Thesis (doctoral)--Malmö University, Sweden, 2007. / Added t.p. with thesis statement inserted. Includes bibliographical references.

Thesis (Ph. D.)--University of North Carolina at Chapel Hill, 1997. / eContent provider-neutral record in process. Description based on print version record. Includes bibliographical references.

Thesis (Ph. D.)--University of Washington, 2002. / Vita. Includes bibliographical references (leaves 73-83).

Thesis (Ph. D.)--University of North Carolina at Chapel Hill, 1997. / Includes bibliographical references.

Diss. med. dent. Zürich. / Literaturverz.

Diss. med. dent. Zürich. / Literaturverz.

Thesis (doctoral)--Malmö University, Sweden, 2007. / Added t.p. with thesis statement inserted. Includes bibliographical references.

(Thesis: M.A.) / In 2000, US Surgeon General David Satcher released a report on the severity of oral health disease in the high risk demographic. His grave report ushered in an era of oral health prevention programs utilizing a combination of education, mouth rinses, fluoride varnishes, dental sealants, and more invasive procedures. Given this wide range of acceptable treatment interventions available, the aim of this paper is to evaluate the effectiveness of certain treatments both by themselves and in tandem with one another on target high risk school age children. The first program we analyzed was a fluoride mouth rinse program based in North Carolina. While we found that although this program may have positive impacts on school age children in the future, it did not currently provide statistically significant benefits to these children. Access to Baby and Child Dentistry, a program in Washington State that used a multi-pronged prevention program involving education, fluoride varnishes, and glass ionomer sealants provided a much clearer benefit to reducing the overall dental caries experience in target school age children. Lastly, the ForsythKids Program, based in Massachusetts which utilized a comprehensive care model of caries prevention was shown to be effective in reducing the number of new caries in school age children. Their comprehensive care model consisted of providing the children with fluoride toothpaste, applying fluoride varnish, fitting glass ionomer sealants and temporary restorations. Armed with this information and based on a model involving four steps and two factors crucial in the successful implementation of an oral health prevention program, we hope to offer a foundation for future forays into both installing and maintaining an oral health prevention program.

Made available in DSpace on 2014-06-11T19:35:13Z (GMT). No. of bitstreams: 0 Previous issue date: 2012-12-12Bitstream added on 2014-06-13T20:06:48Z : No. of bitstreams: 1 correia_asc_dr_araca.pdf: 815730 bytes, checksum: 3b4e4c9aa787addd9825bc09d2b1d4de (MD5) / Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES) / Distúrbios nutricionais são comuns em pacientes com desordens neurológicas. Este estudo analisou a microbiota bucal e orofaríngea de pacientes com desordens neurológicas e nutrição enteral, os componentes salivares que pudessem influenciar nas condições de saúde bucal e estabeleceu um protocolo de prevenção em saúde bucal para os pacientes avaliados. Participaram do grupo de estudo pacientes com desordens neurológicas e nutrição enteral por sonda de gastrostomia (GGT/ n=11). O grupo controle (GC) foi composto de pacientes (n=13) com desordens neurológicas e dieta normal, por via oral. Foram realizadas coletas de saliva, biofilme supragengival, biofilme subgengival, secreção de mucosa (jugal, assoalho bucal e dorso lingual) e secreção de orofaringe, para análise microbiológica por cultura e PCR. Um protocolo de higiene bucal foi estabelecido para o GGT, incluindo raspagem dentária mensal, escovação dentária diária com creme dental para controle de cálculo dentário, e limpeza da cavidade bucal com gaze embebida em solução a base de digluconato de clorexidina a 0,12% com xilitol a 5%. A cultura bacteriana apontou alta prevalência de microorganismos entéricos (18,1%) e leveduras (89,0%) no GGT, porém o PCR apresentou cerca de 23,9% de amostras positivas no GGT para P. gingivalis, T. forsythia, T. denticola, dentre outros microrganismos avaliados, enquanto no GC a prevalência destas bactérias foi estatisticamente significante (39,9%). A nova rotina realizada em pacientes (n=6) do GGT mostrou melhora expressiva no Índice de Sangramento Gengival (ISG) médio, que apresentou redução de 15% após 6 meses de uso do protocolo, e a média do Índice de Higiene Oral Simplificado (IHOS), baixou de 1,48 para 0,57 (redução de 60%) no mesmo período. Um grupo de voluntários (n=14) sem... / Nutritional disorders are common in patients with neurological disorders. This study examined the oral and oropharyngeal microbiota of patients with neurological disorders and enteral nutrition, the salivary components that could influence the oral health status and it was established a protocol for prevention in oral health for these patients. The study group was composed by patients with neurological disorders and enteral nutrition by gastrostomy tube (GGT / n = 11). The control group (CG) consisted of patients (n = 13) with neurological disorders and orally normal diet. It was collected saliva, supragingival biofilm, dental biofilm, secretion of mucous (buccal, mouth floor and tongue dorsum) and oropharyngeal secretions for microbiological analysis by culture and PCR. An oral care protocol was established for GGT, including dental scraping monthly, daily tooth brushing with toothpaste to dental calculus control, and cleaning the oral cavity with soaked gauze in solution based on digluconate chlorhexidine 0.12% with 5% of Xylitol. The bacterial culture showed high prevalence of enteric microorganisms (18.1%) and yeast (89.0%) in GGT, but the PCR showed about 23.9% of the positive samples for P. gingivalis, T. forsythia, T. denticola, among other microorganisms evaluated, while in the GC group the prevalence of these bacteria was statistically significant (39.9%). The new routine performed in the GGT patients (n=6) showed significant improvement in average of the Gingival Bleeding Index (GBI), which declined by 15% after 6 months of using these protocol, and the average of the Simplified Oral Hygiene Index (OHI ) decreased from 1.48 to 0.57 (60% reduction) in the same period. A group of volunteers (n = 14), without neurological disorders, was added to the search for biochemical analysis of saliva. The unstimulated saliva... (Complete abstract click electronic access below)

Conselho Nacional de Desenvolvimento CientÃfico e TecnolÃgico / No Brasil, a populaÃÃo de idosos està em crescimento contÃnuo, causando um aumento da demanda por instituiÃÃes de longa permanÃncia para idosos. PorÃm, estudos no Nordeste brasileiro sobre a saÃde bucal em idosos institucionalizados sÃo praticamente inexistentes. Este estudo teve como objetivo analisar as condiÃÃes de saÃde bucal em idosos institucionalizados de 65 anos e mais em um asilo no MunicÃpio de Fortaleza / CE, Brasil. Foi realizado um estudo transversal com 160 indivÃduos (95,2% da populaÃÃo-alvo), consistindo de consulta aos prontuÃrios, aplicaÃÃo de um questionÃrio estruturado prÃ-testado e exame bucal. Na anÃlise estatÃstica, foram utilizados testes T, Kruskal-Wallis e regressÃo linear mÃltipla. A idade mÃdia foi de 76,6 anos. O Ãndice CPO-D (29,73) dos idosos asilados foi elevado. O componente dente perdido apresentou o maior valor (28,42); 109 (68,1%) idosos nÃo possuÃam nenhum dente hÃgido; 93 (58,1%) eram totalmente desdentados e 56 (35,0%) apresentavam dentes com raÃzes expostas. Dos 573 dentes presentes, 256 (44,6%) necessitavam de algum tipo de tratamento, sendo 194 (75,8%) para extraÃÃo dentÃria. Dos idosos, 112 (70%) nÃo faziam uso de prÃtese superior e 130 (81,3%) de prÃtese inferior. Quanto à necessidade de prÃtese, 135 (84,4%) necessitavam de algum tipo de prÃtese superior e 142 (88,7%) de prÃtese inferior. A maioria dos sextantes examinados (83,8%) apresentava cÃlculo dentÃrio. Sobre os cuidados e prÃticas em saÃde bucal, apenas 17 idosos (10,6%) nÃo faziam higiene oral. Poucos idosos tinham visitado o dentista nos Ãltimos trÃs meses. A extraÃÃo dentÃria predominou como o motivo da Ãltima visita ao dentista. Idade, instruÃÃo educacional e higiene oral apresentaram significÃncia (p<0,05) para o CPO-D mÃdio na regressÃo linear mÃltipla. Os dados mostram que a maioria dos idosos apresenta saÃde bucal precÃria. Assim, sÃo indispensÃveis intervenÃÃes focalizadas nessas populaÃÃes, como educaÃÃo em saÃde e tratamento precoce. / In Brazil, the elderly population has been growing continuously, leading to a higher demand for long-term institutions for the elderly. In spite of that, studies on the oral health of institutionalized elderly in northeast Brazil are virtually non-existent. The objective of the present study was to analyze the oral health conditions in institutionalized elderly of 65 year-olds or older in a nursing home in the city of Fortaleza / CE, Brazil. A cross-sectional study was conducted with 160 individuals (95.2% of the target population), consisting of the analysis of patient records, application of a questionnaire and oral examination. In statistic analysis, T-Student, Kruskal-Wallis and multiple linear regression tests were performed. Their mean age was 76.6 years. The DMFT index (29.73) was high. Lost teeth represented the highest proportion (28.42); 109 (68.1%) elderly did not have any healthy teeth; 93 (58.1%) were total edentates and 56 (35.0%) had teeth with exposed roots. Of 573 teeth present in total, 256 (44.6%) required some kind of treatment, and 194 (75.8%) of them dental extraction. Of the study population, 112 (70%) did not use any upper prosthesis, and 130 (81.3%) did not use any lower prosthesis. The need of an upper prosthesis was detected in 135 elderly (84.4%) and of a lower prosthesis in 142 (88.7%). The majority of sextants examined (83.8%) had dental calculus. About practices and care in oral health, only 17 individuals (10.6%) did not clean their mouth. Few elderly had visited the dentist at last three months. The dental extraction predominated as the reason at last time of going to dentist. Age, educational level and oral hygiene entered in the multiple linear regression. These data show that most of the elderly had poor oral health. Interventional measures focused on these populations, such as health education and preventive treatment, are, therefore, necessary.