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Authors
Abstract(s)
Introdução: A cárie é a doença crónica mais comum que afeta os seres humanos.
Por isso, é de extrema importância realizar a avaliação do risco de cárie, a fim de
identificar indivíduos com maior propensão a desenvolver essas lesões e, assim,
personalizar o plano de tratamento. Essa abordagem permite fornecer medidas
preventivas para evitar o surgimento ou a progressão da doença.
Objetivos: Contribuir para a recolha de informação sobre o risco de cárie dos
pacientes adultos que recorrem à Clínica Dentária Universitária. Aumentar a amostra
total de pacientes continuando o projeto iniciado por Fonseca, 2022 (20). Realizar
recalls em pacientes observados há mais de 8 meses e perceber as mudanças
ocorridas. Utilizar as amostras de saliva recolhidas para caracterizar o microbioma
oral dos pacientes em termos de carga total bacteriana e da bactéria cariogénica
Streptococcus sobrinus. Propor os fatores a incluir numa aplicação chairside.
Materiais e métodos: Este é um estudo observacional longitudinal que incluiu 123
pacientes que frequentaram a Clínica Dentária da Universidade Católica Portuguesa
de Viseu, entre março de 2022 e maio de 2023. A recolha de dados dos pacientes
consistiu na aplicação de um questionário, de uma avaliação intraoral, e na colheita de
amostras de saliva e de biofilme. Vinte pacientes foram sujeitos a uma segunda
avaliação decorrida 8/10 meses após a primeira avaliação. Os dados foram recolhidos
na plataforma Qualtrics e analisados recorrendo ao programa SPSS.
Resultados: Nos 123 pacientes avaliados, classificamos como risco baixo 58,54%
(n=72), risco moderado 28,46% (n=35), risco elevado 11,38% (n=14) e risco severo
1,63% (n=2). Foi feito o recall de 20 pacientes, em que 3 pacientes alteraram o risco:
o primeiro paciente transitou de um risco elevado para um risco moderado, o segundo
transitou de risco elevado para um nível baixo e o terceiro transitou de um nível
moderado para um nível de risco baixo. Foi feita a classificação do risco em 66
pacientes com a adição da quantificação de Streptococcus sobrinus, constatando-se
que houve mudanças no risco de cárie com esta variável comparando ao risco sem
VIII
ela. Porém são necessárias melhorias, principalmente nas análises microbiológicas a
serem executadas, como a quantificação de outras bactérias cariogénicas e
carioprotetoras.
Conclusão: Neste trabalho, alcançaram-se os objetivos de classificar
provisoriamente 123 pacientes em relação ao risco de cárie, servindo assim como
ponto de partida para a identificação das necessidades de tratamento e
estabelecimento de estratégias preventivas. Foi feita a reavaliação em 20 pacientes
para verificar mudanças ocorridas. Além disso, ampliou-se a análise ao classificar 66
pacientes em relação ao risco de cárie adicionando a variável da quantificação de
Streptococcus sobrinus. Propor os fatores a incluir numa aplicação chairside.
Introduction: Carie is the most common chronic disease that affects human beings. Therefore, it is extremely important to assess the risk of caries in order to identify individuals with a higher propensity to develop these lesions and thus personalize the treatment plan. This approach allows for the provision of preventive measures to avoid the onset or progression of the disease. Goal: To contribute to gathering information of the risk of dental caries in adult patients attending the CDU-UCP. To utilize the collected saliva samples to characterize the oral microbiome of the patients in terms of total bacterial load and the cariogenic bacteria Streptococcus sobrinus. Increase the total patient sample by continuing the project initiated by Fonseca, 2022 (20). Perform recalls on patients observed for more than 8 months and assess the changes that have occurred. Propose the factors to include in a chairside application. Materials and methods: This study consisted of a longitudinal observational study that included 123 patients who attended the CDU-UCP, between March 2022 and May 2023. Each patient who met the necessary requirements to participate in this study was observed by the researchers, who collected the patient´s data through the administration of a questionnaire, an intraoral assessment, and the collection of saliva and biofilm samples. Among the patients, some (20) underwent a second assessment 8/10 months after the first evaluation. The data were collected using the Qualtrics platform and analyzed using the SPSS software. Results: In the 123 evaluated patients, we classified 58.54% (n=72) as low risk, 28.46% (n=35) as moderate risk, 11.38% (n=14) as high risk, and 1.63% (n=2) as severe risk. A recall was performed on 20 patients, where 3 patients had a change in their risk classification: the first patient transitioned from high risk to moderate risk, the second one transitioned from high risk to low risk, and the third transitioned from moderate risk to low risk. Risk classification was conducted on 66 patients with the addition of Streptococcus sobrinus quantification, revealing changes in caries risk compared to the risk without this variable. However, improvements are needed, especially in the microbiological analyses to be performed, such as quantification of other cariogenic and carioprotetive species. Conclusion: In this study, the objectives of provisionally classifying 123 patients in relation to caries risk were achieved, serving as starting point for identifying treatment needs and establishing preventive strategies. A reevaluation was conducted on 20 patients to assess the changes that occurred. Additionally, the analysis was expanded by provisionally classifying 66 patients in relation to caries risk incorporating the variable of Streptococcus sobrinus quantification.
Introduction: Carie is the most common chronic disease that affects human beings. Therefore, it is extremely important to assess the risk of caries in order to identify individuals with a higher propensity to develop these lesions and thus personalize the treatment plan. This approach allows for the provision of preventive measures to avoid the onset or progression of the disease. Goal: To contribute to gathering information of the risk of dental caries in adult patients attending the CDU-UCP. To utilize the collected saliva samples to characterize the oral microbiome of the patients in terms of total bacterial load and the cariogenic bacteria Streptococcus sobrinus. Increase the total patient sample by continuing the project initiated by Fonseca, 2022 (20). Perform recalls on patients observed for more than 8 months and assess the changes that have occurred. Propose the factors to include in a chairside application. Materials and methods: This study consisted of a longitudinal observational study that included 123 patients who attended the CDU-UCP, between March 2022 and May 2023. Each patient who met the necessary requirements to participate in this study was observed by the researchers, who collected the patient´s data through the administration of a questionnaire, an intraoral assessment, and the collection of saliva and biofilm samples. Among the patients, some (20) underwent a second assessment 8/10 months after the first evaluation. The data were collected using the Qualtrics platform and analyzed using the SPSS software. Results: In the 123 evaluated patients, we classified 58.54% (n=72) as low risk, 28.46% (n=35) as moderate risk, 11.38% (n=14) as high risk, and 1.63% (n=2) as severe risk. A recall was performed on 20 patients, where 3 patients had a change in their risk classification: the first patient transitioned from high risk to moderate risk, the second one transitioned from high risk to low risk, and the third transitioned from moderate risk to low risk. Risk classification was conducted on 66 patients with the addition of Streptococcus sobrinus quantification, revealing changes in caries risk compared to the risk without this variable. However, improvements are needed, especially in the microbiological analyses to be performed, such as quantification of other cariogenic and carioprotetive species. Conclusion: In this study, the objectives of provisionally classifying 123 patients in relation to caries risk were achieved, serving as starting point for identifying treatment needs and establishing preventive strategies. A reevaluation was conducted on 20 patients to assess the changes that occurred. Additionally, the analysis was expanded by provisionally classifying 66 patients in relation to caries risk incorporating the variable of Streptococcus sobrinus quantification.
Description
Keywords
Cárie dentária Prevenção de cárie CAMBRA Risco de cárie Indicadores de doença Fatores de risco Fatores de proteção Dental caries Caries prevention Caries risk Disease indicators Risk factors Protective factors