Conhecimento de acadêmicos concluintes de Odontologia sobre protetores bucais para esporte em uma instituição do sudoeste baiano

Segundo dados divulgados pela American Dental Association (ADA), mais de 5 milhões de dentes são avulsionados por ano, sendo a prática esportiva a responsável por cerca de 39% desses casos. De acordo com a Associação Norte Americana de Odontologia Desportiva, o uso de protetores bucais durante as práticas esportivas diminui em até 80% o risco da perda do órgão dental e em 90% a chance de fraturas dos dentes. O objetivo deste estudo foi identificar o nível de conhecimento sobre uso de protetores bucais para esporte em acadêmicos concluintes de Odontologia em uma instituição do sudoeste baiano. Foi aplicado um questionário com 8 perguntas em acadêmicos do 9º e 10º semestre do curso de Odontologia em uma instituição do sudoeste baiano. Os resultados sugerem que embora a maioria dos acadêmicos entrevistados já tenha ouvido falar sobre protetores bucais esportivos, os mesmos não distinguem seus variados tipos, as possíveis injúrias evitáveis com seu uso e os esportes que necessitam do uso deste dispositivo de proteção. Conclui-se que o nível de conhecimento sobre protetores bucais esportivos em acadêmicos se mostrou baixo.

Gessos pedra, usualmente empregados pelo cirurgião-dentista brasileiro, face a norma proposta pela Associação Dentária Americana

The main objective of this research was to analyse four dental gypsum products by brazilian dentists, according to the proposed American Dental Association specification for Dental Gypsum Products. (Six Draft) Iuated: consistency, setting time, compressive strenght, setting expansion and reproduction of detail. Only one the products tested (products tested (product D) met all the requirements. The other three products, (A, B and C) althought and reproduction of detail requirements, failed with regard to setting time and setting expansion requirements.

Propriedades físico-químicas dos cimentos AH Plus e Sealer Plus: tempo de endurecimento e escoamento

Introdução: O tratamento endodôntico busca sanificar o sistema de canais radiculares para permitir adequada obturação tridimensional. Para tanto, necessita-se de materiais plásticos, como a guta-percha, associados a cimentos en- dodônticos com adequadas características físico-químicas. Métodos: Comparação das propriedades físico-químicas tempo de endurecimento e escoamento dos cimentos endodônticos AH Plus e Sealer Plus, de acordo com a especificação 57 da American National Standard Institute/American Dental Association para materiais obturadores. Resulta- dos: O tempo de endurecimento do AH Plus foi de 1178 mi- nutos e do Sealer Plus foi de 422 minutos. O escoamento do APlus foi de 3259 milímetros e do Sealer Plus, 3150 milímetros. Conclusões: O tempo de endurecimento do AH Plus foi maior quando comparado ao do cimento Sealer Plus, e não houve diferença estatística no escoamento entre os cimentos estudados.

Concordance of antibiotic prescribing with the American Dental Association acute oral infection guidelines within Veterans’ Affairs (VA) dentistry

Objective: United States dentists prescribe 10% of all outpatient antibiotics. Assessing appropriateness of antibiotic prescribing has been challenging due to a lack of guidelines for oral infections. In 2019, the American Dental Association (ADA) published clinical practice guidelines (CPG) on the management of acute oral infections. Our objective was to describe baseline national antibiotic prescribing for acute oral infections prior to the release of the ADA CPG and to identify patient-level variables associated with an antibiotic prescription. Design: Cross-sectional analysis. Methods: We performed an analysis of national VA data from January 1, 2017, to December 31, 2017. We identified cases of acute oral infections using International Classification of Disease, Tenth Revision, Clinical Modification (ICD-10-CM) codes. Antibiotics prescribed by a dentist within ±7 days of a visit were included. Multivariable logistic regression identified patient-level variables associated with an antibiotic prescription. Results: Of the 470,039 VA dental visits with oral infections coded, 12% of patient visits with irreversible pulpitis, 17% with apical periodontitis, and 28% with acute apical abscess received antibiotics. Although the median days’ supply was 7, prolonged use of antibiotics was frequent (≥8 days, 42%–49%). Patients with high-risk cardiac conditions, prosthetic joints, and endodontic, implant, and oral and maxillofacial surgery dental procedures were more likely to receive antibiotics. Conclusions: Most treatments of irreversible pulpitis and apical periodontitis cases were concordant with new ADA guidelines. However, in cases where antibiotics were prescribed, prolonged antibiotic courses >7 days were frequent. These findings demonstrate opportunities for the new ADA guidelines to standardize and improve dental prescribing practices.

Pengaruh Variasi Waktu Perendaman dalam Ekstrak Daun Teh Hijau (Camellia sinensis) terhadap Stabilitas Dimensi Alginat

Alginate has an imbibition property if it comes in contact with water that will affect the dimensional stability. Green tea (Camellia sinensis) contains phenolic compounds which can minimize the imbibition process while it is used in disinfection of alginate impression. This study was aimed to analyze the differences in the dimensional stability of alginate impressions after immersion in green tea leaf extract based on time variation. This was an experimental post-test laboratory study only. The one way Anova test on the anteroposterior and mediolateral dimensions showed that variation of immersion time in 50% green tea leaf extract could affect the dimensional stability. Moreover, the post hoc Games Howell test on the anteroposterior dimension and the post hoc LSD test on the mediolateral dimension resulted that there were significant differences between the control group and the groups of 5 minutes, 15 minutes, 30 minutes, and 50 minutes of immersion. Among all alginate impressions, the one immersed for 15 minutes was still in accordance with the standard of the American Dental Association. In conclusion, 15-minute immersion of alginate impression in 50% green tea leaf extract was the best time variation.Keywords: alginate, dimensional stability, green tea leaf extract 50% Abstrak: Alginat memiliki sifat imbibisi bila berkontak dengan air yang akan memengaruhi stabilitas dimensi alginat. Teh hijau (Camellia sinensis) mengandung senyawa fenol yang mampu meminimalkan terjadinya proses imbibisi. Penelitian ini bertujuan untuk menganalisis perbedaan stabilitas dimensi alginat setelah direndam berdasarkan variasi waktu dalam ekstrak daun teh hijau. Jenis penelitian ialah eksperimental laboratorik post-test only. Stabilitas dimensi diketahui melalui selisih jarak anteroposterior (A’-B’) dan mediolateral (B’-C’) master die dengan die stone. Hasil uji one way Anova terhadap dimensi anteroposterior dan mediolateral mendapatkan adanya pengaruh variasi waktu perendaman dalam ekstrak daun teh hijau 50% terhadap stabilitas dimensi. Selanjutnya hasil uji post hoc Games Howell terhadap dimensi anteroposterior dan uji post hoc LSD terhadap dimensi mediolateral mendapatkan perbedaan bermakna antara kelompok kontrol dengan kelompok perendaman 5 menit, 15 menit, 30 menit, dan 50 menit. Hasil perendaman cetakan alginat yang masih sesuai dengan standar American Dental Association ialah perendaman selama 15 menit. Simpulan penelitian ini ialah perendaman cetakan alginat dalam ekstrak daun teh hijau 50% yang terbaik ialah selama 15 menit.Kata kunci: alginat, stabilitas dimensi, ekstrak daun teh hijau 50%

Covid-19 Impact an Oral Health with a Focus on Temporomandibular Joint Disorders

The Covid-19 pandemic caused an increase in stress-related oral health conditions in 2020. In the United States, at one point the unemployment rate was at 25% with more than 20million Americans unemployed. Stressors experienced by the population during 2020 due to Covid-19 were evident in the dental field. This commentary identifies the causes for the spike in stress- related oral conditions as noted by the American Dental Association. Additionally, will explore the cause, effect, and possible solutions of some of the oral-health conditions mentioned.

PERSONALISATION OF A DENTURE

Dentures, whether complete or partial, are the mostly used prosthesis worldwide by the people who are in lack of their natural teeth. Dentures have become a necessity for them for esthetic, functional and psychological reasons. Personalisation of the prosthetics (dentures etc.) has become a challenging job for the dental surgeons worldwide. It is also useful in forensic dentistry for identification of individuals in natural or human aggressive calamities. Though various methods have been described for identification of dentures but none of them fulfill all the requirements prescribed by American Dental Association (ADA). Here, a method for personalisation of denture will be described which is cosmetically appealing and cost effective. Besides, it satisfies most of the requirements laid down by ADA simply by adding up a few steps in the procedure of denture fabrication. Keywords: Denture Tagging, Denture Labeling, Denture Marking, OHP sheet.