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  1 / 1828 MEDLINE  
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[PMID]:29173855
[Au] Autor:Al Makhmari SA; Kaklamanos EG; Athanasiou AE
[Ad] Endereço:Department of Orthodontics, Hamdan Bin Mohammed College of Dental Medicine, Mohammed Bin Rashid University of Medicine and Health Sciences, Dubai, United Arab Emirates.
[Ti] Título:Short-term and long-term effectiveness of powered toothbrushes in promoting periodontal health during orthodontic treatment: A systematic review and meta-analysis.
[So] Source:Am J Orthod Dentofacial Orthop;152(6):753-766.e7, 2017 Dec.
[Is] ISSN:1097-6752
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:INTRODUCTION: Although powered toothbrushes have been reported to reduce gingivitis more than manual toothbrushes in the general population, the evidence regarding orthodontic patients has been inconclusive. Thus, we aimed to compare their effectiveness in relation to any available parameter regarding oral health in orthodontic patients with fixed appliances. METHODS: Searches without restrictions for published and unpublished literature and hand searching took place up to August 2017. Oral-health relevant data from randomized controlled trials of at least 4-weeks duration comparing powered and manual tooth brushing without supervision were reviewed. Data were classified as short term (assessments at 1-3 months) and long term (assessments at >3 months), and the random-effects method was used to combine treatment effects. Individual study risk of bias was assessed using the Cochrane Risk of Bias Tool, and the quality of evidence was evaluated according to the Grades of Recommendation, Assessment, Development and Evaluation approach. RESULTS: The initially identified articles were finally reduced to 9 randomized controlled trials investigating the periodontal health in 434 patients. Eight studies followed patients up to 3 months, and 1 up to 12 months during treatment. One study was at low and the rest at unclear risk of bias. Overall, in the short term, there was low-quality evidence that powered toothbrushes provide a statistically significant benefit compared with manual brushing with regard to the gingival index (weighted mean difference, -0.079; 95% confidence interval, -0.146 to -0.012; P = 0.021) and indexes assessing gingival bleeding (standardized mean difference, -0.637; 95% confidence interval, -1.092 to -0.183; P = 0.006). In the long term, only 1 available study showed a statistically significant benefit of powered over manual toothbrushes with regard to gingival index and bleeding. No differences were observed in probing pocket depth and relative attachment loss. For the rotation-oscillation brushes that involved the greatest body of evidence, statistically significant reductions in gingival index and bleeding were demonstrated only in the long-term study. No included study provided quantified measurements regarding caries activity. CONCLUSIONS: Overall, powered toothbrushes may promote gingival health better than manual toothbrushes in orthodontic patients. However, no type demonstrated clear superiority. Better study standardization and reporting in longer follow-up studies are necessary to elucidate the clinical relevance of these results.
[Mh] Termos MeSH primário: Saúde Bucal
Ortodontia
Doenças Periodontais/prevenção & controle
Escovação Dentária/instrumentação
[Mh] Termos MeSH secundário: Dispositivos para o Cuidado Bucal Domiciliar
Seres Humanos
Ensaios Clínicos Controlados Aleatórios como Assunto
Fatores de Tempo
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE; META-ANALYSIS; REVIEW
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171211
[Lr] Data última revisão:
171211
[Sb] Subgrupo de revista:D; IM
[Da] Data de entrada para processamento:171128
[St] Status:MEDLINE


  2 / 1828 MEDLINE  
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[PMID]:28653049
[Au] Autor:Browet S; Gerdolle D
[Ti] Título:Precision and security in restorative dentistry: the synergy of isolation and magnification.
[So] Source:Int J Esthet Dent;12(2):172-185, 2017.
[Is] ISSN:2198-591X
[Cp] País de publicação:Germany
[La] Idioma:eng
[Ab] Resumo:It is often presumed that, since its introduction in 1864, the use of rubber dam in multiple dental procedures has increased. However, its use is not as widespread as one might expect. There still seem to be many obstacles that prevent clinicians from adopting it as a standard of care. Furthermore, it appears very difficult to scientifically prove the impact of its use on the final outcome of a given procedure. The fundamental idea of isolating the operatory field and preventing contamination is simple; the practical execution of it is more demanding. In this article, the authors not only focus on the essential criteria for predictable isolation, they also present an isolation strategy that can be translated into a step-by-step procedure. It is suggested that by adopting this strategy, clinicians can eliminate the most commonly experienced obstacles and optimize the full potential of isolation, even in extremely difficult clinical situations.
[Mh] Termos MeSH primário: Restauração Dentária Permanente/instrumentação
Diques de Borracha/utilização
[Mh] Termos MeSH secundário: Dispositivos para o Cuidado Bucal Domiciliar
Desenho de Equipamento
Seres Humanos
Ligadura
Politetrafluoretileno
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
9002-84-0 (Polytetrafluoroethylene)
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170821
[Lr] Data última revisão:
170821
[Sb] Subgrupo de revista:D; IM
[Da] Data de entrada para processamento:170628
[St] Status:MEDLINE


  3 / 1828 MEDLINE  
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[PMID]:28366060
[Au] Autor:Matsuda Y; Okada H; Chung J; Webster Crowley R; Lopes DK
[Ad] Endereço:Department of Neurological Surgery, Rush University Medical Center, Chicago, Illinois.
[Ti] Título:Novel balloon-and-aspiration method for cerebral venous sinus thrombosis: dental-floss technique.
[So] Source:Neurosurg Focus;42(4):E19, 2017 Apr.
[Is] ISSN:1092-0684
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Cerebral venous sinus thrombosis is sometimes fatal. The standard treatment for sinus thrombosis is anticoagulation, but endovascular intervention must be considered when medical treatment fails. Mechanical thrombectomy is usually required when a large clot burden exits. Unfortunately, in sinus thrombosis attributable to a clot burden larger than that in an intracranial artery, the conventional technique used for intraarterial acute stroke intervention with a stent retriever and/or aspiration is not very effective. The authors describe here their endovascular approach to mechanical thrombectomy for sinus thrombosis using aspiration combined with angioplasty balloon support.
[Mh] Termos MeSH primário: Angioplastia com Balão/métodos
Dispositivos para o Cuidado Bucal Domiciliar
Trombose dos Seios Intracranianos/terapia
Resultado do Tratamento
[Mh] Termos MeSH secundário: Adulto
Feminino
Seres Humanos
Angiografia por Ressonância Magnética
Imagem por Ressonância Magnética
Masculino
Trombose dos Seios Intracranianos/diagnóstico por imagem
Trombectomia/métodos
Ativador de Plasminogênio Tecidual
Tomógrafos Computadorizados
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Nm] Nome de substância:
EC 3.4.21.68 (Tissue Plasminogen Activator)
[Em] Mês de entrada:1704
[Cu] Atualização por classe:170424
[Lr] Data última revisão:
170424
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170404
[St] Status:MEDLINE
[do] DOI:10.3171/2017.1.FOCUS16519


  4 / 1828 MEDLINE  
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[PMID]:28232971
[Au] Autor:Goh EX; Lim LP
[Ti] Título:Fact or Fiction? Powered Toothbrushing is More Effective than Manual Toothbrushing.
[So] Source:Oral Health Prev Dent;15(1):23-32, 2017.
[Is] ISSN:1602-1622
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:PURPOSE: To answer the question of whether powered toothbrushing is more effective than manual toothbrushing, this paper reviews various aspects of powered toothbrushes in terms of efficacy, safety, acceptability and special considerations for certain patient groups. Future research directions and gaps in the current knowledge are also discussed. MATERIALS AND METHODS: The literature review was conducted using PubMed. A hand search of the references of the retrieved articles was also performed. RESULTS: Powered toothbrushes have been found to be as effective as manual toothbrushes in removing plaque and reducing gingival inflammation. They are safe with no adverse effects on hard or soft tissues. Among the powered toothbrushes, there is evidence to suggest that rotation-oscillation toothbrushes may be more effective than others. The results seem to suggest that certain special-needs patient groups, such as the elderly and the disabled, may benefit from the use of powered toothbrushes. CONCLUSION: Powered toothbrushes are as effective as manual toothbrushes in facilitating oral hygiene. They may be recommended for certain patient groups to improve the efficacy of oral hygiene measures. More data on the safety and acceptability of powered toothbrushes are necessary.
[Mh] Termos MeSH primário: Dispositivos para o Cuidado Bucal Domiciliar
Escovação Dentária/instrumentação
[Mh] Termos MeSH secundário: Seres Humanos
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170713
[Lr] Data última revisão:
170713
[Sb] Subgrupo de revista:D; IM
[Da] Data de entrada para processamento:170225
[St] Status:MEDLINE
[do] DOI:10.3290/j.ohpd.a37710


  5 / 1828 MEDLINE  
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[PMID]:28207558
[Au] Autor:Han K; Park JB
[Ad] Endereço:aDepartment of Biostatistics bDepartment of Periodontics, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.
[Ti] Título:Association between oral health behavior and periodontal disease among Korean adults: The Korea national health and nutrition examination survey.
[So] Source:Medicine (Baltimore);96(7):e6176, 2017 Feb.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:This study was performed to assess the association between oral health behavior and periodontal disease using nationally representative data.This study involved a cross-sectional analysis and multivariable logistic regression analysis models using the data from the Korean National Health and Nutrition Examination Survey. A community periodontal index greater than or equal to code 3 was used to define periodontal disease.Adjusted odds ratios and their 95% confidence intervals of periodontitis for the toothbrushing after lunch group and the toothbrushing before bedtime group were 0.842 (0.758, 0.936) and 0.814 (0.728, 0.911), respectively, after adjustments for age, sex, body mass index, drinking, exercise, education, income, white blood cell count, and metabolic syndrome. Adjusted odds ratios and their 95% confidence intervals of periodontitis for the floss group and the powered toothbrush group after adjustment were 0.678 (0.588, 0.781) and 0.771 (0.610, 0.974), respectively.The association between oral health behavior and periodontitis was proven by multiple logistic regression analyses after adjusting for confounding factors among Korean adults. Brushing after lunch and before bedtime as well as the use of floss and a powered toothbrush may be considered independent risk indicators of periodontal disease among Korean adults.
[Mh] Termos MeSH primário: Higiene Bucal/estatística & dados numéricos
Doenças Periodontais/epidemiologia
[Mh] Termos MeSH secundário: Adulto
Pesos e Medidas Corporais
Estudos Transversais
Dispositivos para o Cuidado Bucal Domiciliar
Feminino
Comportamentos Relacionados com a Saúde
Seres Humanos
Masculino
Meia-Idade
Inquéritos Nutricionais
Índice Periodontal
República da Coreia/epidemiologia
Fatores de Risco
Fatores Socioeconômicos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1703
[Cu] Atualização por classe:170315
[Lr] Data última revisão:
170315
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170217
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000006176


  6 / 1828 MEDLINE  
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[PMID]:28138926
[Au] Autor:Mattos-Silveira J; Matos-Lima BB; Oliveira TA; Jarroug K; Rego RV; Reyes A; Ferreira FR; Imparato JC; Braga MM
[Ad] Endereço:Department of Paediatric Dentistry, Dental School, University of Sao Paulo, São Paulo, Brazil.
[Ti] Título:Why do children and adolescents neglect dental flossing?
[So] Source:Eur Arch Paediatr Dent;18(1):45-50, 2017 Feb.
[Is] ISSN:1996-9805
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:AIM: To identify the variables and actual difficulties related to children and adolescents' non-compliance with dental flossing. METHODS: This cross-sectional study with 36 children and 59 adolescents were selected from dental clinics at the Dental School, University of São Paulo. The percentage of surfaces with disclosed biofilm was used to evaluate general oral hygiene. Participants answered questions concerning dental flossing (difficulties, self-reported motivation, and previous instruction). An examiner observed how the participants flossed their teeth and their possible faults. Univariate and multiple logistic regression analyses were performed and odds ratio values were calculated in order to verify the association between non-compliance (or difficulties) with flossing and possible reasons for that. RESULTS: Similar non-compliance with daily flossing was observed among children and adolescents (p = 0.95). Children's flossing negligence was strongly associated with self-reported laziness in flossing (p = 0.02), and negatively associated with their previous practice by some dentists (p = 0.009). Self-described difficulties in flossing also showed an association with laziness in flossing (p = 0.03). No association was found between negligence of flossing and all variables tested among adolescents (p ≥ 0.05). CONCLUSIONS: Low compliance and difficulties in flossing among children and adolescents seemed to be more related to lack of motivation, although problems concerning manual skills were also observed.
[Mh] Termos MeSH primário: Dispositivos para o Cuidado Bucal Domiciliar/utilização
Comportamentos Relacionados com a Saúde
Higiene Bucal/utilização
[Mh] Termos MeSH secundário: Adolescente
Brasil
Criança
Pré-Escolar
Estudos Transversais
Feminino
Seres Humanos
Masculino
Motivação
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171114
[Lr] Data última revisão:
171114
[Sb] Subgrupo de revista:D; IM
[Da] Data de entrada para processamento:170201
[St] Status:MEDLINE
[do] DOI:10.1007/s40368-016-0266-4


  7 / 1828 MEDLINE  
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[PMID]:27839840
[Au] Autor:Sikka N; Robinson H; Little C; Pourmand A
[Ad] Endereço:Department of Emergency Medicine, George Washington University, Washington, DC, United States. Electronic address: nsikka@mfa.gwu.edu.
[Ti] Título:ED approach to electrical toothbrush associated hand injury, a unique case of non-oropharyngeal injury.
[So] Source:Am J Emerg Med;35(4):667.e3-667.e5, 2017 Apr.
[Is] ISSN:1532-8171
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Puncture wounds are common injuries treated in the emergency department (ED). Prior studies have shown that toothbrushes are common reservoirs for oral flora, especially in regions near the head of the toothbrush near the bristles. ED providers must be aware of the danger associated with bacterial contamination of the associated wound and should be familiar with different pathogens and options for treatment. We present a unique case of a 30-year-old male with non-intraoral injury who presented to the ED after puncturing his left palm with the metal post of an electric toothbrush.
[Mh] Termos MeSH primário: Antibacterianos/uso terapêutico
Dispositivos para o Cuidado Bucal Domiciliar/efeitos adversos
Traumatismos da Mão/terapia
Irrigação Terapêutica/métodos
Infecção dos Ferimentos/prevenção & controle
Ferimentos Penetrantes/terapia
[Mh] Termos MeSH secundário: Adulto
Dispositivos para o Cuidado Bucal Domiciliar/microbiologia
Serviço Hospitalar de Emergência
Seres Humanos
Masculino
Escovação Dentária/instrumentação
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Anti-Bacterial Agents)
[Em] Mês de entrada:1704
[Cu] Atualização por classe:170417
[Lr] Data última revisão:
170417
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161115
[St] Status:MEDLINE


  8 / 1828 MEDLINE  
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[PMID]:27757842
[Au] Autor:Hamilton K; Bonham M; Bishara J; Kroon J; Schwarzer R
[Ad] Endereço:Griffith University, Menzies Health Institute Queensland, Brisbane, Australia. kyra.hamilton@griffith.edu.au.
[Ti] Título:Translating Dental Flossing Intentions into Behavior: a Longitudinal Investigation of the Mediating Effect of Planning and Self-Efficacy on Young Adults.
[So] Source:Int J Behav Med;24(3):420-427, 2017 Jun.
[Is] ISSN:1532-7558
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:PURPOSE: Although poor oral hygiene practices can have serious health consequences, a large number of adults brush or floss their teeth less than the recommended time or not at all. This study examined the mediating effect of two key self-regulatory processes, self-efficacy and planning, as the mechanisms that translate dental flossing intentions into behavior. METHOD: Participants (N = 629) comprised young adults attending a major university in Queensland, Australia. A longitudinal design guided by sound theory was adopted to investigate the sequential mediation chain for the effect of dental flossing intentions (time 1) on behavior (time 3) via self-efficacy and planning (time 2). RESULTS: A latent variable structural equation model with standardized parameter estimates revealed the model was a good fit to the data. Controlling for baseline flossing, the effect of intentions on behavior was mediated via self-efficacy and planning, with 64 % of the flossing variance accounted for by this set of predictors. Controlling for age and sex did not change the results. CONCLUSION: The results extend previous research to further elucidate the mechanisms that help to translate oral hygiene intentions into behavior and make a significant contribution to the cumulative empirical evidence about self-regulatory components in health behavior change.
[Mh] Termos MeSH primário: Dispositivos para o Cuidado Bucal Domiciliar
Comportamentos Relacionados com a Saúde
Higiene Bucal/métodos
[Mh] Termos MeSH secundário: Adolescente
Adulto
Feminino
Seres Humanos
Intenção
Estudos Longitudinais
Masculino
Queensland
Autoeficácia
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171110
[Lr] Data última revisão:
171110
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161021
[St] Status:MEDLINE
[do] DOI:10.1007/s12529-016-9605-4


  9 / 1828 MEDLINE  
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[PMID]:29045082
[Au] Autor:Carney KK
[Ti] Título:A Lesson in Trust.
[So] Source:J Calif Dent Assoc;44(12):717-18, 2016 12.
[Is] ISSN:1043-2256
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Dispositivos para o Cuidado Bucal Domiciliar/utilização
Relações Dentista-Paciente
Confiança
[Mh] Termos MeSH secundário: Odontologia Baseada em Evidências
Guias como Assunto
Seres Humanos
[Pt] Tipo de publicação:EDITORIAL
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171113
[Lr] Data última revisão:
171113
[Sb] Subgrupo de revista:D
[Da] Data de entrada para processamento:171019
[St] Status:MEDLINE


  10 / 1828 MEDLINE  
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[PMID]:27849214
[Au] Autor:Rosing CK; Cavagni J; Gaio EJ; Muniz FW; Oballe HJ; Ranzan N; Friedrich SA; Severo RM; Gittins E; Stewart B; Zhang YP
[Ad] Endereço:Universidade Federal do Rio Grande do Sul - UFRGS, School of Dentistry, Department of Periodontology, Porto Alegre, RS, Brazil.
[Ti] Título:Efficacy of two soft-bristle toothbrushes in plaque removal: a randomized controlled trial.
[So] Source:Braz Oral Res;30(1):e134, 2016 Nov 10.
[Is] ISSN:1807-3107
[Cp] País de publicação:Brazil
[La] Idioma:eng
[Ab] Resumo:The aim of this study was to compare the efficacy in supragingival plaque removal of two soft-bristle toothbrushes. Seventy volunteers were allocated randomly to the Colgate Slim Soft or Curaprox CS5460 toothbrush grourps. At baseline appointment, volunteers underwent plaque examination using the Rustogi Modification of the Navy Plaque Index. Under supervision, they then brushed their teeth for 1minute with their assigned toothbrushes and the plaque examination was repeated. Volunteers performed daily oral hygiene with their assigned toothbrush and a regular dentifrice provided by the researchers for 7 days. The baseline experimental procedures were then repeated. Separate analyses of variance were performed for the whole-mouth, interproximal, and gumline plaque scores (p < 0.05). No difference in baseline pre-brushing scores was found between groups. After a single toothbrushing, the mean plaque score was significantly reduced in both groups (p < 0.05), with greater reduction of whole-mouth and interproximal plaque scores observed in the SlimSoft group compared with the Curaprox group (p < 0.05). After 7 days, the SlimSoft group showed greater reduction of the whole-mouth and interproximal plaque scores compared with the Curaprox group (p < 0.05). In conclusion, the SlimSoft toothbrush presented greater efficacy in supragingival plaque removal than did the Curaprox CS5460 toothbrush, as reflected by whole-mouth and interproximal plaque scores.
[Mh] Termos MeSH primário: Dispositivos para o Cuidado Bucal Domiciliar
Placa Dentária/terapia
Escovação Dentária/instrumentação
[Mh] Termos MeSH secundário: Adulto
Idoso
Índice de Placa Dentária
Desenho de Equipamento
Feminino
Seres Humanos
Masculino
Meia-Idade
Higiene Bucal/instrumentação
Método Simples-Cego
Fatores de Tempo
Resultado do Tratamento
Adulto Jovem
[Pt] Tipo de publicação:CLINICAL TRIAL, PHASE II; JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL
[Em] Mês de entrada:1612
[Cu] Atualização por classe:170906
[Lr] Data última revisão:
170906
[Sb] Subgrupo de revista:D; IM
[Da] Data de entrada para processamento:161117
[St] Status:MEDLINE



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