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Leopoldo Cosme-silva - One of the best experts on this subject based on the ideXlab platform.

  • Tooth injuries: Knowledge of parents of public school students from the city of Alfenas, Minas Gerais, Brazil
    Dental traumatology : official publication of International Association for Dental Traumatology, 2018
    Co-Authors: Leopoldo Cosme-silva, Leandro Araújo Fernandes, Eliana R. Rosselli, Wilson Roberto Poi, Natália Silva Martins, Daniela Coelho De Lima
    Abstract:

    BACKGROUND/AIMS The prognosis of traumatized teeth can be optimized if appropriate procedures are following at the time of the accident. The aim of this study was to evaluate the level of knowledge of students' parents from a group of Brazilian schools regarding fracture and tooth Avulsion in permanent teeth. METHODS Parents of 802 students were interviewed using a pre-tested questionnaire designed to explore how they would manage their child's Dental Avulsion or fracture. RESULTS Among the parents, 8.6% reported their child had already suffered tooth injuries. Concerning Dental fracture, 49.5% considered the possibility of bonding the tooth fragment and, for Dental Avulsion, 65.5% considered tooth replantation. Approximately 33.5% of parents would take the child to the Dental office in case of fracture or Dental Avulsion, and of those, 66.2% would do so immediately. Further, 69.5% (for fracture) and 70.4% (for Avulsion) would do so regardless of symptoms; only 24.2% and 21.3%, respectively, would seek care only if there was pain. In case of Avulsion, 22.3% of those interviewed would store the tooth in liquid, such as saline solution (17.8%), water (16.4%) and fresh milk (12.2%). CONCLUSION Parents had partial and insufficient knowledge as to the proper approach to be adopted in cases of fracture and Dental Avulsion. Previous experience of Dental trauma was not related to more appropriate behavior regarding these injuries.

  • Knowledge of parents from public and private school students on emergency management of avulsed permanent teeth
    Journal of Public Health, 2017
    Co-Authors: Leopoldo Cosme-silva, Thais Marchini De Oliveira, Ana Beatriz Silveira Moretti, Daniela Coelho De Lima, Rafael Tobias Moretti Neto, Vivien Thiemy Sakai
    Abstract:

    Aim To evaluate the level of general knowledge of parents with regards to first-aid measures for permanent tooth Avulsion and to correlate such knowledge with their children’s school setting (public or private). Subjects and methods A total of 179 parents answered a questionnaire containing 6 objective questions regarding the management of Dental Avulsion and emergency procedures. Data concerning the age and schooling of the respondents were also obtained. Results Parents from the private school group had higher levels of education and were more likely to have a correct attitude regarding the immediate replantation of the avulsed tooth as compared to parents of children studying in public schools ( p  

Vania Portela Ditzel Westphalen - One of the best experts on this subject based on the ideXlab platform.

  • Influence of Atopy in the Outcome of Avulsed and Replanted Teeth during 5 Years of Follow-up
    Journal of endodontics, 2016
    Co-Authors: Liliane Roskamp, Ulisses Xavier Da Silva Neto, Everdan Carneiro, Luiz Fernando Fariniuk, Vania Portela Ditzel Westphalen
    Abstract:

    Abstract Introduction The goal of replantation after Dental Avulsion is to maintain the tooth in its socket. Presence of vital periodontal ligament cells on the root surface of the replanted tooth and the immunologic status of the patient are factors that protect against root resorption. It is known that Dental constituents play an active role in root resorption by inducing specific and non-specific immune responses; however, little information exists regarding the influence of the acquired immune response on replantation. Therefore, the aim of this study was to evaluate the 5-year outcome of replantation in non-atopic and atopic patients. Methods Clinical and radiographic examinations were performed in 62 replanted teeth during a 5-year period. The evaluation of atopy was based on the patients’ personal and family histories and skin prick test results. The χ 2 and the Z tests were used to assess the association between atopy and the outcome of the replanted teeth ( P Results There were significant differences between the 1-year and 5-year outcomes of the replanted teeth ( P P Conclusions Being atopic may offer the advantage of loss of fewer teeth because of replacement resorption, whereas being non-atopic may create an advantage of loss of fewer teeth because of inflammatory root resorption during the first 5 years after trauma.

  • The Positive Influence of Atopy on the Prognosis of Avulsed and Replanted Teeth Despite Differences in Post-trauma Management
    Journal of endodontics, 2011
    Co-Authors: Liliane Roskamp, Vania Portela Ditzel Westphalen, Everdan Carneiro, Luiz Fernando Fariniuk, Ulisses Xavier Da Silva Neto
    Abstract:

    The aim of this study was to evaluate any potential influence of a patient's Th2 immunologic profile on the occurrence of root resorption in avulsed and replanted teeth; tooth replantation cases in which different post-trauma management protocols were examined. In this study, the presence or absence of root resorption was evaluated in 88 avulsed and replanted teeth. In the International Association of Dental Traumatology (IADT) group, the replantation technique and endodontic treatments were performed in accordance with the IADT guidelines. In the non-IADT group, the teeth were replanted using techniques and protocols that deviated from the IADT guidelines in some way. Follow-up of the replanted teeth included monthly clinical and radiographic examinations over the course of 1 year. Evaluation of patients' atopy was based on a medical examination, personal and family allergic history, and a skin prick test. Of 47 teeth of atopic patients, 39 (82.98%) did not exhibit root resorption, whereas 8 (17.02%) did. Of the 41 teeth of nonatopic patients, 24 (58.54%) did not exhibit resorption, whereas 17 (41.46%) did. These results show the importance of a predominantly Th2 immunological profile, which was represented by atopic patients, in replantation after Dental Avulsion despite differences in post-trauma management. Copyright © 2011 American Association of Endodontists. Published by Elsevier Inc. All rights reserved.

  • Relationship between extra-alveolar time and atopy in the prognosis of the replantation of avulsed teeth.
    The Journal of trauma, 2010
    Co-Authors: Liliane Roskamp, Vania Portela Ditzel Westphalen, Ulisses Xavier Da Silva Neto, Everdan Carneiro, Luiz Fernando Fariniuk, Fernando Henrique Westphalen
    Abstract:

    BACKGROUND The aim of this in vivo study was to evaluate the correlation between the occurrence of root resorption in avulsed and replanted teeth, extra-alveolar time, and the possible influence of Th2 immunologic profile, represented by patient's atopy and its influence in the prognosis of the tooth. METHODS This study evaluated the presence or absence of root resorption in 57 avulsed and replanted teeth. The replantation technique and endodontic treatments were performed following the International Association of Dental Trauma guidelines. Follow-up of the replanted teeth included monthly clinical and radiographic examinations during 1 year. The patient's medical examination, including the personal and family allergic history, in conjunction with the skin prick test based the evaluation of patient's atopy. RESULTS Of the 37 teeth of atopic patients, 33 (89.2%) teeth did not present root resorption. Of these, 27 (72.9%) had an extra-alveolar time of 1 hour. Four (10.8%) teeth presented root resorption and an extra-alveolar period of time >1 hour. CONCLUSION These results showed the importance of the extra-alveolar time and the predominantly Th2 immunologic profile, represented by atopic patients, that suffered replantation after Dental Avulsion in a 1-year follow-up.

  • The Influence of Atopy in the Prognosis of the Replantation of Avulsed Teeth
    Journal of periodontology, 2009
    Co-Authors: Liliane Roskamp, Vania Portela Ditzel Westphalen, Ulisses Xavier Da Silva Neto, Everdan Carneiro, Luiz Fernando Fariniuk, José Hermênio Cavalcante Lima, Fernando Henrique Westphalen
    Abstract:

    Replantation is the most indicated procedure for traumatic Dental Avulsion, but it invariably results in a greater or lower degree of root resorption. The outcomes of these cases can be affected by some well-known factors. Because studies have shown the importance of the innate and acquired immune response in the mechanisms involved in the resorption of bone tissues, an endeavor was made to verify if such an influence applies to Dental resorption. Fifty-seven avulsed, endodontically treated teeth were assessed in the Endodontics Clinic, Pontifical Catholic University of Paraná. Follow-up of the replanted teeth included periodical clinical examinations and radiographs, in accordance with the control rules of the International Association of Dental Traumatology. The evaluation of atopy was based on the patient's personal and family history in conjunction with the skin-prick test for five allergen extracts. Of the 46 teeth with a favorable outcome, 33 (71.74%) were in atopic patients, and 13 (28.26%) were in non-atopic patients. Of the 11 teeth with an unfavorable outcome, four (36.36%) were in atopic patients, and seven (63.64%) were in non-atopic patients; a greater prevalence of unfavorable prognoses occurred in non-atopic patients. The outcome after 1 year for avulsed and replanted teeth is more favorable in atopic patients.

  • Knowledge of general practitioners dentists about the emergency management of Dental Avulsion in Curitiba, Brazil
    Dental traumatology : official publication of International Association for Dental Traumatology, 2007
    Co-Authors: Vania Portela Ditzel Westphalen, Wilson Denis Martins, Marili Doro Andrade Deonizio, Ulisses Xavier Da Silva Neto, Camila Bezerra Da Cunha, Luis Fernando Fariniuk
    Abstract:

    The prognosis of traumatized teeth in general and of avulsed teeth in particular depends on prompt and appropriate treatment. Management of traumatic injuries may be a challenge to the non-specialized dentist, as they may occur when dentists are least prepared for it. The objective of this research was to investigate the knowledge of general practitioner dentists about the emergency management of Dental Avulsion in Curitiba, PR, Brazil. A group of 250 professionals were interviewed. The questions were related to knowledge of how to treat traumatic Avulsion of teeth. The results suggest that the level of knowledge on the management of Dental Avulsion of the general practitioners dentists in Curitiba is adequate.

Vivien Thiemy Sakai - One of the best experts on this subject based on the ideXlab platform.

  • Knowledge of parents from public and private school students on emergency management of avulsed permanent teeth
    Journal of Public Health, 2017
    Co-Authors: Leopoldo Cosme-silva, Thais Marchini De Oliveira, Ana Beatriz Silveira Moretti, Daniela Coelho De Lima, Rafael Tobias Moretti Neto, Vivien Thiemy Sakai
    Abstract:

    Aim To evaluate the level of general knowledge of parents with regards to first-aid measures for permanent tooth Avulsion and to correlate such knowledge with their children’s school setting (public or private). Subjects and methods A total of 179 parents answered a questionnaire containing 6 objective questions regarding the management of Dental Avulsion and emergency procedures. Data concerning the age and schooling of the respondents were also obtained. Results Parents from the private school group had higher levels of education and were more likely to have a correct attitude regarding the immediate replantation of the avulsed tooth as compared to parents of children studying in public schools ( p  

  • Knowledge and attitude of mothers with regards to emergency management of Dental Avulsion.
    Journal of dentistry for children (Chicago Ill.), 2007
    Co-Authors: Thais Marchini De Oliveira, Vivien Thiemy Sakai, Ana Beatriz Silveira Moretti, Thiago Cruvinel Da Silva, Carlos Ferreira Dos Santos, Maria Aparecida De Andrade Moreira Machado
    Abstract:

    UNLABELLED Traumatic injuries to the teeth and their supporting structures are frequent in children. Among the traumatic injuries, Dental Avulsion results in the major functional and esthetic disturbances for patients. PURPOSE The present study's aim was to assess the mothers' level of knowledge and attitude concerning Dental Avulsion. METHODS A questionnaire contained 6 objective questions for the assessment of the mothers' knowledge and attitude regarding the management of Dental Avulsion and emergency procedures. RESULTS A total of 242 mothers participated in the study. A lack of technical information was observed among the mothers. CONCLUSION This study showed the need of a more effective communication between Dental professionals and mothers to better handle Dental emergencies. Educational campaigns and preventive programs on Dental trauma must be organized to improve the emergency management of Dental Avulsion.

Ulisses Xavier Da Silva Neto - One of the best experts on this subject based on the ideXlab platform.

  • Influence of Atopy in the Outcome of Avulsed and Replanted Teeth during 5 Years of Follow-up
    Journal of endodontics, 2016
    Co-Authors: Liliane Roskamp, Ulisses Xavier Da Silva Neto, Everdan Carneiro, Luiz Fernando Fariniuk, Vania Portela Ditzel Westphalen
    Abstract:

    Abstract Introduction The goal of replantation after Dental Avulsion is to maintain the tooth in its socket. Presence of vital periodontal ligament cells on the root surface of the replanted tooth and the immunologic status of the patient are factors that protect against root resorption. It is known that Dental constituents play an active role in root resorption by inducing specific and non-specific immune responses; however, little information exists regarding the influence of the acquired immune response on replantation. Therefore, the aim of this study was to evaluate the 5-year outcome of replantation in non-atopic and atopic patients. Methods Clinical and radiographic examinations were performed in 62 replanted teeth during a 5-year period. The evaluation of atopy was based on the patients’ personal and family histories and skin prick test results. The χ 2 and the Z tests were used to assess the association between atopy and the outcome of the replanted teeth ( P Results There were significant differences between the 1-year and 5-year outcomes of the replanted teeth ( P P Conclusions Being atopic may offer the advantage of loss of fewer teeth because of replacement resorption, whereas being non-atopic may create an advantage of loss of fewer teeth because of inflammatory root resorption during the first 5 years after trauma.

  • The Positive Influence of Atopy on the Prognosis of Avulsed and Replanted Teeth Despite Differences in Post-trauma Management
    Journal of endodontics, 2011
    Co-Authors: Liliane Roskamp, Vania Portela Ditzel Westphalen, Everdan Carneiro, Luiz Fernando Fariniuk, Ulisses Xavier Da Silva Neto
    Abstract:

    The aim of this study was to evaluate any potential influence of a patient's Th2 immunologic profile on the occurrence of root resorption in avulsed and replanted teeth; tooth replantation cases in which different post-trauma management protocols were examined. In this study, the presence or absence of root resorption was evaluated in 88 avulsed and replanted teeth. In the International Association of Dental Traumatology (IADT) group, the replantation technique and endodontic treatments were performed in accordance with the IADT guidelines. In the non-IADT group, the teeth were replanted using techniques and protocols that deviated from the IADT guidelines in some way. Follow-up of the replanted teeth included monthly clinical and radiographic examinations over the course of 1 year. Evaluation of patients' atopy was based on a medical examination, personal and family allergic history, and a skin prick test. Of 47 teeth of atopic patients, 39 (82.98%) did not exhibit root resorption, whereas 8 (17.02%) did. Of the 41 teeth of nonatopic patients, 24 (58.54%) did not exhibit resorption, whereas 17 (41.46%) did. These results show the importance of a predominantly Th2 immunological profile, which was represented by atopic patients, in replantation after Dental Avulsion despite differences in post-trauma management. Copyright © 2011 American Association of Endodontists. Published by Elsevier Inc. All rights reserved.

  • Relationship between extra-alveolar time and atopy in the prognosis of the replantation of avulsed teeth.
    The Journal of trauma, 2010
    Co-Authors: Liliane Roskamp, Vania Portela Ditzel Westphalen, Ulisses Xavier Da Silva Neto, Everdan Carneiro, Luiz Fernando Fariniuk, Fernando Henrique Westphalen
    Abstract:

    BACKGROUND The aim of this in vivo study was to evaluate the correlation between the occurrence of root resorption in avulsed and replanted teeth, extra-alveolar time, and the possible influence of Th2 immunologic profile, represented by patient's atopy and its influence in the prognosis of the tooth. METHODS This study evaluated the presence or absence of root resorption in 57 avulsed and replanted teeth. The replantation technique and endodontic treatments were performed following the International Association of Dental Trauma guidelines. Follow-up of the replanted teeth included monthly clinical and radiographic examinations during 1 year. The patient's medical examination, including the personal and family allergic history, in conjunction with the skin prick test based the evaluation of patient's atopy. RESULTS Of the 37 teeth of atopic patients, 33 (89.2%) teeth did not present root resorption. Of these, 27 (72.9%) had an extra-alveolar time of 1 hour. Four (10.8%) teeth presented root resorption and an extra-alveolar period of time >1 hour. CONCLUSION These results showed the importance of the extra-alveolar time and the predominantly Th2 immunologic profile, represented by atopic patients, that suffered replantation after Dental Avulsion in a 1-year follow-up.

  • The Influence of Atopy in the Prognosis of the Replantation of Avulsed Teeth
    Journal of periodontology, 2009
    Co-Authors: Liliane Roskamp, Vania Portela Ditzel Westphalen, Ulisses Xavier Da Silva Neto, Everdan Carneiro, Luiz Fernando Fariniuk, José Hermênio Cavalcante Lima, Fernando Henrique Westphalen
    Abstract:

    Replantation is the most indicated procedure for traumatic Dental Avulsion, but it invariably results in a greater or lower degree of root resorption. The outcomes of these cases can be affected by some well-known factors. Because studies have shown the importance of the innate and acquired immune response in the mechanisms involved in the resorption of bone tissues, an endeavor was made to verify if such an influence applies to Dental resorption. Fifty-seven avulsed, endodontically treated teeth were assessed in the Endodontics Clinic, Pontifical Catholic University of Paraná. Follow-up of the replanted teeth included periodical clinical examinations and radiographs, in accordance with the control rules of the International Association of Dental Traumatology. The evaluation of atopy was based on the patient's personal and family history in conjunction with the skin-prick test for five allergen extracts. Of the 46 teeth with a favorable outcome, 33 (71.74%) were in atopic patients, and 13 (28.26%) were in non-atopic patients. Of the 11 teeth with an unfavorable outcome, four (36.36%) were in atopic patients, and seven (63.64%) were in non-atopic patients; a greater prevalence of unfavorable prognoses occurred in non-atopic patients. The outcome after 1 year for avulsed and replanted teeth is more favorable in atopic patients.

  • Knowledge of general practitioners dentists about the emergency management of Dental Avulsion in Curitiba, Brazil
    Dental traumatology : official publication of International Association for Dental Traumatology, 2007
    Co-Authors: Vania Portela Ditzel Westphalen, Wilson Denis Martins, Marili Doro Andrade Deonizio, Ulisses Xavier Da Silva Neto, Camila Bezerra Da Cunha, Luis Fernando Fariniuk
    Abstract:

    The prognosis of traumatized teeth in general and of avulsed teeth in particular depends on prompt and appropriate treatment. Management of traumatic injuries may be a challenge to the non-specialized dentist, as they may occur when dentists are least prepared for it. The objective of this research was to investigate the knowledge of general practitioner dentists about the emergency management of Dental Avulsion in Curitiba, PR, Brazil. A group of 250 professionals were interviewed. The questions were related to knowledge of how to treat traumatic Avulsion of teeth. The results suggest that the level of knowledge on the management of Dental Avulsion of the general practitioners dentists in Curitiba is adequate.

Daniela Coelho De Lima - One of the best experts on this subject based on the ideXlab platform.

  • Tooth injuries: Knowledge of parents of public school students from the city of Alfenas, Minas Gerais, Brazil
    Dental traumatology : official publication of International Association for Dental Traumatology, 2018
    Co-Authors: Leopoldo Cosme-silva, Leandro Araújo Fernandes, Eliana R. Rosselli, Wilson Roberto Poi, Natália Silva Martins, Daniela Coelho De Lima
    Abstract:

    BACKGROUND/AIMS The prognosis of traumatized teeth can be optimized if appropriate procedures are following at the time of the accident. The aim of this study was to evaluate the level of knowledge of students' parents from a group of Brazilian schools regarding fracture and tooth Avulsion in permanent teeth. METHODS Parents of 802 students were interviewed using a pre-tested questionnaire designed to explore how they would manage their child's Dental Avulsion or fracture. RESULTS Among the parents, 8.6% reported their child had already suffered tooth injuries. Concerning Dental fracture, 49.5% considered the possibility of bonding the tooth fragment and, for Dental Avulsion, 65.5% considered tooth replantation. Approximately 33.5% of parents would take the child to the Dental office in case of fracture or Dental Avulsion, and of those, 66.2% would do so immediately. Further, 69.5% (for fracture) and 70.4% (for Avulsion) would do so regardless of symptoms; only 24.2% and 21.3%, respectively, would seek care only if there was pain. In case of Avulsion, 22.3% of those interviewed would store the tooth in liquid, such as saline solution (17.8%), water (16.4%) and fresh milk (12.2%). CONCLUSION Parents had partial and insufficient knowledge as to the proper approach to be adopted in cases of fracture and Dental Avulsion. Previous experience of Dental trauma was not related to more appropriate behavior regarding these injuries.

  • Knowledge of parents from public and private school students on emergency management of avulsed permanent teeth
    Journal of Public Health, 2017
    Co-Authors: Leopoldo Cosme-silva, Thais Marchini De Oliveira, Ana Beatriz Silveira Moretti, Daniela Coelho De Lima, Rafael Tobias Moretti Neto, Vivien Thiemy Sakai
    Abstract:

    Aim To evaluate the level of general knowledge of parents with regards to first-aid measures for permanent tooth Avulsion and to correlate such knowledge with their children’s school setting (public or private). Subjects and methods A total of 179 parents answered a questionnaire containing 6 objective questions regarding the management of Dental Avulsion and emergency procedures. Data concerning the age and schooling of the respondents were also obtained. Results Parents from the private school group had higher levels of education and were more likely to have a correct attitude regarding the immediate replantation of the avulsed tooth as compared to parents of children studying in public schools ( p