Resumption of brazilian oral medicine health care during the second period of the COVID-19 pandemic

Aim: This present study aims to compare the data from the Brazilian Unified Health System on the number of clinical consultations of Oral Medicine from the first 6 months (March-August 2020) of the COVID-19 pandemic in Brazil with the last 6 months (September-February 2020/2021) to update the data, verify the measures' effectiveness to return clinical activities in the following months. Methods: perform a literature review of recent articles that report the impact of the COVID-19 pandemic on Oral Medicine. Results: There was an increase in the number of Oral Medicine clinical consultations in the second half of the pandemic throughout Brazil (+64.2%), representing over 9,235 appointments in this period. Conclusion: measures for the return of health assistance and the practice of Telemedicine proved to be effective after the second period of the pandemic. Even so, strengthening security measures against the coronavirus is essential to ward off a new wave since the Omicron variant emerged in the country and, consequently, possible new lockdowns that might affect healthcare in Brazil

Revaluation of the COVID-19 pandemic impact on the epidemiology of syphilis in Brazil

Introduction: Due to the coronavirus 2019 disease (COVID-19) pandemic, health systems worldwide have suffered interferences, with the interruption of sexual health clinics, limitation of ambulatory consults, prevention, diagnosis, and treatment of several diseases, especially syphilis, altering their epidemiology.Objective: To investigate the impact of the pandemic on syphilis diagnosis in Brazil, the main goal of this study was to update and reevaluate data from the Brazilian Unified Health System on the number of syphilis cases reported in all five Brazilian geographic regions and verify the response of the Brazilian health care to the COVID-19 pandemic. Methods: The data were retrieved from the National Disease Notification System and the Department of Chronic Conditions Diseases and Sexually Transmitted Infections and represent syphilis diagnosis in Brazil, from March to December 2017 to 2019, 2020, and 2021. Results: The increase in the number of syphilis cases was minor compared to 2020, keeping the Southeast region as the most impacted (+146.1%) and an increase of 22,633 cases throughout Brazil (+54.3%). Conclusion:Syphilis disease control measures were ineffective in 2021 as the drop in the number of cases was irrelevant compared to the years before the pandemic. The association between the increase in syphilis cases in Brazil and the COVID-19 pandemic should be further investigated to assist in decision-making processes and in the programming of health actions in addition to finding measures to raise the control of this disease.

Introdução: Em consequência da pandemia de COVID-19, os sistemas de saúde em todo o mundo sofreram interferências, com interrupção de clínicas de saúde sexual, limitação de consultas ambulatoriais, de prevenção, diagnóstico e tratamento de diversas doenças, principalmente a sífilis, alterando sua epidemiologia. Objetivo: Para investigar o impacto da pandemia no diagnóstico da sífilis no Brasil, o objetivo principal do presente estudo foi atualizar e reavaliar os dados do Sistema Único de Saúde sobre o número de casos de sífilis notificados nas cinco regiões geográficas brasileiras e verificar a resposta da atenção básica à saúde brasileira diante da pandemia de COVID-19. Métodos: Os dados foram retirados do Sistema Nacional de Notificação de Agravos e do Departamento de Doenças Crônicas e Infecções Sexualmente Transmissíveis e representam o diagnóstico de sífilis no Brasil, de março a dezembro de 2017 a 2019, 2020 e 2021. Resultados: O aumento no número de casos de sífilis foi menor em relação a 2020, mantendo-se a Região Sudeste como a mais impactada (+146,1%) e havendo aumento de 22.633 casos em todo o Brasil (+54,3%). Conclusão: As medidas de controle da sífilis foram ineficazes em 2021, pois a queda no número de casos foi irrelevante em comparação aos anos anteriores à pandemia. A associação entre o aumento dos casos de sífilis no Brasil e a pandemia de COVID-19 deve ser mais bem investigada para auxiliar nos processos de tomada de decisão e na programação das ações de saúde, além de se encontrarem medidas para elevar o controle desta doença.

Dental anomalies in syndromes displaying hypertrichosis in the clinical spectrum

Abstract Hypertrichosis and dental anomalies may occur alone or in combination in the spectrum of many syndromes. To identify genetic entities characterized by hypertrichosis and dental anomalies, a search was performed in the Mendelian Inheritance in Man database with the terms "hypertrichosis" or "hirsutism" and "tooth" or "dental abnormalities." Nondependent androgen metabolism disturbances were classified as hypertrichosis. Genetic entities with hypertrichosis and dental anomalies were included in the study. Additional searches were performed in the PubMed and Orphanet databases, when necessary, in order to include data from scientific articles. An integrative analysis of the genes associated with the identified syndromes was conducted using STRING to characterize biological processes, pathways, and interactive networks. The p-values were subjected to the false discovery rate for the correction of multiple tests. Thirty-nine syndromes were identified, and dental agenesis was the most frequent dental anomaly present in 41.02% (n = 16) of the syndromes. Causative genes were identified in 33 out of 39 genetic syndromes. Among them, 39 genes were identified, and 38 were analyzed by STRING, which showed 148 biological processes and three pathways that were statistically significant. The most significant biological processes were the disassembly of the nucleosome (GO:0006337, p = 1.09e-06), chromosomal organization (GO:0051276, p = 1.09e-06) and remodeling of the chromatin (GO: 0006338, p = 7.86e-06), and the pathways were hepatocellular carcinoma (hsa05225, p = 5.77e-05), thermogenesis (hsa04714, p = 0.00019), and cell cycle (hsa04110, p = 0.0433). Our results showed that the identification of hypertrichosis and dental anomalies may raise the suspicion of one of the thirty-nine syndromes with both phenotypes.

Maternal consumption of caffeine and second-hand tobacco smoke as risk factors for the development of oral clefts

Abstract Objective The aim of this case-control study was to investigate environmental factors, such as caffeine, folic acid, nutritional iron supplementation, multivitamin complexes, alcohol, and tobacco (second-hand smoking), which have been described as risk factors for the development of oral clefts. Methods This case-control study employed convenience sampling and included 409 mothers: 132 with children with oral clefts (cases) and 277 with children without oral clefts (controls). The age range of the children in both groups was 0 to 2 years. A questionnaire was administered to each mother to inquire about their habits and food consumption during the first trimester of pregnancy. Results Folic acid supplementation was observed in 116 (87.8%) of the case group (p< 0.001) and 271 (97.8%) of the control group. Regarding the use of ferrous sulfate, 114 (86.3%) of the case group and 271 (97.8%) of the control group reported using it. In the case group, 84 (63.6%) mothers reported being exposed to second-hand smoke, and 5 (3.7%) reported alcohol consumption (p= 0.797). In terms of caffeine consumption, 127 mothers (95.4%) in the case group consumed it (p= 0.13), while 247 (88.8%) reported consumption in the control group. Conclusions The results suggest a direct relationship between secondhand smoke, alcohol consumption, and the lack of maternal supplementation with oral clefts.

Scientific production of CNPq researchers in the areas of physical therapy and occupational therapy, Brazil / Produção científica dos pesquisadores do CNPq nas áreas de fisioterapia e terapia ocupacional, Brasil

Abstract Introduction : The scientific production of the areas of physical therapy and occupational therapy presented important growth and international visibility. Objective : To evaluate technical and scientific indicators, in addition to the training of human resources, of scholarship researchers of scientific productivity of CNPq (PQ), in the area of physical therapy and occupational therapy. Methods : A cross-sectional, census and quantitative study was conducted from the Lattes curricula of CNPq researchers with active scholarships in December 2021. The information was extracted through the Lattes Platform of CNPq, including three dimensions of variables for analysis: a) researcher profile; b) scientific production; c) training of human resources. Results : The evaluation included 73 PQ CNPq, in the areas of physical therapy and occupational therapy. The majority were female (n = 42; 57.5%), distributed in 26 different institutions in the country, with the Southeast region being the most prevalent. The largest portion of the PQ completed their doctorate between 11 and 20 years ago (n = 41; 56.2%) and did postdoctoral work (n = 55; 75.3%) abroad (n = 32; 58.2%). The group published 9,486 scientific articles throughout its career, averaging 129.94 scientific articles per PQ. The group of PQ supervised a total of 2,561 undergraduate students, 1,748 master's and 800 doctoral students. The mean H index of PQ was 19.74 (CI 95% = 18.40-21.11; SD = 5.71; median = 19). Conclusion : The PQ scholarship researchers presented significant scientific production and training of human resources, which confirms the important development of the areas in the last ten years. However, a strong nucleation of this production was observed.

Resumo Introducão : A produção científica das áreas de fisioterapia e terapia ocupacional apresentou importante crescimento e visibilidade internacional. Objetivo : Avaliar indicadores técni-cos e científicos, além da formação de recursos humanos, de pesquisadores bolsistas de produtividade científica do CNPq (PQ), nas área de fisioterapia e terapia ocupacional. Métodos : Realizou-se estudo transversal, censitário e quantitativo, a partir dos currículos Lattes dos pesquisadores do CNPq, nas áreas mencionadas, com bolsas ativas em dezembro de 2021. As informações foram extraídas da Plataforma Lattes do CNPq, incluindo três dimensões de variáveis para análise: a) perfil do pesquisador; b) produção científica; c) formação de recursos humanos. Resultados : Foram incluídos na avaliação 73 PQ do CNPq, nas áreas de fisioterapia e terapia ocupacional. A maioria foi do sexo feminino (n = 42; 57,5%), distribuída em 26 instituições distintas no país, sendo a região Sudeste a mais prevalente. A maior parcela dos PQ finalizou o doutorado entre 11 e 20 anos atrás (n = 41; 56,2%) e realizou pós-doutorado (n = 55; 75,3%) no exterior (n = 32; 58,2%). O grupo publicou 9.486 artigos científicos durante toda a carreira, com média de 129,94 artigos científicos por PQ. O conjunto dos PQ orientou um total de 2.561 estudantes de iniciação científica, 1.748 de mestrado e 800 de doutorado. O índice H médio dos PQ foi de 19,74 (IC 95% = 18,40-21,11; DP = 5,71; mediana = 19). Conclusão : Os bolsistas PQ apresentaram significativa produção científica e formação de recursos humanos, o que confirma o importante desenvolvimento das áreas nos últimos dez anos. Observou-se, entretanto, forte nucleação dessa produção.

Comprometimento cognitivo e fatores associados em uma população de idosos / Cognitive impairment and associated factors in a population of aged people

Resumo Introdução: O envelhecimento populacional está entre as transformações globais mais importantes. Na população idosa, há prevalência aumentada de condições crônicas que comprometem a autonomia relacionadas ao comprometimento cognitivo. Objetivo: Este estudo buscou estimar a prevalência de comprometimento cognitivo e os fatores associados em uma população de idosos. Método: Trata-se de pesquisa transversal analítica envolvendo idosos com 60 anos ou mais, cadastrados na Estratégia Saúde da Família de Montes Claros, Minas Gerais, Brasil. Para caracterização dos fatores sociodemográficos, hábitos de vida e condições de saúde, utilizou-se o instrumento Brazilian Older Americans Researches and Service Multidimensional Function Assessment Questionnaire; para avaliação cognitiva, o Mini Exame do Estado Mental, e os resultados, ajustados por escolaridade na análise de regressão logística binária, com apresentação de odds ratio (OR) e intervalos de confiança (IC) de 95%. Resultados: Dos 1.746 idosos avaliados, 11,5% apresentaram comprometimento cognitivo. Os fatores de risco associados foram idosos acima de 80 anos (OR=4,463; IC95% 3,160-6,304); analfabetos (OR=3,996; IC95% 2,716-5,791); sem companheiro (OR=1,989; IC95% 1,388-2,850); sedentários (OR=1,777; IC95% 1,208-2,613) e com histórico de Acidente Vascular Cerebral (OR=3,635; IC95% 2,213-5,971). Conclusões: Comprometimento cognitivo foi associado a variáveis passíveis de ações preventivas, como o acesso à escolarização e hábitos de vida saudáveis.

Abstract Background: Population aging is among the most important global transformations. In the elderly population, there is an increased prevalence of chronic conditions that compromise autonomy, related to cognitive impairment. Objective: This study sought to estimate the prevalence of cognitive impairment and associated factors in an elderly population. Method: This is a cross-sectional and analytical survey involving elderly people aged 60 years old or older, registered with the Family Health Strategy of Montes Claros, Minas Gerais, Brazil. To characterize sociodemographic factors, life habits and health conditions, the Brazilian Older Americans Researches and Service Multidimensional Function Assessment Questionnaire was used; for cognitive evaluation, the Mini Mental State Examination, and the results adjusted for education in the binary logistic regression analysis, with the presentation of odds ratios (OR) and 95% confidence intervals (CI). Results: Of the 1,746 aged individuals evaluated, 11.5% presented cognitive impairment. The associated risk factors were elderly over 80 years old (OR=4.463; 95%CI 3.160-6.304); illiterate (OR=3.996; 95%CI 2.716-5.791); without companion (OR=1.989; 95%CI 1.388-2.850); sedentary (OR=1.777; 95%CI 1.208-2.613), and with a history of stroke (OR=3.635; 95%CI 2.213-5.971). Conclusions: Cognitive commitment was associated with variables susceptible to preventive actions, such as access to schooling and healthy living habits.

Specialized Dental Care in the Brazilian Unified National Health System (SUS)

ABSTRACT Objective: To analyze specialized dental care through access, demand and the work processes provided by the CEO's, using secondary data from the cycles of the PMAQ-CEO. Material and Methods: Cross-sectional study using public domain data. Variables of interest were selected from the external evaluation instrument data matrices and were grouped in categories. The categories were geographic distribution, structural, human resources, work processes and access and coordination. Results: The total of 932 CEO's were evaluated in 2014 and 1,042 in 2016, most of them type II, present in the Northeast region. In both cycles, the highest average of dentists worked in the endodontic specialty (2.4 professionals per CEO) and the lowest in oral medicine (0.8 professionals per CEO). Of the two cycles, 91.5% of the CEO's had a manager, 79.5% performed action planning activities and 74.5% realized internal self-assessment processes. There was an increase in the mean number of days to be seen at the CEO in all analyzed specialties (p<0.001) and 85.2% of the CEO's managers reported that there is a reference for oral cancer confirmed cases. Conclusion: Between the PMAQCEO cycles the number of CEO has increased, but there are still a big pent-up demand and the presence of care gaps. However, an expansion and improvement of the CEO's actions was evidenced, mainly related to the work processes.

The continuous increase in the number of systemic lupus erythematosus cases in Brazil in the COVID-19 era

Abstract This study aims to reevaluate and compare the data from the Brazilian Unified Health System (SUS) on the number of diagnoses of systemic lupus erythematosus (SLE) in the pre-pandemic period with those in the pandemic period, as well as to compare the first year (2020) of the COVID-19 pandemic in Brazil with the last year (2021), to update the data, and to verify whether SLE disease control measures were effective in 2021. There was a consistent and significant increase in the incidence of SLE cases all over Brazil between the first and second pandemic years and between the pre-pandemic triennium and the second pandemic year. Therefore, it is inescapable to have larger clinical studies with different populations to better understand the relationship between these two conditions and find measures to improve the control of this disease.

Transtornos mentais comuns em profissionais da Atenção Primária à Saúde em um período de pandemia da covid-19: estudo transversal na macrorregião Norte de saúde de Minas Gerais, 2021 / Transtornos mentales comunes en profesionales de atención primaria de salud durante el período de pandemia de covid-19: un estudio transversal de la macrorregión norte de Minas Gerais, Brasil, 2021 / Common mental disorders in Primary Health Care professionals during the COVID-19 pandemic period: a cross-sectional study in the Northern health macro-region of Minas Gerais state, Brazil, 2021

Objective: to analyze the prevalence of symptoms of common mental disorders (CMDs) in Primary Health Care professionals between August-October/2021. Methods: this was a cross-sectional study conducted with health professionals in the Northern health macro-region of Minas Gerais state; snowball sampling was used; the dependent variable, CMDs, was evaluated using the Self-Reporting Questionnaire (SRQ-20); Poisson regression was used to perform the statistical analysis. Results: a total of 702 health professionals took part in the study; the prevalence of CDMs was 43.2%. It was higher in those with previous [prevalence ratios (PR) = 2.42; 95%CI 1.43;4.08] and current (PR = 1.54; 95%CI 1.25;1.89) symptoms of mental disorders, overwork during the pandemic (PR = 1.42; 95%CI 1.16;1.73), previous symptoms of anxiety (PR = 1.27; 95%CI 1.01;1.61), depression (PR = 1.27; 95%CI 1.06;1.52) and other mental disorders (PR = 1.20; 95%CI 1.01;1.43). Conclusion: there was an association between CDMs and presenting previous and current symptoms of mental disorders and work overload during the covid-19 pandemic.

Objetivo: analizar la prevalencia de síntomas de trastornos mentales comunes (TMC) en profesionales sanitarios de la Atención Primaria de Salud de agosto a octubre de 2021. Métodos: estudio transversal realizado con profesionales de la salud de la macrorregión norte de Minas Gerais. El muestreo fue del tipo bola de nieve. La variable dependiente, TMC, se evaluó mediante el Self-Reporting Questionnaire (SRQ-20). En el análisis estadístico se utilizó la regresión de Poisson. Resultados: participaron 702 profesionales de salud. La prevalencia de TMC fue del 43,2%, mayor en quienes presentaban síntomas de trastornos mentales previos (RP = 2,42; IC95% 1,43;4,08) y actuales (RP = 1,54; IC95% 1,25;1,89); exceso de trabajo durante la pandemia (RP = 1,42; IC95% 1,16;1,73); síntomas previos de ansiedad (RP = 1,27; IC95% 1,01;1,61), depresión (RP = 1,27; IC95% 1,06;1,52) y otros trastornos mentales (RP = 1,20; IC95% 1,01;1,43). Conclusión: hubo una asociación entre los TMC y los síntomas previos y actuales de los trastornos mentales y la sobrecarga de trabajo durante la pandemia de COVID-19.

Objetivo: analisar a prevalência de sintomas de transtornos mentais comuns (TMCs) em profissionais de saúde da Atenção Primária à Saúde, no período agosto-outubro/2021. Métodos: estudo transversal com profissionais de saúde da macrorregião Norte de saúde de Minas Gerais; amostragem de tipo "bola de neve"; a variável dependente, TMCs, foi avaliada pelo Self-Reporting Questionnaire (SRQ-20); utilizou-se regressão de Poisson na análise estatística. Resultados: participaram 702 profissionais de saúde; a prevalência de TMCs foi de 43,2%, maior naqueles que apresentaram sintomas de transtornos mentais prévios [razão de prevalências (RP) = 2,42 ;IC95% 1,43;4,08] e atuais (RP = 1,54; IC95% 1,25;1,89), trabalho a mais durante a pandemia (RP = 1,42; IC95% 1,16;1,73), sintomas prévios de ansiedade (RP = 1,27; IC95% 1,01;1,61), depressão (RP = 1,27; IC95% 1,06;1,52) e outros transtornos mentais (RP = 1,20; IC95% 1,01;1,43). Conclusão: observou-se associação de TMCs com sintomas prévios e atuais de transtornos mentais e sobrecarga de trabalho, durante a pandemia da covid-19.

Prevalência de transtornos mentais em profissionais de saúde durante a pandemia da COVID-19: revisão sistemática / Prevalence of mental disorders in healthcare professionals during the COVID-19 pandemic: a systematic review

RESUMO Objetivo: Realizar uma revisão sistemática da literatura avaliando a prevalência de transtornos mentais em profissionais da saúde durante a pandemia da COVID-19. Métodos: Trata-se de revisão sistemática conduzida com base no checklist Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). As bases de dados usadas foram a Biblioteca Virtual de Saúde (BVS) e os serviços da United States National Library of Medicine (NLM) via PubMed, com as estratégias de busca: "COVID-19" AND "Saúde mental"; "COVID-19" AND "Saúde mental" AND "pessoal de saúde", em português e inglês, selecionando artigos observacionais e/ou de prevalência publicados a partir de 2020. Resultados: A busca resultou na identificação de 18.643 artigos, e a amostra final foi composta por 9 artigos. Os sintomas mais frequentes foram os de depressão, ansiedade e insônia em profissionais que atuaram no período da pandemia da COVID-19, predominantemente do sexo feminino e idade média de 34,5 anos. A média da prevalência de ansiedade, depressão e insônia foi, respectivamente, de 40,3%, 39,9% e 36,1%, aferidas em 8.866 profissionais da saúde. Os profissionais atuantes na linha de frente no combate à COVID-19 apresentaram maiores prevalências de transtornos mentais comuns em relação a outros profissionais de saúde. Conclusões: Mostraram-se associadas a maiores prevalências de sintomas de TMC: sexo feminino, atuação na linha de frente, maior jornada de trabalho, histórico de uso de medicamentos psicotrópicos, condições inadequadas de trabalho, uso de álcool e tabaco e atuação na área de enfermagem. Observa-se a importância de estratégias de atenção à saúde mental dos profissionais de saúde.

ABSTRACT Objective: To conduct a systematic review of the literature evaluating the prevalence of mental disorders in health professionals during the COVID-19 pandemic. Methods: This is a systematic review conducted based on the guidelines of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) checklist. The databases used were the Biblioteca Virtual de Saúde (BVS) and the services of the United States National Library of Medicine (NLM) via PubMed, with the search strategies: "COVID-19" AND "Mental health"; "COVID-19" AND "Mental health" AND "health personnel", in Portuguese and English, selecting observational and/or prevalence articles published from 2020 onwards. Results: The search resulted in the identification of 18,643 articles, and the final sample consisted of 9 articles. The most frequently evaluated symptoms were symptoms of depression, anxiety and insomnia in professionals who worked during the COVID-19 pandemic period, predominantly female and mean age of 34.5 years. The average prevalence of anxiety, depression and insomnia was respectively 40.3%, 39.9% and 36.1%, measured in 8,866 health professionals. Health professionals working on the front line in the fight against Covid-19 had higher prevalence of common mental disorders in relation to other health professionals. Conclusions: The following were associated with a higher prevalence of CMD symptoms: female sex, frontline work, longer working hours, history of psychotropic medication use, inadequate working conditions, use of alcohol and tobacco, and work in the nursing field. The importance of mental health care strategies for health professionals is observed.

Public oral health services: impacts caused by the COVID-19 pandemic

Abstract: The aim of this study was to describe the oral health services offered by the Unified Health System in the northern macro-region of Minas Gerais, Brazil, during the COVID-19 pandemic. This was an observational, cross-sectional and descriptive study. Data collection took place between August and September 2020 through the completion of online questionnaires by oral health managers in the northern municipalities of Minas Gerais and by consultation of information available in the Special Epidemiological Bulletin Coronavirus North Macro-region n° 14. After collection, data were transferred to SPSS® (Statistical Package for the Social Sciences for Windows, version 24.0). Analyses were performed using frequency, mean, standard deviation and percentages. It was found that all included municipalities suspended elective treatments and maintained emergency dental care at all levels of care. In 62.5% of municipalities there were oral health professionals contaminated by COVID-19. Oral health teams implemented specific interventions to address the pandemic,with the most frequent being tele-orientation (74.7%), use of sanitary barriers (72%), and telemonitoring (68%). At the beginning of the pandemic, 62.5% of municipalities lacked personal protective equipment. Comsidering these results, it was found that the COVID-19 pandemic impacted the supply of dental services in northern Minas Gerais due to the suspension of elective care, contamination of professionals, lack of personal protective equipment, and development of new interventions. Thus, oral health teams had to adapt to new contexts of health interventionsto face COVID-19 and maintain dental care services.

Scientific production of Brazilian researchers focusing on oral surgery, oral medicine, and oral pathology

Abstract We analyzed the distribution characteristics of the scientific production of Brazilian dentistry researchers of the Brazilian National Council for Scientific and Technological Development. The Lattes curriculum data of 211 researchers from Oral Pathology, Oral Surgery, and Oral Medicine fields were included (2018-2020). Over their academic career, 39 researchers published 7,555 papers (average, 175 articles/researcher); 3,876/7,555 papers were indexed in the Web of Science. During 2018-2020, 1,440/7,555 (19%) papers were published. Brazilian dental researchers contribute significantly to international research by participating in scientific journals' editorial boards, evaluating research promotion agencies, training researchers, and contributing to scientific and technological development.

Impact of the coronavirus disease 2019 on the diagnoses of Hansen's disease in Brazil

Abstract INTRODUCTION: Coronavirus disease 2019 (COVID-19) has limited the access of patients with Hansen's disease (HD) to care due to changes in routine health services. METHODS: To ascertain this, we compared the number of HD cases diagnosed before and after the COVID-19 pandemic. RESULTS: The decrease in HD cases in Brazil reached 18,223 (-48.4%), corresponding to an average reduction of 1,518 cases per month during the COVID-19 pandemic. CONCLUSION: Therefore, effective measures should be implemented to minimize the damage and the consequent negative health impact of COVID-19 on the care of HD patients.

The 100 most-cited papers in oral medicine and pathology

Abstract This study aimed to analyze the 100 most-cited papers in the field of oral medicine and pathology over time, identifying the areas of more intense research. Papers in journals of oral medicine and pathology were identified using the Web of Science database. The specified research period was between 1900 and 2019. Descriptive statistics was used to analyze the data. Pearson's correlation analysis was used to explore the relationships among Web of Science citations, Dimensions citations, and Altmetric Attention Score. The number of citations of an article in the top 100 most-cited papers published in 1953 or later ranged from 541 to 3623. The papers were published in 47 different journals. The New England Journal of Medicine, American Cancer Society, and Nature Genetics published the most papers. Authors from 18 different countries published papers on head and neck cancer, craniofacial congenital anomalies, and osteonecrosis. Most of the papers were laboratory and descriptive studies. A correlation analysis showed a strong correlation only between Web of Science and Dimensions citations. In sum, although non-specific journals for pathology and oral medicine published the majority of the 100 most-cited papers, this biometric citation study show that head and neck cancer was the issue with the most citations. Together, these results make an important scientific contribution by providing a historical perspective on the research carried out.

Clinical and Research Activities of the Brazilian Productivity Fellows in Oral Medicine and Oral Pathology during the COVID-19 Era

ABSTRACT Objective To evaluate the effect of the COVID-19 impacts on the activities of researchers in the field of Oral Medicine (OM) and Oral Pathology (OP). To assess the research activities and training of human resources by Brazilian productivity fellows in research (BPFR) in OM and OP in the COVID-19 Era. Material and Methods Thirty-six BPFR in OM and OP areas, funded by National Council for Scientific and Technological Development (CNPq), received a virtual structured questionnaire by e-mail, on the Google Forms (Google®) platform, with questions regarding research activities and training of human resources (supervision of undergraduate and postgraduate students), during the COVID-19 pandemic. From the thirty-six BPFR in OM and OP, twenty-seven (75.0%) answered the questionnaire. Results Most of them were males (n=20; 74.1%) and were distributed in four Brazilian regions and ten states of the federation, including the Federal District. Twenty-four (88.9%) BPFR reported having suspended clinical activities, while sixteen (59.3%) answered that histopathology practices are suspended. Twenty-five (92.6%) BPFR mentioned difficulties in conducting research projects and 55.5% stated having no difficulties in the supervision of undergraduates, master's and PhD students. Conclusion The current scenario may significantly impact the diagnosis of oral diseases in Brazil. Moreover, a decrease in the scientific production of BPFR in OM and OP in the coming years is also considered.

Dental anomalies in the deciduous dentition of non-syndromic oral clefts patients / Anomalias dentárias na dentição decídua de pacientes com fissuras orais não sindrômicas

Abstract Objectives: to investigate the prevalence of dental anomalies in complete deciduous dentition of children with NSCL/P. Methods: this study included 75 children with NSCL/P and 286 healthy control. In both groups the children had deciduous dentition with ages varying from 4 to 6 years. Clinical examination, panoramic and periapical radiographies were performed and dental anomalies of number and shape were considered. Results: there was a higher prevalence of dental anomalies in the case group, compared to the control group. In all, 42 dental anomalies were identified, 25.33% in the case group and 8.04% in control group (p<0.001). Therewas a higher frequency of dental anomalies in NSCL/P (47.36%), followed by non-syndromic cleft lip (31.57%) and non-syndromic cleft palate (21.05%). The occurrence of agenesis (p= 0.005) and twinning (p = 0.029) were higher in the case group. Conclusions: the occurrence of agenesis and dental twinning was more frequent in the case group and may contribute to the definition of oral cleft subphenotype.

Resumo Objetivos: investigar a prevalência de anomalias dentárias na dentição decídua completa de crianças com FL/PNS. Métodos: este estudo incluiu 75 crianças com FL/PNS e 286 controles saudáveis. Em ambos os grupos as crianças tinham dentição decídua com idade variando de 4 a 6 anos. Exame clínico, radiografias panorâmicas e periapicais foram realizadas e anomalias dentárias de número e forma foram consideradas. Resultados: houve maior prevalência de anomalias dentárias no grupo caso, comparado ao grupo controle. Ao todo 42 anomalias dentárias foram identificadas, 25,33% no grupo caso e 8,04% no grupo controle (p<0,001). Houve maior frequência de anomalias dentárias na FL/PNS (47,36%), seguida da fissura labial não sindrômica (31,57%) e da fissura palatina não sindrômica (21,05%). A ocorrência de agenesia (p= 0,005) e geminação (p=0,029) foram maiores no grupo caso. Conclusão: a ocorrência de agenesia e geminação dentária foram mais frequentes no grupo caso e pode contribuir para a definição de subfenótipos de fissuras orais.

Edentulismo total em idosos: envelhecimento ou desigualdade social? / Total edentulism in older adults: aging or social inequality? / Edentulismo total en ancianos: ¿envejecimiento o desigualdad social?

Resumo Este estudo estimou a prevalência autorreferida de edentulismo total em idosos de 60 anos ou mais em município de Minas Gerais cadastrados na Estratégia Saúde da Família, identificando fatores socioeconômicos associados. Os dados foram coletados no domicílio dos participantes, aplicando-se questionário que abarcava aspectos sociodemográficos, econômicos e de saúde geral e bucal. A estatística utilizou a variável dependente "edentulismo total", com nível de significância de 5%. Participaram 1.750 idosos - 63,4% mulheres, 11,5% analfabetos e 27,8% com renda familiar abaixo do salário mínimo. O edentulismo total foi de 46,4%, com maior prevalência em mulheres, entrevistados com idade ≥80 anos, solteiros/viúvos/divorciados, analfabetos e idosos que não procuraram serviço odontológico nos últimos seis meses (p<0,05). A renda familiar foi menor para os edêntulos (p=0,001), e constatou-se alta prevalência dessa condição associada a fatores socioeconômicos, demonstrando iniquidade em saúde bucal e necessidade de proteção do Estado. Aprovação CEP-Unimontes 1.628.652

Abstract This study estimated the self-reported prevalence of total edentulism in older adults aged 60 years or older in a municipality of Minas Gerais, Brazil, enrolled in the Family Health Strategy and identified associated socioeconomic factors. Data collection took place in the participants' domiciles through a questionnaire including socio-demographic, economic, and general and oral health data. The statistical analysis used "total edentulism" as the dependent variable, with significance level of 5%. A total of 1,750 older adults participated, 63.4% of whom were female, 11.5% were illiterate and 27.8% had a family income below one minimum wage. Total edentulism was 46.4%, with a higher prevalence in women, in participants who were aged ≥80 years, single/widowed/divorced, illiterate and in those who did not seek dental service in the last six months (p<0.05). Family income was lower for the edentulous older adults (p=0.001), and a high prevalence was found for edentulism associated with socioeconomic factors, showing iniquity in oral health and, therefore, the need for State protection. Approval CEP-Unimontes 1.628.652

Resumen Este estudio estimó la prevalencia autorreferida de edentulismo total en ancianos de 60 años o más, registrados en la Estrategia de Salud Familiar, en el municipio de Minas Gerais, Brasil, e identificó factores socioeconómicos asociados. Los datos se recolectaron en el domicilio de los participantes, aplicándose un cuestionario que abarcaba aspectos sociodemográficos, económicos y de salud general y bucal. La estadística utilizó la variable dependiente "edentulismo total", con un nivel de significancia del 5%. Participaron 1.750 ancianos -el 63,4% mujeres, el 11,5% analfabetos y el 27,8% tenían renta familiar por debajo del salario mínimo. El edentulismo total fue del 46,4%, con mayor prevalencia en mujeres, encuestados con edad ≥80 años, solteros/viudos/divorciados, analfabetos y ancianos que no buscaron servicio odontológico en los últimos seis meses (p<0,05). La renta familiar fue más baja para los edéntulos (p=0,001), y se comprobó una alta prevalencia de esta condición asociada a factores socioeconómicos, demostrando la inequidad en la salud bucal y la necesidad de protección del Estado. Aprobación CEP-Unimontes 1.628.652

COVID-19 Pandemic: Oral Repercussions and its Possible Impact on Oral Health

Abstract Many viral infections cause oral manifestations, including disorders in odontogenesis, resulting in dental malformations. In this review, based on current knowledge, we will discuss the likely dental and oral consequences of COVID-19. In this article, we review currently available data associated with vertical transmission of COVID-19 and odontogenesis, oral manifestations, and the impact of COVID-19 pandemic on a diagnosis of oral diseases. Owing to the severity of the pandemic, the population's anxiety and fear of becoming infected with COVID-19 may underestimate the signs and symptoms of serious illnesses, besides discourage patients from seeking health, medical or dental services to determine the diagnosis of oral lesions. Thus, the COVID-19 pandemic could be an additional and aggravating factor for the delay of serious illness diagnosis, such as oral squamous cell carcinoma resulting in higher morbidity and worse prognosis. Several changes and oral lesions have been described as oral manifestations of COVID-19, such as dysgeusia, oral ulcers, petechiae, reddish macules, desquamative gingivitis, among others. Besides, it can cause major systemic changes and predispose opportunistic infections. As with other viral infections, oral manifestations, including dental anomalies, can occur as a direct result of SARS-CoV-2 infection. However, further studies are needed to guide and clarify possible oral changes.