Clínica Odontológica (desativado)
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Navegando Clínica Odontológica (desativado) por Assunto "Alcoolismo"
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- ItemAvaliação das condições dentárias e periodontais de alcoolistas e não alcoolistas(Universidade Federal do Espírito Santo, 2018-07-16) Sossai, Lorena Lirio; Feitosa, Alfredo Carlos Rodrigues; Guerra, Selva Maria Gonçalves; Barros, Liliana Aparecida Pimenta de; Gomes, Maria da Penha ZagoAlcohol abuse or dependence is a major risk factor for many illnesses and disabilities. Its chronic use is irritating to the mucosa and is related to worse oral conditions. However, few studies evaluate the oral health of alcohol dependents. The objective of this study is to evaluate the dental and periodontal status of alcoholics and to compare them with the dental and periodontal status of non-alcoholics. This cross-sectional observational study included 60 males, aged between 32 and 72 years, with 30 alcoholics assisted in the Alcoholic Attendance Program of the Hospital Universitário Cassiano de Moraes and 30 non-alcoholics attended at the Periodontia Nucleus of the Federal University of Espírito Santo Holy. These were submitted to the interview and clinicai examinations. Statistical analysis was characterized by means of frequency, percentage, mean, standard deviation, multiple logistic regression and Chi-square and Studenfs t-tests. The alpha levei of significance used in all analyzes was 5% with a 95% confidence interval. Alcoholics had a lower average age, used more tobacco, had a lower frequency of dental brushing and flossing, had more lost and decayed teeth, more residual root and more teeth with visible plaque index present (OR = 4.9 - 4.4 to 5.5) compared to nonalcoholics. The site with a clinicai insertion levei of 4 mm or more had half the chance of being detected (OR = 0.50 - 0.43 to 0.57) in alcoholics compared to nonalcoholics. There was no difference in the presence of the periodontal pocket of the alcoholic patients in relation to the abstinence time; however, there was a difference between the use of tobacco (p <0.001) and the time of alcohol use (p <0.001). Alcoholic individuais presented higher prevalence of caries, fewer sites with periodontal disease and worse oral hygiene than non-alcoholic individuais. Regarding professional follow-up, there was similarity between the groups evaluated.
- ItemRelação entre o tabagismo e o etilismo e o carcinoma de células escamosas na região de cabeça e pescoço em pacientes usuários do SUS no Espírito Santo(Universidade Federal do Espírito Santo, 2015-10-09) Mameri, Helenita Almeida; Carvalho, Raquel Baroni de; Pacheco, Karina Tonini dos Santos; Amorim, Maria Helena CostaThe prevalence of head and neck cancer (oral cavity, pharynx and larynx) has increased in Brazil in the last decade, with the squamous cell carcinoma as the most common. The treatment may cause severe functional and aesthetic sequels, with a significant impact on quality of life and psychological health of these patients. Objectives: This study aimed to relate the habits of individuals with the development of squamous cell carcinoma (SCC) of the head and neck.Methods: retrospective study of patients with cancer. Survey conducted in two public hospitals of reference in the city of Vitória, Espírito Santo, Brazil, from November 2011 to November 2013. The study include 97 patients with SCC of the head and neck, in which 51 in oral cavity and lip, 24 in the oropharynx, 3 in the hypopharynx, 16 in the larynx, 2 in the nasal area and 1 patient with unknown tumoral site. Patients were interviewed about sociodemographic data; smoking habits and alcohol consumption (at diagnosis and after six months); oral hygiene habits and primary treatment. The statistical analysis was descriptive, chi-square test and Fisher Exact. Results: The development of malignancies is associated with environmental risk factors and lifestyle. There was a statistically significant association between smoking and staging of tumors (0.039) and the main treatment (0.036). From a total of 97 patients, 34 had been caused by the CEC head and neck (35.1%). Conclusion: Confirming smoking and alcohol consumption as risk factors for SCC of the head and neck, it was understood that the longer the duration of exposure to these risks and their usual amount, there is a greater chance for development of head and neck carcinoma. It is also important because spending on treatments become expensive. So, lifestyle changes such as abstinence from tobacco and alcohol are the best methods of preventing the disease, since they are the main risk factors.