Navegando por Palavras-chave "Oral health"

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    Avaliação das dificuldades alimentares e mastigatórias e sinais e sintomas de bruxismo em crianças com Síndrome de Down
    (Universidade Federal de São Paulo, 2023-05-02) Miyagui, Sânia Aparecida [UNIFESP]; Castelo, Paula Midori [UNIFESP]; Fernandes, Mariana dos Santos; http://lattes.cnpq.br/4525318283387445
    Down Syndrome is a condition associated to particular and specific characteristics regarding oral health and growth of orofacial structures that can directly affect dietary, nutritional and masticatory aspects. The objective of the study was to evaluate the oral and nutritional clinical characteristics, feeding and masticatory difficulties, as well as signs and symptoms of bruxism in 100 individuals with Down Syndrome aged between five and 18 years (median=12 years). According to the medical history, 59% of the participants did not have chronic diseases, while 14% had thyroid gland dysfunction and 17% had cardiovascular diseases. Delays in the chronology of eruption of permanent teeth were observed, in addition to a higher frequency of Class III molar relationship in the permanent dentition. The mean index of decayed, missing (or exfoliated) and filled teeth (dmf/DMFT) was higher according to the stage of dentition, being equal to 1.1 in the deciduous dentition and 2.5 in the permanent dentition; at 14-18 years old caries experience was 82%. Frequencies of bleeding on inspection and periodontal pockets were found in 26.5% and 10% of participants in the mixed dentition, and 77% and 45.5% in the permanent dentition, respectively. The frequencies of visible biofilm and reported teeth grinding/clenching were found to be 97-100% and 70-82% in the three dentitions. As for nutritional and dietary aspects, the frequency of children with excess weight (overweight, preobesity and obesity) increased according to age, being 39% in the age range of 5-7 years and 54% in the range of 14-18 years; 30% of the participants did not receive natural breastfeeding and the average time of bottle feeding was 29.7 months. The consumption of fresh fruit had a median=5 (every day) in all age groups, although the intake of juices, soft drinks and sausages was high and the consumption of sweets and biscuits increased with age. According to parents, most participants were classified as having no feeding difficulties (87%) and only eight children were classified as having moderate to severe difficulties. Masticatory difficulties were more frequent in the age group of 8-10 years, corresponding to the mixed dentition. Comparing with literature data obtained in typical children, delays in tooth eruption, higher frequency of Molar Class III, high levels of visible biofilm and teeth grinding or clenching were observed in children and adolescents with Down Syndrome. Furthermore, the high consumption of sweets and processed foods, the longer duration of bottle feeding and the frequency of overweight observed indicate the high risk of caries, cardiovascular and metabolic diseases to which this population is exposed.
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    Avaliação do impacto da gastroplastia na microbiota salivar e status de saúde bucal em pacientes com obesidade mórbida
    (Universidade Federal de São Paulo, 2022-04-19) Ribeiro, Aianne Souto Pizzolato [UNIFESP]; Castelo, Paula Midori [UNIFESP]; http://lattes.cnpq.br/4525318283387445; http://lattes.cnpq.br/7880967443563554
    A gastroplastia é considerada uma terapia efetiva para a obesidade mórbida, capaz de melhorar ou reverter comorbidades, embora o conhecimento sobre o impacto na saúde bucal seja restrito. O objetivo foi avaliar as condições de saúde bucal, marcadores salivares inflamatórios e microbiota salivar em pacientes submetidos à gastroplastia (by pass; grupo Gastroplastia), comparando-os com um grupo Controle que recebeu aconselhamento dietético por 6 meses. Material e Métodos: 30 mulheres e 10 homens com obesidade mórbida (IMC≥40 kg/m2 ) e idades entre 23 e 44 anos compuseram a amostra (n=20 em cada grupo pareado para o sexo). Foram coletados dados do histórico médico e dentário e consumo alimentar. O exame clínico incluiu o índice de cárie (CPOD), índice periodontal comunitário (IPC) e medidas antropométricas e coleta de saliva para determinação do fluxo, capacidade tampão, citocinas inflamatórias e ácido úrico. A análise microbiológica salivar foi realizada por sequenciamento 16S rRNA para avaliação da abundância relativa de gênero, espécie e alfa-diversidade. Os dados foram analisados por análise de cluster K-means e ANOVA modelo misto de duas vias. Resultados: Uma associação entre condição de saúde bucal, razão cintura/quadril e alfa diversidade bacteriana salivar foi observada ao baseline. A massa corporal e IMC diminuíram significativamente no grupo Gastroplastia. Embora observada discreta melhora nos marcadores de consumo alimentar, o número de dentes obturados e o índice CPOD aumentaram em ambos os grupos (p<0,001). Uma discreta piora no IPC foi observada no grupo Gastroplastia aos 3 meses, enquanto no grupo Controle observou-se leve melhora no status periodontal aos 3 meses, que voltou a piorar até os 6 meses. O fluxo salivar, capacidade tampão e concentrações de TNFα e ácido úrico não se alteraram no período avaliado. As concentrações de IFNγ e IL10 reduziram significativamente no grupo Gastroplastia até os 3 meses, enquanto no grupo Controle a diminuição ocorreu após 3 meses de acompanhamento dietético; as concentrações de IL6 diminuíram em ambos os grupos. Alterações significativas na abundância relativa de gêneros e espécies foram observadas, com destaque para Actinomyces, Atopobium, Campylobacter e Veillonella e Prevotella tannerae, Prevotella nigrescens e Porphyromonas endodontalis, respectivamente, e na alfa-diversidade bacteriana salivar. Conclusão: A perda de peso e a melhora no quadro inflamatório foi evidenciada pelas alterações nas concentrações de citocinas salivares após a gastroplastia, concomitante a uma modulação na microbiota salivar ao nível de gênero, espécie e alfa-diversidade em ambos os grupos. Embora observada discreta melhora nos marcadores de consumos alimentar, o índice de cárie aumentou e não foi encontrada melhora clinicamente significativa no status periodontal 6 meses após a gastroplastia.
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    Cirurgia ortognática: abordagem psicossocial em pacientes Classe III de Angle submetidos à correção cirúrgica da deformidade dentofacial
    (Dental Press Editora, 2007-10-01) Nicodemo, Denise [UNIFESP]; Pereira, Max Domingues [UNIFESP]; Ferreira, Lydia Masako [UNIFESP]; Universidade Federal de São Paulo (UNIFESP); Universidade Estadual Paulista (UNESP)
    AIM: The purpose of this work was to investigate the psychosocial aspects related to facial changes in 29 patients, from both genres, between 17 and 46 years old, with indication of surgical treatment, in the preoperative (during orthodontic preparation) and in the postoperative (six months after the surgery) periods. METHODS: Questionnaires, applied during interviews, with questions based on the proposal by Grossbart & Sarwer were used. The technique of content analysis was used, in which the reason for choosing corrective surgery were represented in Category 1 (C1); fantasies related to the results of the corrective surgery (preoperative) and performance (postoperative) in Category 2 (C2); and expectations and satisfaction of the results of the corrective surgery in Category 3 (C3). The answers were grouped in the subcategories: aesthetics (SC1), functional (SC2), social situations (SC3), self-esteem (SC4) and professional (SC5). RESULTS: the results showed that the patients looked for corrective surgery for functional reasons (34.5%), aesthetics (30.9%) and social (29.1%); wished to improve his/her social situation (40%) and the aesthetics (32%), with the fulfillment of these wishes after the surgery. As for the expectations, 49.4% of the patients hoped to improve the functional aspect followed by aesthetics (26.9%); social situations (11.2%) and self-esteem (6.7%). In all aspects the patients were very satisfied because of improvements in their diction, aesthetics, beauty, and the return to life without discrimination. CONCLUSIONS: It can be concluded that the patients looked for the corrective surgery with the motivation to improve their functional and aesthetics aspects, they fantasized to improve their social relations and appearance; and hoped, in a realistic way, that the corrective surgery would repaired the function and aesthetics - which are the objectives of the orthognathic surgery.
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    Condições de saúde bucal e diabetes mellitus na população nipo-brasileira de Bauru-SP
    (Faculdade De Odontologia De Bauru - USP, 2003-03-01) Tomita, Nilce Emy; Chinellato, Luiz Eduardo Montenegro; Franco, Laercio Joel [UNIFESP]; Iunes, Magid [UNIFESP]; Freitas, José Alberto de Souza; Lopes, Eymar Sampaio; Universidade de São Paulo (USP); Universidade Federal de São Paulo (UNIFESP)
    The aim of this cross-sectional study was to determine the oral health condition in a Japanese population aged 40 to 79, in Bauru, Brazil as well as its association with the occurrence of diabetes mellitus and impaired glucose tolerance. It involved 530 subjects, from both sexes. All persons of first generation (Issei) and a random sample of one third of second generation (Nisei) were submitted to a home interview. A clinical examination, oral glucose tolerance test, and examination of oral health conditions took place at the Hospital of Rehabilitation of Craniofacial Anomaly - USP. The data were processed by Epi-Info program and 22.9% of the individuals presented diabetes mellitus (group I), 15.1% impaired glucose tolerance (group II), and 61.9% were considered normoglycemics (group III). The percentage of edentulous subjects was 45.9% for the total sample, and values of 58.4%, 46.7%, and 41.2% were observed for groups I, II, and III, respectively. Among the edentulous subjects, no one showed necessity of making a total prothesis. These data indicate that tooth loss showed significant association with the occurrence of diabetes mellitus, but there was no significant association with glucose intolerance.
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    Condições de saúde bucal em pessoas de 60 anos ou mais no Município de São Paulo (Brasil)
    (Faculdade de Saúde Pública da Universidade de São Paulo, 1992-06-01) Rosa, Antonio Galvão Fortuna; Castellanos Fernandez, Roberto Augusto; Pinto, Vitor Gomes; Ramos, Luiz Roberto [UNIFESP]; Universidade de São Paulo (USP); Instituto de Pesquisa Econômica Aplicada; Universidade Federal de São Paulo (UNIFESP)
    The oral health status of people aged 60 years or over in S. Paulo in 1989 is discussed. According to data relating to dental caries, periodontal diseases, need and use of prothesis and prevalence of hard and soft oral tissue pathologies, this study concludes that elder people present a very bad oral health status. The definition of a policy and dental care programs addressed to the aged are recommended.
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    Influence of Oral and Gut Microbiota in the Health of Menopausal Women
    (Frontiers Media Sa, 2017) Vieira, Angelica Thomaz; Castelo, Paula Midori [UNIFESP]; Ribeiro, Daniel Araki [UNIFESP]; Ferreira, Caroline Marcantonio [UNIFESP]
    Sex differences in gut microbiota are acknowledged, and evidence suggests that gut microbiota may have a role in higher incidence and/or severity of autoimmune diseases in females. Additionally, it has been suggested that oral, vaginal, and gut microbiota composition can be regulated by estrogen levels. The association of vaginal microbiota with vulvovaginal atrophy at menopause is well described in the literature. However, the relevance of oral and gut microbiota modulation in the immune system during estrogen deficiency and its effect on inflammatory diseases is not well explored. Estrogen deficiency is a condition that occurs in menopausal women, and it can last approximately 30 years of a woman's life. The purpose of this mini-review is to highlight the importance of alterations in the oral and gut microbiota during estrogen deficiency and their effect on oral and inflammatory diseases that are associated with menopause. Considering that hormone replacement therapy is not always recommended or sufficient to prevent or treat menopause-related disease, we will also discuss the use of probiotics and prebiotics as an option for the prevention or treatment of these diseases.
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    O modelo de atenção a saúde bucal no Médio e Baixo Xingu: parcerias, processos e perspectivas
    (ABRASCO - Associação Brasileira de Saúde Coletiva, 2010-06-01) Lemos, Pablo Natanael [UNIFESP]; Hirooka, Lucila Brandão [UNIFESP]; Nunes, Selma Aparecida Chaves [UNIFESP]; Arantes, Rui; Mestriner, Soraya Fernandes; Mestriner Júnior, Wilson; Universidade Federal de São Paulo (UNIFESP); Universidade de São Paulo (USP)
    The purpose of this article is to present the actions developed to create the health care model at the Special Indigenous District - Xingu (DSEI-Xingu); particularly regarding oral health. An effective partnership established among the following institutions University Federal of State São Paulo, University of São Paulo at Ribeirão Preto College of Dentistry and Colgate®, allowed the development of social health praxis at Middle and Low Xingu. The Social Space DSEI, which throughout the history, communities have developed and, through the social process of production, create differentiated accesses to consumer goods, is the basis for organizing health care services for the indigenous population. The DSEI-Xingu considers that establishing institutional partnerships as well as the effective participation of indigenous populations in health management in their territory is essential. Structured by plans based on population-reported problems, it uses the collective construction of explanatory networks, presenting solutions at different levels through an intersectorial approach. By observing health indicators, the indigenous communities' understanding of the recent primary health care model becomes perceptible, since it has been constantly applied to their culture, tradition, and uniqueness.
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    Oral health care after the National Policy on Oral Health - Smiling Brazil: a case study
    (ABRASCO - Associação Brasileira de Saúde Coletiva, 2015-01-01) Aquilante, Aline Guerra; Aciole, Geovani Gurgel; Universidade Federal de São Paulo (UNIFESP)
    In 2004, the National Oral Health Policy (PNSB) - Smiling Brazil was launched. Its guidelines seek to qualify Primary Health Care, ensure comprehensive actions, work on the basis of health surveillance, plan actions in accordance with the epidemiology and information available on the territory, financing and scheduling the research agenda so that the work can be based on scientific evidence. The purpose of this case study was to investigate the perspectives of health care professionals and managers on oral health care after launching the PNSB. For the gathering of information, an oral interview was conducted with health care professionals and managers and direct observation of oral health services. The interpretation of meaning method was used for analysis of the interviews. Approximately 10 years after launching the PNSB, even though the care and the oral health actions have been amplified and qualified, the cities still find it difficult to implement their basic premises.
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    Quando a boca fala mais que a boca: a construção de uma ação educativa em saúde bucal em um ambulatório de IST/AIDS na Baixada Santista – São Paulo
    (Universidade Federal de São Paulo (UNIFESP), 2017) Parola, Gustavo Barbosa [UNIFESP]; Zihlmann, Karina Franco [UNIFESP]; http://lattes.cnpq.br/8737042226108033; http://lattes.cnpq.br/8693637895968124; Universidade Federal de São Paulo (UNIFESP)
    Introduction: People living with HIV/Aids (PVHA) have an oral health vulnerable due to characteristics of the infection. Most patients live with poor oral health, which is particularly harmful to PVHA. The professional training of dentistry, which is traditionally objective, technical and procedure-centered – can result in numbness/indifference subjective demands of patients, especially those who live with a infectious and contagious disease with complex interfaces of psychological, social, emotional, economic, legal, among others. With this, the proposal of Permanent Education showed up as a coherent frame of reference that can bring contributions to positive changes in how those involved in the process of oral health care of PVHA understand the notion of care and health care. Objectives: To investigate the perception of adults living with HIV/Aids, users of an outpatient service in IST/Aids the Baixada Santista area, about your oral health, as well as your perception about the role and expectations established with the dental professional and the relationship of care established with this health care professional. From the survey, propose a educational action with the dental professionals in general, especially addressed to professionals who serve patients living with HIV/Aids, in order to allow for a reflection on their daily practices, difficulties and limitations of your work and, in addition, allow the construction of welfare practices that comprise the unique needs of these subject, beyond the perspective traditionally adopted in this field to know. Methods: We used the qualitative method with the use of various strategies, research and desk research, focus groups, semi-structured interviews and diaries of field. Were selected in a convenience sample of 12 (twelve) PVHA of a dentistry service IST/Aids clinic of the Baixada Santista, in two groups: PSBP (PVHA with poor oral health) and PSBA (PVHA with proper oral health). The research data were categorised from the thematic analysis of content of Bardin (1977). Results and discussion: The PSBA presented greater recognition of the importance of oral health with more complete and complex concepts. However the PSBP, although present simpler notions, reported basic knowledge and the consequences of carelessness. Therefore the PSBP had access to information, but not necessarily adopted practical measures of oral care. This requires a reflection about the actual effects of information when it is offered to purely technical, objective manner or context. In addition, both as reported their PSBA and PSBP experiences with HIV, being that the PSBP were unanimous in feeling that the oral health worsened after diagnosis of HIV/Aids, while PSBA were divided. There was a subtle distinction in speeches about self-care because PSBP have a higher tendency to clear accountability for own oral health, with highest expression of passivity, fear and shame of being judged, while the PSBA have less tendency toward passivity and more commitment to self-care, as well as a more critical about the rights of PVHA. Final considerations: The purpose of this work is a process of idealization technical disruption of the care and the ability to look beyond the mouth organ, recognising that it is necessary to allow the mouth can also "speak" and, thus, from the speech of the subject, take a real position of oral health care. It is a quest to meet those people – care targets – in what they actually need and it makes sense for them, considering their experiences and views.
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    Relação entre hábitos bucais e má oclusão em pré-escolares
    (Faculdade de Saúde Pública da Universidade de São Paulo, 2000-06-01) Tomita, Nilce Emy; Bijella, Vitoriano Truvijo; Franco, Laercio Joel [UNIFESP]; Universidade de São Paulo (USP); Universidade Federal de São Paulo (UNIFESP)
    OBJECTIVE: To evaluate the way oral habits and speech problems affect dental occlusion in preschool children. METHODS: A random sample of 2,139 boys and girls aged 3-5 years old was evaluated. The children were enrolled in private and state institutions in the city of Bauru, São Paulo State, Brazil. The cross-sectional study was developed in two steps: occlusion assessment, and a questionnaire about their social and economic status. The occlusal anatomical-functional characteristics assessment was done according to Angle classification. Additionally, overjet, overbite, crowding, anterior open bite, posterior crossbite, and anterior crossbite were evaluated. A sub-sample of 618 children filled out the questionnaire. The prevalence of malocclusion and some variables of exposure were tested by bivariate analysis. RESULTS: The prevalence of malocclusion was 51.3% for boys and 56.9% for girls. There was no difference related to gender. In regard to age, there was a higher prevalence of malocclusion in the 3 year-old group, which decreased significantly with age (p<0.05). CONCLUSIONS: Among the environmental factors evaluated, the habit of sucking a pacifier was the most important in the association with malocclusion (OR=5.46) followed by the habit of sucking fingers (OR=1.54). Speech problems did not show any influence in malocclusion occurrence.
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    Saúde bucal e o cuidado da gestante: oficinas como estratégia de problematização de práticas na atenção básica nos morros de Santos
    (Universidade Federal de São Paulo (UNIFESP), 2016-02-12) Nunes Neto, Ricardo Antonio [UNIFESP]; Frutuoso, Maria Fernanda Petroli [UNIFESP]; http://lattes.cnpq.br/4750299902344077; http://lattes.cnpq.br/9512745123662270; Universidade Federal de São Paulo (UNIFESP)
    Historically, oral health activities in Brazil took place in parallel and distanced form of organization of other health services, with a curative vision based only in assistance, which failed to respond to oral health needs of the population. Among the specific actions of Dentistry in primary health care, there is attention to the oral health of pregnant women, since the relationship between oral diseases, especially periodontal disease, and preterm and low birth weight is well documented in literature. This study aimed to problematize attention to oral health during prenatal care in facilities of primary health care in the area of the hills of Santos, São Paulo. The research had a qualitative approach and was carried out in three primary care facilities that have different forms of organization, namely: traditional basic unit of health, family health unit with oral health team and Family Health Unit without oral health team. For the production of data was used document analysis, field diary, semi-structured interviews applied to service managers and questioning workshops on attention to oral health with the teams that were studied. The transcribed material was analyzed using thematic analysis. All participants signed a free and informed consent. The unit managers report difficulties in understanding the work processes of the oral health team, and the difficulty of users in the service access is the problem with greater visibility for management. The teams try to organize dental agendas giving priority to pregnant women, but show difficulties in monitoring compliance, the use of protocols and the approach to oral health theme during the educational groups are used as strategies for improving adherence. Regardless of the organization of the basic attention unit, the teams attribute the search for care for pregnant women just in acute situations of pain, and fear of harm to the fetus caused by dental treatment as the main cause of treatment dropout. Some professionals had doubts about the use of local anesthetics by pregnant women. The appreciation of the monitoring of oral health during prenatal care was not unanimous among professionals and the strategy of permanent education in the Healthcare field applied to the services proved to be able to lead the teams to discuss their practice, creating opportunities reflection practices in the pursuit of integrality.
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    Translation into Brazilian portuguese, cultural adaptation and validation of the oral health impact profile (OHIP-49)
    (Sociedade Brasileira de Pesquisa Odontológica - SBPqO, 2006-09-01) Pires, Cássia Pérola Dos Anjos Braga; Ferraz, Marcos Bosi [UNIFESP]; Abreu, Mauro Henrique Nogueira Guimarães De; Montes Claros State University Department of Dentistry; Universidade Federal de São Paulo (UNIFESP); Newton Paiva University Center
    The aim of this study is to develop a Portuguese version of the OHIP-49 to be used in Brazil. The adopted methodology involves translation, back-translation, revision of the first version, cultural adaptation and evaluation of its measurement properties. The questionnaire was administered in interviews with 60 year-old and older Brazilian people. The Kendall-tau correlation coefficient was used to assess reproducibility; the Cronbach alpha coefficient was used to verify internal consistency and the Kruskal-Wallis and Mann-Whitney U tests were used to assess validity. Reproducibility was shown to be statistically significant, with coefficients ranging from 0.72 to 0.74 between dimensions of three interviews. The Cronbach alpha coefficients were 0.96 and 0.90 respectively for the dimensions of the interviews and for total items. Constructive validity, demonstrated through a comparison between the questionnaire dimensions and the clinical parameters, showed statistical significance for presence of carious lesion (p < 0.05). Significant correlations between similar dimensions of the OHIP-49 and the SF-36 were also identified (p < 0.05). In the present sample, the Portuguese version of the OHIP-49 presented results similar to those found in the literature and proved to be a reproducible and valid parameter for evaluating the impact of oral conditions on the quality of life of Brazilians.