OBJECTIVES: To evaluate the efficacy of EO as adjuncts to mechanical plaque control (MPC) on the reduction of plaque and gingivitis when compared to placebo or cetylpyridium chloride (CPC). DATA: Randomized controlled trials of at least 6 months of follow-up including systemically healthy individuals with gingivitis were included. SOURCES: MEDLINE, EMBASE, Lilacs and SCOPUS were searched up to April 2016. From 3045 citations, 16 studies were included. 14 studies assessed the Quigley-Hein Plaque Index (QHI) and 11 studies assessed the Modified Gingival Index (MGI) and were included in meta-analyses and meta-regression. STUDY SELECTION: The analysis of risk of bias suggested that the quality of the studies ranged from moderate to low. Mean QHI (WMD=-0.86, 95%CI -1.05 to -0.66) and MGI (WMD=-0.52, 95%CI -0.67 to -0.37) were lower for EO+MPC than placebo+MPC. Reductions in plaque and gingivitis were, respectively, 32% and 24% larger for EO+MPC than placebo+MPC. The decreases in QHI (WMD=-0.95, 95%CI -1.26 to -0.63) and in MGI (WMD=-0.34, 95%CI -0.53 to -0.15) observed in the EO+MPC group, compared to placebo+MPC in interproximal areas, were significantly different and in favor to EO+MPC. EO+MPC compared to CPC+MPC resulted in clinically lower levels of plaque and gingivitis. High heterogeneity (I(2)>95%) was found and explained (MGI-R(2)=63.6%; QHI-R(2)=80.1%) by differences between studies in the percentage of males, supervision of the mouthwashes and provision of oral hygiene. CONCLUSIONS: EO seems to be superior to placebo+MPC and CPC+MPC for reduction of plaque and gingival inflammation in patients with gingivitis. Expected benefits may be clinically relevant and may also reach the interproximal area. CLINICAL SIGNIFICANCE: Mouthwashes containing essential oils should be considered the first choice for daily use as adjuvants to self-performed mechanical plaque control.
A decade has passed since we first reviewed the epidemiology of periodontal diseases in Latin America. At that time, lack of population-based studies was the norm and our conclusions were based on very limited evidence. The aim of the present comprehensive review was to update and expand our previous work by providing a broad overview of Latin America and its current social, economic and demographic status and by focusing on the epidemiology of periodontal diseases in Latin American adults published in the last 15 years. The amount of periodontal epidemiological data available has increased but is still restricted to a few countries only. The scope of the literature available has also broadened to include oral health-related quality of life and systemic interactions; however, most studies had methodological limitations that might have biased their results. In general, periodontitis was very prevalent, but severe periodontal destruction was localized. Besides being associated with well-established risk factors, periodontitis was associated with demographics and socio-economic factors in Latin American populations. To advance epidemiological knowledge, population-based cross-sectional and longitudinal studies, using appropriate methodologies, should be the future focus of the research agenda of researchers and public health planners in Latin American countries.
Este trabalho apresenta o desenvolvimento de um produto baseado nos conceitos de modelagem paramétrica e fabricação digital. Tais conceitos trazem consigo a possibilidade de otimizar os recursos investidos no processo de design, aumentando a produtividade, além de agilizar as fases de prototipagem e de ajuste do projeto. A partir de um problema proposto: diminuir as grandes perdas causadas pelo desperdício de alimentos na fase de pós-produção, o produto desenvolvido ao longo desta pesquisa é uma embalagem para o transporte de frutas. Para a geração de ideias foi utilizado o jogo Creative Sketch, desenvolvido por Cardozo (2012), e a modelagem paramétrica, realizada no software Rhinoceros 3D com o plugin Grasshopper.
This paper presents the main contributions of the research group Virtual Design (ViD) on the learning process of Descriptive Geometry (DG), in line with the principles of project-based learning. First, the paper presents the theoretical framework for the main ViD initiatives applied to the learning of DG, including design-based learning and physical and virtual modelling. The initiatives presented include a learning cycle based on concrete and virtual experiences in the design context. These initiatives, that feed the learning of DG, are the result of the academic research of the Virtual Design research group, that also involves Masters and PhD projects, with repercussions on the development of new methods, new technologies and new products and the quality of education.
This paper presents the main contributions of the research group Virtual Design (ViD) to the learning process of Descriptive Geometry (DG) in line with the principles of design-based learning. First, the paper presents the theoretical framework that bases the main ViD initiatives applied to the learning of DG, including design-based learning and physical and virtual modelling. The initiatives presented include a learning cycle based on concrete and virtual experiences in the design context. These initiatives that feed the learning of DG are the result of academic research of the Virtual Design research group, also involving Masters and PhD projects, with repercussions on the development of new methods, new technologies and new products, and the quality of education.
This paper presents the main contributions of the research group Virtual Design (ViD) to the learning process of Descriptive Geometry (DG) in line with the principles of project-based learning. First, the paper presents the theoretical framework that bases the main ViD initiatives applied to the learning of DG, including design-based learning and physical and virtual modelling. The initiatives presented include a learning cycle based on concrete and virtual experiences in the design context. These initiatives that feed the learning of DG are the result of academic research of the Virtual Design research group, also involving Masters and PhD projects, with repercussions on the development of new methods, new technologies and new products, and the quality of education.
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