RESUMO
ABSTRACT Objective: To evaluate the effect of virtual reality (VR) on dental anxiety, pain, and behaviour at different time points among children undergoing dental treatment under local anaesthesia. Material and Methods: This randomised, two‐armed, within-subject, cross-over, placebo-controlled trial included 76 children. Eligible participants were treated in two dental visits using the following methods: with protective glasses only, without distraction (attention placebo-controlled - APC); and with the treatment condition (i.e., VR). Primary outcomes were dental anxiety and pain; secondary outcome was dental visit behaviour. Heart rate scores were recorded as an objective measure to evaluate dental anxiety and pain. Subjective measurements for each variable were also performed. Results: Significant reduction in dental pain and anxiety was observed in the VR group, according to the heart rate scores; however, no statistical differences were observed according to the self-reported measures. Decreased dental anxiety and pain were associated with the first visit sequence with VR. Dental pain and anxiety scores were lower during local anaesthesia in the VR group than in the APC group. Conclusion: Virtual reality significantly reduced pain and anxiety during local anaesthesia in children undergoing dental treatment; therefore, it may be recommended during dental treatment in school-age children.
Assuntos
Humanos , Masculino , Feminino , Criança , Odontalgia/diagnóstico , Criança , Ansiedade ao Tratamento Odontológico , Técnicas de Observação do Comportamento , Realidade Virtual , Turquia/epidemiologia , Distribuição de Qui-Quadrado , Análise de Variância , Ensaios Clínicos Controlados como Assunto/métodos , Anestesia LocalRESUMO
We report a case that illustrates how chronic migraine headaches and multiple dental pathologies caused severe and long-standing cranial pain that affected the quality of life of a man for more than 35 years. His case was investigated at several settings including the neurology outpatient clinic of the hospital without a definitive diagnosis or resolution. After investigations, multiple oral pathologies including two occult dental abscesses were diagnosed. Once both affected teeth and associated abscesses were surgically removed, with subsequent antibiotic therapy the headaches resolved.
Assuntos
Antibacterianos/uso terapêutico , Cefaleia/diagnóstico , Transtornos de Enxaqueca/diagnóstico , Abscesso Periapical/diagnóstico , Qualidade de Vida/psicologia , Odontalgia/diagnóstico , Cefaleia/etiologia , Cefaleia/fisiopatologia , Cefaleia/psicologia , Humanos , Masculino , Pessoa de Meia-Idade , Transtornos de Enxaqueca/etiologia , Transtornos de Enxaqueca/fisiopatologia , Transtornos de Enxaqueca/psicologia , Saúde Bucal , Abscesso Periapical/complicações , Abscesso Periapical/fisiopatologia , Abscesso Periapical/psicologia , Radiografia Dentária , Fatores de Tempo , Extração Dentária , Odontalgia/complicações , Odontalgia/fisiopatologia , Odontalgia/psicologia , Resultado do TratamentoRESUMO
BACKGROUND: Dental pain is one of the most common symptoms of untreated oral problems and exerts a strong impact on the well-being of children. AIMS: The aim of this study was to evaluate the associated factors with dental pain in children aged 1-3 years using the Brazilian version of the Dental Discomfort Questionnaire (DDQ-B). METHODS: A cross-sectional study was conducted in the city of Diamantina, Brazil. A total of 318 randomly selected children were submitted to an oral clinical examination for the evaluation of tooth injuries and dental caries (International Caries Detection and Assessment System, [ICDAS]). The caregivers of the children were asked to answer the DDQ-B as well as a questionnaire addressing demographic and socioeconomic aspects of the family. Statistical analysis was performed and involved the description of frequencies as well as Poisson hierarchical regression analysis. RESULTS: Dental pain was associated with a household income less than the Brazilian minimum monthly wage (Prevalence ratios [PRs] = 1.33, 95% confidence interval [CI]: 1.07-1.66, P = 0.011) and dental caries in dentin - ICDAS codes 5 and 6 (PR = 1.48, 95% CI: 1.13-1.94, P = 0.004). CONCLUSIONS: Greater frequencies of dental pain were found in 1-3-year-old children from families with a low monthly income and dental caries with visible dentin with or without pulp involvement.
Assuntos
Medição da Dor/métodos , Inquéritos e Questionários , Odontalgia/epidemiologia , Adulto , Brasil/epidemiologia , Pré-Escolar , Estudos Transversais , Cárie Dentária/complicações , Cárie Dentária/epidemiologia , Escolaridade , Feminino , Humanos , Renda , Lactente , Masculino , Pais/psicologia , Traumatismos Dentários/complicações , Traumatismos Dentários/epidemiologia , Odontalgia/diagnóstico , Odontalgia/etiologiaRESUMO
OBJECTIVE: The aim of this study was to evaluate the prevalence and intensity of dental pain in children according to size of municipality, associated factors and absenteeism. METHODS: The sample consisted of children aged 12 years old from public and private schools drawn from eight cities in the region of Campinas (SP). A questionnaire was applied to obtain dental pain, demographic, socioeconomic data, and a clinical examination was carried out to evaluate the experience of having a cavity. The outcome for the logistic regression analysis was having pain and the outcome for the negative log-binomial regression was the intensity of pain. The significance level was 5%. RESULTS: The sample consisted of 1,233 children, and 16.7% reported pain in the last six months. Dental pain was the cause of 46.4% of school absenteeism during this period. The prevalence of pain was lower among households with high income (p=0.023) and higher among nonwhites (p=0.027). Pain intensity was lower in medium-sized cities (p=0.02) and small cities (p=0.004), and higher in children whose parents had a lower educational level (p=0.003), children who sought out a dentist for the pain (p=0.04) and who had untreated cavities (p=0.04). CONCLUSIONS: The prevalence and intensity of dental pain in children aged under 12 are related to socioeconomic aspects of the family, such as low-income and parents with a low level of education, which impact daily activities as seen through school absenteeism. Pain intensity was lower in medium and small cities. Oral health promotion strategies in this age group should be encouraged to avoid dental pain.
OBJETIVO: Avaliar a prevalência e a intensidade de odontalgia em crianças segundo porte populacional do município, fatores associados e absenteísmo. MÉTODOS: A amostra constituiu-se de crianças de 12 anos provenientes de escolas públicas e privadas, sorteadas em oito cidades da região de Campinas (SP). Foi aplicado um questionário com dados de odontalgia, demográficos, socioeconômicos bem como foi realizado exame clínico para avaliar a experiência de cárie. Ter dor foi o desfecho para análise de regressão logística e a intensidade da dor para a regressão log-binomial negativa. Adotou-se nível de significância de 5%. RESULTADOS: A amostra foi constituída de 1.233 crianças, sendo que 16,7% relataram dor nos últimos seis meses. A odontalgia foi causa de 46,4% do absenteísmo escolar nesse período. A prevalência de dor foi menor entre os de alta renda familiar (p=0,023) e maior entre não brancos (p=0,027). A intensidade da dor foi menor nos municípios de médio (p=0,02) e pequeno porte (p=0,004) e maior nas crianças cujos pais tinham menor nível de escolaridade (p=0,003), que procuraram o dentista por dor (p=0,04) e que apresentavam cárie não tratada (p=0,04). CONCLUSÕES: A prevalência e a intensidade da dor de dente em crianças de 12 anos estão relacionadas com aspectos socioeconômicos da família, como baixa renda e menor escolaridade dos pais, e causam impacto na atividade diária por meio do absenteísmo escolar. A intensidade foi menor em municípios de médio e pequeno porte. Estratégias de promoção de saúde bucal nessa faixa etária devem ser estimuladas para evitar a odontalgia.
Assuntos
Medição da Dor , Odontalgia/diagnóstico , Odontalgia/epidemiologia , Absenteísmo , Brasil/epidemiologia , Criança , Estudos Transversais , Humanos , Prevalência , Fatores de Risco , Índice de Gravidade de Doença , Saúde da População UrbanaRESUMO
RESUMO Objetivo: Avaliar a prevalência e a intensidade de odontalgia em crianças segundo porte populacional do município, fatores associados e absenteísmo. Métodos: A amostra constituiu-se de crianças de 12 anos provenientes de escolas públicas e privadas, sorteadas em oito cidades da região de Campinas (SP). Foi aplicado um questionário com dados de odontalgia, demográficos, socioeconômicos bem como foi realizado exame clínico para avaliar a experiência de cárie. Ter dor foi o desfecho para análise de regressão logística e a intensidade da dor para a regressão log-binomial negativa. Adotou-se nível de significância de 5%. Resultados: A amostra foi constituída de 1.233 crianças, sendo que 16,7% relataram dor nos últimos seis meses. A odontalgia foi causa de 46,4% do absenteísmo escolar nesse período. A prevalência de dor foi menor entre os de alta renda familiar (p=0,023) e maior entre não brancos (p=0,027). A intensidade da dor foi menor nos municípios de médio (p=0,02) e pequeno porte (p=0,004) e maior nas crianças cujos pais tinham menor nível de escolaridade (p=0,003), que procuraram o dentista por dor (p=0,04) e que apresentavam cárie não tratada (p=0,04). Conclusões: A prevalência e a intensidade da dor de dente em crianças de 12 anos estão relacionadas com aspectos socioeconômicos da família, como baixa renda e menor escolaridade dos pais, e causam impacto na atividade diária por meio do absenteísmo escolar. A intensidade foi menor em municípios de médio e pequeno porte. Estratégias de promoção de saúde bucal nessa faixa etária devem ser estimuladas para evitar a odontalgia.
ABSTRACT Objective: The aim of this study was to evaluate the prevalence and intensity of dental pain in children according to size of municipality, associated factors and absenteeism. Methods: The sample consisted of children aged 12 years old from public and private schools drawn from eight cities in the region of Campinas (SP). A questionnaire was applied to obtain dental pain, demographic, socioeconomic data, and a clinical examination was carried out to evaluate the experience of having a cavity. The outcome for the logistic regression analysis was having pain and the outcome for the negative log-binomial regression was the intensity of pain. The significance level was 5%. Results: The sample consisted of 1,233 children, and 16.7% reported pain in the last six months. Dental pain was the cause of 46.4% of school absenteeism during this period. The prevalence of pain was lower among households with high income (p=0.023) and higher among nonwhites (p=0.027). Pain intensity was lower in medium-sized cities (p=0.02) and small cities (p=0.004), and higher in children whose parents had a lower educational level (p=0.003), children who sought out a dentist for the pain (p=0.04) and who had untreated cavities (p=0.04). Conclusions: The prevalence and intensity of dental pain in children aged under 12 are related to socioeconomic aspects of the family, such as low-income and parents with a low level of education, which impact daily activities as seen through school absenteeism. Pain intensity was lower in medium and small cities. Oral health promotion strategies in this age group should be encouraged to avoid dental pain.
Assuntos
Humanos , Criança , Odontalgia/diagnóstico , Odontalgia/epidemiologia , Medição da Dor , Índice de Gravidade de Doença , Brasil/epidemiologia , Saúde da População Urbana , Prevalência , Estudos Transversais , Fatores de Risco , AbsenteísmoRESUMO
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.
Assuntos
Humanos , Masculino , Feminino , Lactente , Pré-Escolar , Criança , Adolescente , Adulto , Pessoa de Meia-Idade , Odontalgia/diagnóstico , Coagulação Sanguínea , Fatores de Risco , Assistência Odontológica , Cárie Dentária/prevenção & controle , Brasil/etnologia , Distribuição de Qui-Quadrado , Modelos Logísticos , Saúde Bucal , Estudos Transversais/métodos , Inquéritos e QuestionáriosRESUMO
BACKGROUND: A comfortable postoperative return to daily activities has increased the need to control inflammation after third molar surgery. Anti-inflammatory drugs and analgesics are not exempt from adverse effects such as allergies and chronic gastritis, and they are not without cost. The association between low-level laser and auricular acupuncture can be an alternative when conventional drugs are contraindicated. Among its advantages, we can mention the low risk of side effects, low cost and simplicity of application. The objective of this study is to evaluate the efficiency of low-level laser at auriculotherapy points in reducing postoperative pain in lower third molar surgery. METHODS/DESIGN: Ninety bilateral, symmetrical lower third molar surgeries will be performed in 45 healthy patients. Each patient will be their own control, through a split-mouth crossover study. One side of the mouth will be randomly chosen and, immediately after surgery, will be treated with low-level laser. After 21 days, the contralateral side will be operated on with low-level laser simulation used postoperatively. This regimen (laser application or not) will be repeated at 24 and 48 h after surgery. All patients will be requested to take analgesics (acetaminophen) if they have pain, i.e. in case of pain. Neither the surgeon nor the patients will know the assigned treatment. The primary variable will be postoperative pain assessed using a Visual Analog Scale, and the secondary variables will be trismus, edema, local temperature, dysphagia, presence of infection and painkiller ingestion. These variables will be assessed at baseline, 24 h, 48 h and 7 days after surgery. Blood samples for systemic inflammatory cytokine (TNF-α, IL-1, IL-6 and IL-8) analysis will be assessed at baseline and 24 h after surgery. DISCUSSION: Some authors believe that using a wavelength of 633 to 670 nm is a good option for laser therapy in the field of acupuncture. This wavelength can penetrate biological tissue to a depth of about 3 mm. However, for auriculotherapy points, the stimulus (mustard seeds, needles 1 to 2.5 mm) does not penetrate so deeply. For this reason, we chose a laser wavelength of 660 nm (red wavelength). TRIAL REGISTRATION: ClinicalTrials.gov Identifier: NCT02657174 , registered on 11 January 2016.
Assuntos
Auriculoterapia/métodos , Terapia com Luz de Baixa Intensidade/métodos , Dente Serotino/cirurgia , Dor Pós-Operatória/prevenção & controle , Extração Dentária/efeitos adversos , Odontalgia/prevenção & controle , Adolescente , Adulto , Analgésicos não Narcóticos/uso terapêutico , Auriculoterapia/efeitos adversos , Biomarcadores/sangue , Brasil , Protocolos Clínicos , Estudos Cross-Over , Citocinas/sangue , Método Duplo-Cego , Feminino , Humanos , Mediadores da Inflamação/sangue , Terapia com Luz de Baixa Intensidade/efeitos adversos , Masculino , Medição da Dor , Dor Pós-Operatória/sangue , Dor Pós-Operatória/diagnóstico , Dor Pós-Operatória/etiologia , Projetos de Pesquisa , Fatores de Tempo , Odontalgia/sangue , Odontalgia/diagnóstico , Odontalgia/etiologia , Resultado do Tratamento , Adulto JovemRESUMO
Aim: To analyze how parents of different socioeconomic levels perceive the impact of oral diseases on their children's quality of life. Methods: All parents or guardians of students aged 11 to 14 years old, regularly enrolled in fundamental schooling at public schools of two towns in the northwestern region of the State of São Paulo, Brazil, were enrolled in the study. The questionnaire of "Socioeconomic Assessment Tool" was used to classify the families with regards to socioeconomic class and the "Parental-Caregiver Perceptions Questionnaire (P-CPQ)" was used to verify the parents' perception of the impact of oral diseases on their children's quality of life. Results: 172 (41.8%) individuals answered the survey. Among them, most belonged to the Upper Low Class (61%). 21.5% of the individuals answered that they considered their children's oral health "regular or bad" and 71.5% answered that their child's general well-being was not or was little affected by the condition of his/her teeth, lips, jaws or mouth. There was an association between the quality of life sub-scales, especially "oral symptoms", with all socioeconomic classes. Conclusions: There is a relationship between parents' socioeconomic class and the perception of the impact of oral disease on their children's quality of life (Au)
Assuntos
Humanos , Masculino , Feminino , Estratégias de Saúde Nacionais , Doenças da Boca/epidemiologia , Saúde Bucal , Qualidade de Vida , Classe Social , Inquéritos e Questionários , Odontalgia/diagnóstico , Odontologia Preventiva , Política de SaúdeRESUMO
OBJECTIVES: The Dental Discomfort Questionnaire (DDQ), which is an observational instrument that assesses dental pain in preschool children, has not been extensively tested for its ability to identify dental treatment needs in this population. This study aimed to explore the accuracy of the Brazilian version of the DDQ (DDQ-B) to identify preschool children needing dental treatment. METHODS: The participants were 326 children (57.7% boys), aged 15-72 months [mean 49.8, standard deviation (SD) 14.8], who were examined to assess their dental treatment needs at the same time that their parents filled out the DDQ-B. The DDQ-B median score (outcome variable) was compared to the median index of dental treatment needs or categories (nonparametric tests). The area under the receiver operating characteristic (ROC) curve (AUC) and diagnostic tests were performed to test the DDQ-B accuracy for identifying preschoolers with untreated teeth needing dental treatment. The data were analysed using SPSS 19.0, and the significance level was set at 5%. RESULTS: Overall, 326 questionnaires were completed and considered for analyses. Additionally, 63.5% of children had untreated teeth needing dental care. The median DDQ-B score, 2.0 (first-third quartile 1.0-5.0), was positively associated with the median index for needing dental care, 3.0 (0.0-5.0) (ρ = 0.49, P < 0.001). Children with more invasive intervention needs, such as pulp therapy, 5.0 (2.0-7.0), and extraction, 6.0 (4.0-8.5), had the highest DDQ-B scores (P < 0.001). The DDQ-B could identify children with more invasive dental care needs [AUC 0.86, 95% confidence interval (CI) 0.80-0.91, P < 0.001]. A score of 5 or higher was a reliable cut-off point to confirm that children who were screened with caries-related toothache by the DDQ-B do, in fact, have untreated teeth needing dental treatment, especially for pulpal care and extraction. CONCLUSIONS: The DDQ-B is an accurate observational tool for identifying preschool children with dental treatment needs; children who scored 5 or higher require dental care for more invasive procedures.
Assuntos
Cárie Dentária/epidemiologia , Dente Decíduo , Odontalgia/epidemiologia , Brasil/epidemiologia , Pré-Escolar , Assistência Odontológica para Crianças/estatística & dados numéricos , Cárie Dentária/complicações , Cárie Dentária/diagnóstico , Feminino , Necessidades e Demandas de Serviços de Saúde/estatística & dados numéricos , Humanos , Masculino , Reprodutibilidade dos Testes , Inquéritos e Questionários , Odontalgia/diagnóstico , Odontalgia/etiologiaRESUMO
BACKGROUND: A rigorous cross-cultural adaptation process of an existing instrument could be the best option for measuring health in different cultures, instead of developing a new tool, and prior to psychometric and validation testing. The Dental Discomfort Questionnaire (DDQ), a validated instrument for assessing toothache in young children, has not been cross-culturally adapted so far. This study aimed to explore the detailed phases of the cross-cultural adaptation process of a pain assessment tool, presenting the example of the DDQ Brazilian-Portuguese adapted version. METHODS: The study design was based on the universalist approach, which consists of a sequential analysis to assess the relevant phases of a cross-cultural process before testing the measures of the instrument: conceptual, item, semantic, and operational equivalences. Systematic information was gathered from the literature, expert discussions, translations, and pre-testing through cognitive interviews with Brazilian population. RESULTS: Detailed description of the three major phases for a cross-cultural adaptation process was given. Notes of the changes done in the structure of the presented instrument (DDQ) were specifically pointed out at each phase. Conceptual and item analyses showed that there are similarities in the DDQ construct between the original and Brazilian cultures that require minor modifications. Translations and back-translations allowed the development of the preliminary Brazilian-Portuguese version of the DDQ, which was tested and underwent other minor changes to improve its comprehensibility. CONCLUSIONS: Describing the phases was important to show how changes are made in a cross-cultural adaptation process of an instrument. This also could help researchers in adapting similar pediatric pain assessment tools to different cultures. A Brazilian-Portuguese version of the DDQ was presented.
Assuntos
Comparação Transcultural , Medição da Dor/métodos , Odontalgia/diagnóstico , Brasil , Criança , HumanosRESUMO
BACKGROUND: Technological innovations in dental materials have been fueled by the desire of patients to improve the esthetics of their teeth. This emphasis on esthetics has led dentists to seek resources that respect the standards established by society, but without compromising the integrity of the teeth. METHODS/DESIGN: The aim of the proposed controlled clinical trial will be to assess colorimetric changes and increased dental sensitivity in adolescent patients submitted to tooth whitening with 6% and 7.5% hydrogen peroxide using home kits with whitening strips. Adolescents aged 12 to 20 years will be allocated to different groups based on treatment (n = 16 per group): (1) placebo; (2) 6.0% hydrogen peroxide (White Class with Calcium, FGM); (3) 7.5% hydrogen peroxide (White Class with Calcium, FGM); and (4) 7.5% hydrogen peroxide (Oral B 3D White, Oral-B). After the whitening procedures, the participants will be evaluated using a visual analog scale for tooth sensitivity and digital spectrophotometry to measure changes in color. Descriptive analysis of the data will be performed. Either the chi-squared test or Fisher's exact test will be used for the determination of associations among the categorical variables. Student's t-test and analysis of variance will be used to compare mean colorimetric data. Pearson's correlation coefficients will be calculated to determine the strength of correlations among the continuous variables. DISCUSSION: This randomized trial will provide an opportunity to evaluate products such as whitening strips in comparison to other self-administered methods, especially in adolescents. TRIAL REGISTRATION: The protocol for this study was submitted to Clinical Trials in November 2013 with registration number NCT01998386.
Assuntos
Peróxido de Hidrogênio/uso terapêutico , Projetos de Pesquisa , Clareadores Dentários/uso terapêutico , Clareamento Dental/métodos , Descoloração de Dente/terapia , Adolescente , Fatores Etários , Brasil , Distribuição de Qui-Quadrado , Criança , Protocolos Clínicos , Feminino , Géis , Humanos , Peróxido de Hidrogênio/efeitos adversos , Masculino , Medição da Dor , Fatores de Tempo , Clareamento Dental/efeitos adversos , Clareadores Dentários/efeitos adversos , Descoloração de Dente/diagnóstico , Odontalgia/induzido quimicamente , Odontalgia/diagnóstico , Resultado do Tratamento , Adulto JovemRESUMO
O termo odontalgia engloba várias doenças dentárias capazes de causar dor, entre elas a pulpite irreversível sintomática (PIS), caracterizada por um pico inflamatório que afeta irreversivelmente as células da polpa dental, gerando uma dor excruciante. Os medicamentos são capazes de gerar analgesia parcial, porém com uma parcela de efeitos colaterais e contraindicações. O tratamento definitivo é realizado preferencialmente através da pulpectomia ou na impossibilidade, através da exodontia. A acupuntura apresenta poucas contraindicações, baixo risco e efetividade analgésica comprovada em diversas condições álgicas. De acordo com os livros texto, vários pontos de acupuntura apresentam efetividade analgésica nas odontalgias, entre elas a PIS. Entretanto, não foram encontrados estudos que suportassem essas conclusões. Assim, o objetivo desse estudo é verificar a existência de tendência de analgesia da acupuntura através de dois pontos de fácil acesso e aplicação: estomago 6 (ST6) e estômago 7 (ST7), em indivíduos portadores exclusivamente de PIS, em apenas um dente. O estudo foi realizado no Serviço de Urgências Odontológicas da FOUSP, seguindo delineamento cross-over em sessão única, randomizado e duplo-cego. Observa-se que os pontos ST6 e ST7 apresentam tendência a reduzir a dor da PIS independentemente de serem utilizados antes ou depois de seu respectivo placebo. Desponta-se assim a necessidade de mais estudos que confirmem essa eficácia, de forma a possibilitar a indicação precisa e o alento para os portadores de uma das odontalgias mais intensas que se tem conhecimento.
The term odontalgia emcompasses several diseases capable to cause pain, including symptomatic irreversible pulpitis (SIP), characterized by an inflammatory peak which irreversibly affects the cells of the dental pulp, causing excruciating pain. The drugs are capable of generating partial analgesia, but with a quota of side effects and contraindications. The definitive treatment is preferably carried out by pulpectomy, or on the inability of it, through the exodonty. Acupuncture has few contraindications, low risk and proven analgesic efficacy in several algic conditions. According to the textbooks, many acupuncture points bring forward analgesic effectiveness in odontalgias, including the SIP. However, no studies that supported these conclusions were found. The aim of this study is to verify the existence of propensity of acupuncture analgesia through two points of easy access and application: stomach 6 (ST6) and stomach 7 (ST7), exclusively in individuals of SIP in just one tooth. The study was conducted in the Department of Emergency Dental FOUSP, following cross-over design in a single session, randomized, double-blind. It is observed that ST6 and ST7 points have a tendency to reduce the pain of SIP whether used before or after the respective placebo. Thus it suggests the need for further studies confirming its effectiveness, in order to enable the precise diagnostic and the breath for patients with one of the most intense odontalgias that are known.
Assuntos
Acupuntura/métodos , Dor/diagnóstico , Dor/prevenção & controle , Odontalgia/diagnóstico , Pulpite/diagnósticoRESUMO
A Organização Mundial de Saúde (OMS) definiu a qualidade de vida como a percepção do indivíduo sobre si, no contexto de valores em que vive e em relação a: metas, expectativas, parâmetros e relações sociais. O objetivo do estudo foi realizar a equivalência dos instrumentos de qualidade de vida (University of Washington - Quality of life (UW-QOL), Brief Core Set Questionnaire - Head and Neck - BCSQ H&N), em pacientes com câncer de boca, diagnosticados na Liga de Neoplasia Bucal (LINB) e o Oral Health Impact Profile (OHIP-14) para pacientes que buscaram por atendimento de urgência, com a Classificação Internacional de Funcionalidade, Incapacidade e Saúde (CIF). Foram entrevistados 50 pacientes atendidos pela Liga de Neoplasias da FOUSP e 100 pacientes do Setor de Urgências da Clínica Odontológica da FOUSP. Os escores de cada instrumento foram pontuados e, em seguida, verificou-se a frequência de ocorrência dos domínios. As categorias mais frequentes nos instrumentos de qualidade de vida UW-QOL, foram: b152 (Ansiedade - Funções Emocionais), b510 (Funções de ingestão - saliva), b250 (Função gustativa). No questionário BCSQ H&N, as categorias mais frequentes foram: b510 (Funções de ingestão), b310 (Funções da voz) e b152 (Funções emocionais). No questionário OHIP-14, as categorias mais pontuadas foram: b280 (Sensação de dor), b152 (Funções emocionais) e b130 (Funções da energia e dos impulsos - Atividade). Foi observada equivalência entre os domínios dos instrumentos de qualidade de vida e a CIF. Assim, a CIF constitui instrumento útil para avaliar a real situação de saúde do paciente, além dos aspectos clínicos.
The World Health Organization (WHO) defined quality of life as the perception of the individual in his life, in the context of values in which they live and in relation to their goals, expectations, parameters and social relations. The objective of the study was to perform the equivalence of quality of life instruments, University of Washington - Quality of Life (UW-QOL), Brief Core Set Questionnaire - Head and Neck (BCSQ H&N) in patients with diagnosed oral cancer in the League of Oral Neoplasms (LINB); and the Oral Health Impact Profile (OHIP-14) for patients who sought for emergency care, with the International Classification of Functioning, Disability and Health (ICF). Fifty patients from the Oral Neoplasms League and 100 patients from the Urgency Clinic at FOUSP were interviewed. Each instrument's scores were registered and the occurrence frequency of each domain was verified. The most frequent categories of instruments in quality of life UW-QOL were: b152 (Anxiety - Emotional functions), b510 (Ingestion functions - saliva), b250 (Taste function). At BCSQ H&N the most frequent categories were: b510 (Ingestion functions), b310 (Voice functions) and b152 (Emotional functions). In the OHIP-14 questionnaire, the highest scoring categories were: b280 (Sensation of pain), b152 (Emotional functions) and b130 (Energy and drive functions - Activity). Equivalences was observed among the instruments´ domains and ICF. Thus, ICF is a useful tool to perform real evaluations on the patients´ health, adding information to the clinical aspects.
Assuntos
Humanos , Masculino , Feminino , Neoplasias Bucais/complicações , Neoplasias Bucais/diagnóstico , Neoplasias Bucais/tratamento farmacológico , Neoplasias Bucais/terapia , Odontalgia/diagnóstico , Qualidade de VidaRESUMO
AIM: Although several studies have indicated negative impacts of traumatic dental injuries on childrens quality of life, virtually none of them have explored the possible association between them and the occurrence and dental hot cold sensitivity. The aim of this study was to study the possible association of hot cold dental sensitivity and history of traumatic dental injuries. MATERIAL AND METHODS: A cross sectional study involving a representative sample of 11 to 14 year old schoolchildren from 13 Brazilian municipalities was carried out. Data on traumatic dental injuries were collected through oral exanimations. Non clinical data were obtained through structured interviews on socio demographic profile and prevalence of dental hot cold sensitivity. Non conditional logistic regression analysis was performed for the presence of dental hot cold sensitivity controlled for gender, maternal schooling and history of dental caries. RESULTS: The prevalence of dental hot cold sensitivity was 30.3% and the prevalence of traumatic dental injuries was 16.6%. School children presenting traumatic dental injuries had 22% higher prevalence of dental hot cold sensitivity compared to those without it regardless other studied variables. CONCLUSIONS: A significant and independent association between dental hot cold sensitivity and history of traumatic dental injuries was observed.
Assuntos
Humanos , Masculino , Feminino , Estudos Epidemiológicos , Saúde Bucal , Odontalgia/diagnóstico , Qualidade de VidaRESUMO
O objetivo do presente estudo foi avaliar a prevalência e o impacto da dor de dente e seus fatores determinantes, em adultos de 35 a 44 anos de idade residentes no sudeste do Brasil, município de Betim-MG. O primeiro e o segundo estudo consistiram em estudos transversais com objetivo de investigar a dor de dente e seu impacto na vida diária e na qualidade de vida. Um questionário foi aplicado em uma amostra de 744 indivíduos a avaliação da cárie dentária realizada através do índice CPO-d. A dor de dente relatada nos últimos 6 meses foi o desfecho estudado. No primeiro estudo as variáveis referentes à dor de dente foram agrupadas em três dimensões: acesso aos serviços de saúde bucal, gravidade da dor de dente e limitação social/funcional. Observou-se que 68% apresentaram baixo acesso, 39,7% alta gravidade e 47,3% alto impacto da dor de dente na vida diária. Dos impactos investigados o nervosismo (87,2%) e a dificuldade para mastigar (72,6%) foram os mais freqüentes. Através da análise por correspondência foram identificados quatro grupos com perfis distintos para dor de dente e seus fatores associados. Dois grupos apresentaram maiores efeitos da dor de dente na vida diária. Um composto por indivíduos que tiveram um menor acesso aos serviços de saúde bucal (mulheres, pardas, casadas, 1º grau, baixa renda familiar)...
Assuntos
Humanos , Masculino , Feminino , Adulto , Cárie Dentária/epidemiologia , Índice CPO , Diagnóstico Bucal/tendências , Odontalgia/diagnóstico , Odontalgia/epidemiologia , Fatores Epidemiológicos , Estudos Transversais , Saúde Bucal , Qualidade de VidaRESUMO
AIMS: To evaluate the concordance among different pain scales for evaluation of pain in toothache patients and to assess the influence of oral health on the quality of life of those patients. METHODS: Ninety-two patients seeking treatment for toothache were evaluated before and after treatment. At baseline and 1 week after the dental treatment, the patients were requested to fill out the Oral Health Impact Profile Inventory (OHIP-14) as well as the following pain scales: the visual analog scale (VAS), numeric scale (NS), verbal rating scale (VRS), and Faces Pain Scale-Revised (FPS-R). The data were analyzed by Pearson correlation, Student t test, and analysis of variance for repeated measurements, with a significance level of 5%. RESULTS: Patients were, on average, 34.4 years old. The sample was composed of 50 women and 42 men. Fifty-eight patients had dental pain of pulpal origin, and 34 had pain of periodontal origin. The mean OHIP score was 20.83 at baseline and 5.0 at 1 week after the completion of the dental treatment. The mean values of the scales at baseline were 50.7 mm, 56.7 mm, 52.2 mm, and 52.9 mm for the VAS, NS, VRS, and FPS-R, respectively. One week after the treatment, these values were 7.5 mm, 9.4 mm, 10.9 mm, and 8.7 mm. A positive correlation was detected between all four scales at baseline and also 1 week after the treatment (P < .05). At baseline, the NS was significantly different from the other scales. This difference, however, was not detected at the end of the trial. CONCLUSION: All scales were able to detect differences in the pain reported after dental treatment and may be valid and reliable for use in clinical dental practice. The NS, however, returns higher scores at baseline when assessing the pain.
Assuntos
Medição da Dor/métodos , Odontalgia , Adolescente , Adulto , Idoso , Análise de Variância , Doenças da Polpa Dentária/complicações , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Doenças Periodontais/complicações , Qualidade de Vida , Reprodutibilidade dos Testes , Estatísticas não Paramétricas , Odontalgia/diagnóstico , Odontalgia/etiologia , Odontalgia/psicologia , Odontalgia/terapia , Adulto JovemRESUMO
Objetivo: investigar os fatores associados à automedicação por pacientes atendidos em um serviço de emergências odontológicas em Belo Horizonte, MG, Brasil. Métodos: foi aplicado um questionário entre 174 pacientes atendidos na emergência odontológica contendo informações referentes ao gênero, idade e questões específicas como consumo anterior de medicamentos, ervas medicinais ou outras substâncias para o alívio da sintomatologia dolorosa. O diagnóstico clínico foi definido por somente um dentista. Análise bivariada e regressão multivariada de Poisson com variância robusta foram realizadas no programa SPSS 18.0. O estudo foi aprovado pelo Comitê de Ética de Pesquisa em Humanos. Resultados: a média de idade foi de 32,6 (+12,0) anos e 51,8% eram mulheres. Entre os participantes do estudo, 81,7% relataram terem se automedicado. A idade (p=0,83), a duração da dor (p=0,21) e o gênero (p=0,85) não estiveram associados à variável resposta. A frequência da automedicação foi mais alta (p-0,04) entre indivíduos com pulpites agudas (86,8%) e abscessos periapicais (84,7%). Somente o diagnóstico clínico esteve associado à automedicação na análise multivariada de Poisson. Comparando a outros diagnósticos, indivíduos com pulpites relatam 2,3 mais chances de se automedicarem (IC95% 1.1-5.0; p=0.03). Conclusão: a automedicação é um problema de saúde pública preocupante entre o grupo estudado. O diagnóstico clínico é o único fator que influencia este fenômeno dentre a população estudada.
Objective: To investigate factors associated with self-medication by patients treated at a public emergency dental service in Belo Horizonte, MG, Brazil. Method: A questionnaire was applied to174 patients who have been treated in the emergency dental service, with information about gender, age and specific questions about previous consumption of medicines, medicinal herbs or other substances to relieve dental pain. Clinical diagnosis was established by a single dentist. Bivariate analysis and multivariate Poisson regression with robust variance were carried out in SPSS 18.0 software for Windows. The study was approved by the local Human Research Ethics Committee. Results: The mean age of the patients was 32.6 (±12.0) years and 51.8% were female. Among the participants in the survey, 81.7% reported self-medication. Age (p=0.83), duration of pain (p=0.21) and gender (p=0.85) were not associated. Frequency of self-medication was higher (p=0.04) among individuals with pulpitis (86.8%) and periapical abscess (84.7%). Only clinical diagnosis was associated with self-medication in the multivariate Poisson analysis. Patients with pulpitis reported 2.3 times more self-medication (IC95% 1.1-5.0; p=0.03) than individuals with other diagnoses. Conclusion: Self-medication was an important health problem in the studied this surveyed group. Clinical diagnosis was the only factor that influenced this phenomenon.
Assuntos
Humanos , Masculino , Feminino , Adulto , Automedicação/efeitos adversos , Emergências , Odontalgia/diagnóstico , Odontalgia/etiologia , Saúde Pública/educação , Distribuição de Qui-Quadrado , Estatísticas não Paramétricas , Inquéritos e QuestionáriosRESUMO
Os pilotos são responsáveis pelas vidas da tripulação e passageiros, pela conclusão do voo em segurança. Por este motivo, a saúde e bem estar destes profissionais é de extrema importância. Uma condição que pode aparecer em vôo é a Barodontalgia, que é uma dor aguda causada pela diferença de pressão atmosférica no dente. Tal ocorrência pode levar a vertigem, incapacitação do profissional, e finalização prematura do vôo. Objetivo do trabalho foi realizar uma revisão de literatura sobre barodontalgia evidenciando a etiologia, condições de aparecimento, bem como conduta para o manejo dos aeronavegantes. A literatura considera que as causas descritas são: cárie profunda, restauração desadaptada, tratamento endodôntico incompleto, abscesso periodontal/periapical, e extrações recentes. Doenças congestivas dos seios paranasais, sobretudo do seio maxilar, podem se assemelhar a barodontalgia. As tripulações de aeronaves civis e militares têm maior potencial para experimentar tal ocorrência, por conta disso, sua saúde bucal deve ser periodicamente avaliada, e ainda os cirurgiões-dentistas devem estar conscientes da possibilidade da ocorrência deste fenômeno durante a jornada de trabalho destes profissionais, bem como estar preparados para o uso de medidas preventivas e curativas, a fim de reduzir sua incidência e gravidade, melhorando as condições de trabalho desta população
Pilots are responsible for the lives of the crew and passengers, and for completing the flight safely. For this reason, health and welfare of these professionals is extremely important. A condition that may appear in flight is Barodontalgia, which is a sharp pain caused by the difference in air pressure in the tooth. Such an occurrence can lead to dizziness, professional disability, and premature termination of the flight. The purpose of the study was a literature review on the etiology of barodontalgia, conditions of appearance, and the management of air crew. The literature describes as causes: deep decay, defectives restoration, incomplete root canal therapy, periodontal abscess/ periapical, and recent extractions. Congestive diseases of the paranasal sinuses, especially of the maxillary sinus may resemble barodontalgia. The crews of civil and military aircraft have greater potential to experience such an occurrence, because of that, their dental health should be periodically evaluated, and even the dentists should be aware of the possibility of this phenomenon during the working hours of these professionals, and be prepared for the use of preventive and curative measures, in order to reduce its incidence and severity, improving working conditions in this population
Assuntos
Pressão Atmosférica , Odontologia do Trabalho , Odontalgia/diagnóstico , Odontalgia/fisiopatologiaRESUMO
A retrospective survey was designed to identify diagnostic subgroups and clinical factors associated with odontogenic pain and discomfort in dental urgency patients. A consecutive sample of 1,765 patients seeking treatment for dental pain at the Urgency Service of the Dental School of the Federal University of Goiás, Brazil, was selected. Inclusion criteria were pulpal or periapical pain that occurred before dental treatment (minimum 6 months after the last dental appointment), and the exclusion criteria were teeth with odontogenic developmental anomalies and missing information or incomplete records. Clinical and radiographic examinations were performed to assess clinical presentation of pain complaints including origin, duration, frequency and location of pain, palpation, percussion and vitality tests, radiographic features, endodontic diagnosis and characteristics of teeth. Chi-square test and multiple logistic regression were used to analyze association between pulpal and periapical pain and independent variables. The most frequent endodontic diagnosis of pulpal pain were symptomatic pulpitis (28.3%) and hyperreactive pulpalgia (14.4%), and the most frequent periapical pain was symptomatic apical periodontitis of infectious origin (26.4%). Regression analysis revealed that closed pulp chamber and caries were highly associated with pulpal pain and, conversely, open pulp chamber was associated with periapical pain (p<0.001). Endodontic diagnosis and local factors associated with pulpal and periapical pain suggest that the important clinical factor of pulpal pain was closed pulp chamber and caries, and of periapical pain was open pulp chamber.
Assuntos
Doenças da Polpa Dentária/diagnóstico , Doenças Periapicais/diagnóstico , Odontalgia/diagnóstico , Adulto , Cárie Dentária/diagnóstico , Fístula Dentária/diagnóstico , Teste da Polpa Dentária , Restauração Dentária Permanente , Restauração Dentária Temporária , Diagnóstico Diferencial , Feminino , Humanos , Masculino , Medição da Dor , Palpação , Percussão , Abscesso Periapical/diagnóstico , Periodontite Periapical/diagnóstico , Técnica para Retentor Intrarradicular , Pulpite/diagnóstico , Estudos Retrospectivos , Fatores de Risco , Tratamento do Canal Radicular , Fatores de Tempo , Fraturas dos Dentes/diagnósticoRESUMO
Se realizó un estudio observacional, descriptivo y transversal para caracterizar el comportamiento de las urgencias estomatológicas en los niños de los círculos infantiles del área de salud del Policlínico Universitario 27 de Noviembre del municipio Marianao, La Habana. El universo estuvo constituido por 450 niños de ambos sexos, matriculados en los tres círculos infantiles del área de salud, durante el curso escolar 2006-2007. La muestra estuvo representada por 175 niños con diagnóstico de lesiones por caries dental y sus secuelas, en los cuales se tuvo en cuenta edad, sexo, frecuencia de asistencia a la consulta de urgencias y severidad de la caries. La frecuencia de asistencia a consulta de urgencia siguió un patrón de más de una vez en todas las edades excepto el grupo de 4 años, en el que la mayoría asistió solamente una vez. El 22,2 por ciento de los niños de 5 años necesitaron el servicio de urgencia en dos ocasiones. El dolor fue la causa más frecuente de asistencia a la consulta de urgencia, y se manifestó, solamente en las edades de 4 y 5 años, con predominio de severidad grado 1, y de ellos el sexo masculino estuvo más afectado. La asistencia a consulta de urgencias aumentó con la edad, con predominio del sexo masculino, quienes acudieron más de una vez por la presencia de dolor, a pesar de predominar caries de severidad grado 1(AU)
A cross-sectional, descriptive and observational study was conducted to characterize the behavior of Stomatology urgencies in children of Nurseries from 27 de Noviembre polyclinic health area of Marianao municipality in La Habana, Cuba. Universe included 450 boys and girls, registered in the three nurseries of health area diagnosed with dental caries analyzing age, sex, frequency of urgency consultation assistance and caries's severity. In parents a questionnaire was administered. From the 175 boys and girls affected of dental caries, there were 56 with a four years involvement due to caries being the more frequent to urgency consultation for a 10,9 percent and the highest frequency was twice, in boys and girls aged 5 for a 5,7 percent. A total of 17 children visited more frequent the urgency consultation with two visits for a 9,7 percent. Boys and girls aged 5 were more frequent to above mentioned consultation due to pain followed by those aged 4. There was predominance of I degree severity for a 68,1 percent and in these suffered of pain for a 27,6 percent. There is an increasing assistance to urgency consultation increase according to age with predominance of male sex, requiring this type of serve often due to pain despite predominance of 1 degree severity of caries(AU)