos/prevenção & controle , Doenças Estomatognáticas/diagnóstico , Doenças Estomatognáticas/epidemiologia , Doenças Estomatognáticas/prevenção & controle , Descoloração de Dente/diagnóstico , Descoloração de Dente/epidemiologia , Descoloração de Dente/veterinária , Fraturas dos Dentes/diagnóstico , Fraturas dos Dentes/epidemiologia , Fraturas dos Dentes/veterinária , Perda de Dente/diagnóstico , Perda de Dente/epidemiologia , Perda de Dente/veterinária , Desgaste dos Dentes/diagnóstico , Desgaste dos Dentes/epidemiologia , Desgaste dos Dentes/veterináriaRESUMO
Las urgencias estomatológicas son procesos dolorosos, infecciosos, traumáticos o hemorrágicos que afectan la cavidad bucal y tejidos circundantes. Con el objetivo de determinar el comportamiento de Urgencias Estomatológicas en el ASIC Santa Ana, Municipio Libertador, Estado Aragua, Venezuela, enero diciembre 2013, se realizó un estudio observacional, descriptivo, transversal. El universo fue de 6234 pacientes pertenecientes al consultorio, la muestra estuvo representada por 392 que acudieron al mismo. La caries dental acompañada de dolor constituyó el 30 por ciento de las urgencias, el mayor por ciento acudió con Odontalgia para un 41,11 por ciento, seguido del absceso dento alveolar agudo 24,39 por ciento y la pulpitis 8,71 por ciento, los grupos de edades que más frecuentaron la consulta de urgencia fueron el de 19 a 34 y 35 a 59 años, con predominio del sexo femenino, las principales Urgencias Estomatológicas fueron odontalgia, absceso dentoalveolar agudo y pulpitis, el mayor por ciento de los pacientes acudió a la consulta a las 48 horas(AU)
The stomatological emergencies are painful, infectious, traumatic and hemorrhagic processes that affect the buccal cavity and the surrounding tissues. It was performed an observational, descriptive and transversal study with the objective to determine the behavior of the stomatological emergencies in Santa Anas CIHA, Liberator Municipality in Aragua State, Venzuela, since January to December, 2013. The universe was about 6234 patients that belonged to the medical office; the sample was represented by 392 patients. The dental caries with pain constituted 30 percent of the emergencies; the greatest percent came to the Odontology service, making 41.11 perent followed by the acute dental alveolar abscess (24.39 percent) and pulpitis (8.71 percent). The age group that mostly visited the emergency medical office was about 19 to 34 and 35 to 59 years old, the females prevailed. The main stomatological emergencies were the odontalgia, the acute dental alveolar abscess and pulpitis. The greatest percent of the patients came to the medical office after 48 hours(EU)
Assuntos
Humanos , Emergências/epidemiologia , Medicina Bucal , Doenças Estomatognáticas/complicações , Doenças Estomatognáticas/prevenção & controle , Assistência Odontológica , Epidemiologia Descritiva , Estudos Transversais , Estudos Observacionais como AssuntoRESUMO
OBJECTIVES: To assess the oral health status and treatment needs of Iruliga tribal community residing at Ramanagara District, Karnataka, India. METHODS: The total population of 2605 Iruligas residing at 26 villages of Ramanagara District was included for the study. Data were collected using World Health Organization (WHO) 1997 'Oral Health Assessment Form'. Examination was done under good natural light using a mouth mirror and community periodontal index (CPI) probe. RESULTS: The total study population was 2605, comprising 1545 males and 1060 females in the age group of 1-80 years with the mean age of 30.56 +/- 19.51. The majority of Iruligas (79.8%) used chew sticks as an oral hygiene aid. Subjects with leukoplakia were found to be 3 (0.12). The most commonly seen enamel opacity/hypoplasia was diffuse opacity affecting 930 (35.7%) subjects. A mild form of dental fluorosis affected 1658 (63.65%) subjects. Subjects with bleeding were only 4.22%; subjects with calculus were 57.9%; those with shallow pockets (4-5 mm) were 22.0% and subjects with deep pockets (> or = 6 mm) were 3.67%. The prevalence of dental caries among Iruligas was found to be 7.52%. The mean number of decayed, missing, filled (DMF) permanent teeth per person was 0.55 +/- 0.1. Definite malocclusion, which required elective treatment, was noted in 14.1%. Iruligas with need for referral were found to be 29.94% (n = 780) according to the various treatment needs required for different oral diseases. CONCLUSION: This study revealed less prevalence of oral diseases among Iruligas, highlighting the role of good oral health practices prevalent among this isolated population.
Assuntos
Odontologia Comunitária/normas , Saúde Bucal/estatística & dados numéricos , Higiene Bucal , Doenças Estomatognáticas , Adolescente , Adulto , Fatores Etários , Feminino , Disparidades nos Níveis de Saúde , Humanos , Índia , Masculino , Pessoa de Meia-Idade , Higiene Bucal/métodos , Higiene Bucal/estatística & dados numéricos , Índice Periodontal , Prevalência , Garantia da Qualidade dos Cuidados de Saúde , Fatores Sexuais , Doenças Estomatognáticas/epidemiologia , Doenças Estomatognáticas/prevenção & controleRESUMO
Objetivo. El propósito de esta investigación fue analizar lesiones odontoestomatológicas (EOE) en adolescentes que consumen drogas psicoactivas incorporados al Programa de Atención Integral del Adolescente de la Municipalidad de la ciudad de Córdoba, asistidos en la Dirección de Especialidades Médicas Doctor Benito Soria de la mencionada localidad. Materiales y Métodos. Se desarrolló un estudio observacional de corte transversal, descriptivo y correlacional, sobre una muestra final de 500 adolescentes, ambos sexos (64,3% mujeres; 35,7% varones), de 12 a 19 años de edad, que concurrieron por primera vez al Servicio Odontológico del referido centro de salud, entre 1º de enero al 31 de diciembre de 2005. Como criterio de exclusión no se incorporaron adolescentes con dentición mixta y/o portadores de aparatos o tratamientos ortodóncicos. En su mayoría (86,0%) los adolescentes incorporados en la muestra procedían de Córdoba capital. El nivel máximo de instrucción alcanzado o en curso correspondió a instrucción secundaria (77,0%). Resultados. La EOE de mayor prevalencia fue la caries dental. El índice CPO-D promedio fue de 6,84 ± 4,36, constituyendo las lesiones de caries el 82,2% del indicador. El 59,0% de los adolescentes realizaban el cepillado dental por lo menos una vez al día, en especial antes del desayuno, en tanto que el 28,2% lo hacían en forma discontinua. La hipo calcificación estuvo presente en el 26,4% de los jóvenes, en tanto que la abrasión afectó al 15,8% de la muestra. Las alteraciones periodontales correspondieron casi en su totalidad a gingivitis leve. Las lesiones en los tejidos blandos correspondieron a aftas (2,2%), mucosas mordisqueadas (2,0%), mucoceles (1,4%) y a queilitis (1,2%).(AU)
ABSTRACT: Target. The purpose is analyzed odontostomatological lesions in adolescents incorporated in the Program of Integral Health Care of the Adolescent of the Municipality of the city of Cordoba, treated in the Office of Medical Specialties Doctor Benito Soria of the mentioned city. Materials and Methods. An observational study of cross descriptive and correlational cut was carried out on a final sample of 500 adolescents, both sexes (64,3% women; 35,7% men), from 12 to 19 years old, who assisted for the first time to the Odontological Service of the referred Health Center between the months of 1st January and 31th December of 2005. As exclusion criterion adolescents with mixed dentition and/or carrying braces or dental treatment were not incorporated. Most of the adolescents (86,0%) incorporated in the sample from of Cordoba capital. The highest reached level of instruction or in course corresponded to secondary instruction (77,0%). Results. The OSD of highest prevalence was the dental decay. The average CPO-D index was of 6,84 ± 4,36, the decay injuries constituted the 82,2% of the indicator. The 59,0% of the adolescents made the dental brushing at least once a day, mainly before the breakfast, whereas the 28,2% did it in a discontinuous way. The hipocalcification was present in the 26,4% of the youngsters, whereas the abrasion affected the 15,8% of the sample. The periodontal illness corresponded almost as a whole to slight gingivitis. The injuries in the soft tissues were aphtha (2,2%), nibbled mucous (2,0%), mucoceles (1,4%) and to queilitis (1,2%).(AU)
Assuntos
Humanos , Masculino , Adolescente , Feminino , Saúde Bucal , Adolescente , Saúde do Adolescente , Doenças Estomatognáticas/prevenção & controle , Transtornos Relacionados ao Uso de Substâncias , Doenças da Boca , ArgentinaRESUMO
Objetivo. El propósito de esta investigación fue analizar lesiones odontoestomatológicas (EOE) en adolescentes que consumen drogas psicoactivas incorporados al Programa de Atención Integral del Adolescente de la Municipalidad de la ciudad de Córdoba, asistidos en la Dirección de Especialidades Médicas Doctor Benito Soria de la mencionada localidad. Materiales y Métodos. Se desarrolló un estudio observacional de corte transversal, descriptivo y correlacional, sobre una muestra final de 500 adolescentes, ambos sexos (64,3% mujeres; 35,7% varones), de 12 a 19 años de edad, que concurrieron por primera vez al Servicio Odontológico del referido centro de salud, entre 1º de enero al 31 de diciembre de 2005. Como criterio de exclusión no se incorporaron adolescentes con dentición mixta y/o portadores de aparatos o tratamientos ortodóncicos. En su mayoría (86,0%) los adolescentes incorporados en la muestra procedían de Córdoba capital. El nivel máximo de instrucción alcanzado o en curso correspondió a instrucción secundaria (77,0%). Resultados. La EOE de mayor prevalencia fue la caries dental. El índice CPO-D promedio fue de 6,84 ± 4,36, constituyendo las lesiones de caries el 82,2% del indicador. El 59,0% de los adolescentes realizaban el cepillado dental por lo menos una vez al día, en especial antes del desayuno, en tanto que el 28,2% lo hacían en forma discontinua. La hipo calcificación estuvo presente en el 26,4% de los jóvenes, en tanto que la abrasión afectó al 15,8% de la muestra. Las alteraciones periodontales correspondieron casi en su totalidad a gingivitis leve. Las lesiones en los tejidos blandos correspondieron a aftas (2,2%), mucosas mordisqueadas (2,0%), mucoceles (1,4%) y a queilitis (1,2%).
ABSTRACT: Target. The purpose is analyzed odontostomatological lesions in adolescents incorporated in the Program of Integral Health Care of the Adolescent of the Municipality of the city of Cordoba, treated in the Office of Medical Specialties Doctor Benito Soria of the mentioned city. Materials and Methods. An observational study of cross descriptive and correlational cut was carried out on a final sample of 500 adolescents, both sexes (64,3% women; 35,7% men), from 12 to 19 years old, who assisted for the first time to the Odontological Service of the referred Health Center between the months of 1st January and 31th December of 2005. As exclusion criterion adolescents with mixed dentition and/or carrying braces or dental treatment were not incorporated. Most of the adolescents (86,0%) incorporated in the sample from of Cordoba capital. The highest reached level of instruction or in course corresponded to secondary instruction (77,0%). Results. The OSD of highest prevalence was the dental decay. The average CPO-D index was of 6,84 ± 4,36, the decay injuries constituted the 82,2% of the indicator. The 59,0% of the adolescents made the dental brushing at least once a day, mainly before the breakfast, whereas the 28,2% did it in a discontinuous way. The hipocalcification was present in the 26,4% of the youngsters, whereas the abrasion affected the 15,8% of the sample. The periodontal illness corresponded almost as a whole to slight gingivitis. The injuries in the soft tissues were aphtha (2,2%), nibbled mucous (2,0%), mucoceles (1,4%) and to queilitis (1,2%).
Assuntos
Humanos , Masculino , Adolescente , Feminino , Adolescente , Saúde do Adolescente , Doenças Estomatognáticas/prevenção & controle , Doenças da Boca , Saúde Bucal , Transtornos Relacionados ao Uso de Substâncias , ArgentinaRESUMO
The role of public health program planners is to determine the effectiveness of public health programs, what recommendations should be made, what future initiatives should be taken, and what policies should be developed. At a basic level, to choose between competing alternatives, two characteristics of an intervention must be considered; these are its outcome and its cost. Based on cost and outcome, planners must select the option that offers the most advantages. Economic evaluation is commonly adopted by decision makers in the health sector to investigate the effectiveness of public health programs and to help plan future initiatives. Economic evaluation assists decision makers who must weigh the information it provides in the context of many and often competing options. In this way, an economic evaluation is an aid to decision making rather than the decision itself. Economic evaluation is becoming essential for informed decision making, with potential implications for public health policy and practice and for clinical practice too. While economic evaluations are commonly used in decision-making processes about health programs, few examples exist in the oral health literature. In the case of preventive oral health programs, economic analysis is often difficult, largely because it makes demands on epidemiological and demographic data that are hard to meet. This study will address the concepts and tools required to conduct economic evaluations of prevention programs. The emphasis will be on oral health and preventive dental programs, although the concepts presented could be useful for other public health programs by practitioners and managers with the aim of producing effective and efficient oral health programs.
Assuntos
Análise Custo-Benefício , Odontologia Preventiva/economia , Criança , Chile , Análise Custo-Benefício/métodos , Cárie Dentária/prevenção & controle , Fluoretação/economia , Fluoretação/normas , Humanos , Odontologia Preventiva/normas , Serviços de Saúde Escolar/economia , Serviços de Saúde Escolar/normas , Doenças Estomatognáticas/prevenção & controleRESUMO
Introdução - Avaliar o risco circunstancial de cárie dos pacientes assistidos ao longo de onze meses na Clínica de Odontologia em Saúde Coletiva II da Faculdade de Odontologia da UFPA (FO/UFPA), através de informações advindas da realização da anamnese e exame clínico, assim como variáveis referentes à idade, gênero e freqüência diária de escovação, já que a determinação do risco é essencial para o correto planejamento e sucesso da terapia estabelecida. Materiaise Métodos - Os dados foram coletados, a partir de fichas clínicas de atendimentos fetuados no período de fevereiro a dezembro de 2007. A amostra foi formada por 61 pacientes de ambos os sexos, com faixa etária variando entre 7 e 51 anos de idade. A determinação do risco de cárie foi realizada pelo aluno e professor como parte do processo ensino/aprendizagem que acontece durante os semestres letivos na FO/UFPA. Resultados - O perfil do paciente assistido recaiu na faixa etária de 18 a 23 anos de idade, gênero feminino, com freqüência de escovação diária de três vezes ao dia e risco de cárie considerado médio (55,74%). Conclusões - Apesar dos pacientes submetidos ao estudo apresentarem médio risco de cárie, os mesmos possuíam um estado de saúde bucal preocupante, que demonstrou a necessidade de intervenções a nível curativo, interceptativo e preventivo. A determinação do risco individual de cárie favorece a elaboração de um plano de tratamento correto e eficaz, permitindo que haja uma margem de segurança maior na qualidade dos tratamentos, reduzindo as chances de recidivas da doença cárie, proporcionando assim, melhora da saúde bucal do paciente.
Introduction - In this way, aims to present the assessment of the risk of caries of patients assisted up to 11 months at Collective II's Health Dentistry Clinic, School of Dentistry, Federal University of Pará, adding information stemming from history and clinical examination performed as well as variables related to age, gender and frequency of daily brushing, as the determination of risk is essential to the proper the planning and success of the therapy established. Materials and Methods - Data were collected from the records of spontaneous demand of caries in the period from February to December 2007. The sample was made up by 61 patients of both sexes, with age ranging between 7 and 51 years, and 57.38% female. The determination of the risk of dental caries was performed by the student and teacher as part of the process teaching / learning what happens during the semester in FO / UFPA. Results - The profile of the patient assisted falls on the age of 18 to 23 years old, female, with a frequency of daily brushing three times a day and considered medium risk of caries (55.74%). Conclusions - Patients undergoing study had a state of oral health concern, which demonstrated necessity for interventions of curative, preventive and intercepted treatment.