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1.
Ciênc. Saúde Colet ; 26(7): 2889-2898, jul. 2021. tab
Article in English, Portuguese | LILACS | ID: biblio-1278759

ABSTRACT

Resumo Dentes com defeitos de desenvolvimento do esmalte (DDE) apresentam porosidades e/ou irregularidades que os tornam suscetíveis a acúmulo de biofilme e predisposição à cárie e doenças periodontais. O objetivo deste artigo é determinar a prevalência de DDE e fatores associados em crianças e adolescentes residentes em comunidade quilombola. A população foi censitária e composta por indivíduos na faixa etária de 3 a 14 anos. Os responsáveis responderam a questionário contendo dados socioeconômicos demográficos e histórico de agravos durante a gravidez e infância. Foi aplicado o Índice DDE modificado. Foram realizadas análise descritiva e regressão de Poisson com variância robusta (p<0,05). Foram examinados 406 indivíduos. A prevalência de DDE foi de 80,5%, sendo que em dentes decíduos foi de 42,2% e permanentes 61,1%. Houve associação entre DDE e maior idade da criança (RP=1,09; IC95%=1,01-1,17), uso de antibiótico na gravidez (RP=1,14; IC95%=1,07-1,22) e relato de desnutrição durante a primeira infância (RP=1,12; IC95%=1,03-1,22). A prevalência de DDE em crianças e adolecentes da comunidade quilombola foi alta. E os fatores associados foram maior idade da criança, uso de antibióticos na gravidez e desnutrição durante a primeira infância.


Abstract Teeth with developmental defects of enamel (DDE) have porous and/or uneven enamel, making them more susceptible to the build-up of oral biofilm and development of caries and periodontal diseases. The aim of this cross-sectional study was to determine the prevalence of DDE and associated factors among children and adolescents living in a Quilombola community in the Northeast of Brazil. The study population was census-based and comprised individuals aged three to 14 years. The children's parents/guardians answered a questionnaire devised to collect information on socioeconomic and demographic characteristics, health problems during pregnancy and illnesses during early childhood. DDE was diagnosed using the modified DDE index. The data were analyzed using descriptive statistics and Poisson regression with robust standard errors (p<0.05). A total of 406 individuals were examined. DDE prevalence was 80.5%: 42.2% in deciduous teeth and 61.1% in permanent teeth. There was an association between presence of DDE and age (PR=1.09, 95% CI=1.01-1.17), use of antibiotics during pregnancy (PR=1.14, 95% CI=1.07-1.22) and reported malnutrition during early childhood (PR=1.12; 95% CI=1.03-1.22). The findings reveal high prevalence of DDE among children and adolescents living in the Quilombola community. Associated factors were older age, use of antibiotics during pregnancy and malnutrition during early childhood.


Subject(s)
Humans , Female , Pregnancy , Child, Preschool , Child , Adolescent , Aged , Dentition, Permanent , Dental Caries , Brazil/epidemiology , Prevalence , Cross-Sectional Studies , Dental Enamel
2.
Braz. dent. j ; 32(3): 75-83, May-June 2021. tab
Article in English | LILACS, BBO | ID: biblio-1345499

ABSTRACT

Abstract This cross-sectional study evaluated the prevalence and severity of dental caries and fluorosis in children and adolescents using fluoridated toothpaste, from areas with and without fluoridated water. Parents of 5-year-old children and 12-year-old adolescents from neighbourhoods that are supplied with and without fluoridated water answered questionnaires for determining socio-economic and demographic characteristics and habits related to oral health. The individuals were examined, and dental caries and fluorosis were measured by dmft/DMFT and TF indexes, respectively. Descriptive, bivariate and logistic regression analyses were performed (p < 0.05). Of 692 participants, 47.7% were 5-year-olds and 52.3% were 12-year-olds. The mean dmft/DMFT in the 5-year-olds/ 12-year-olds from Exposed and Not Exposed fluoridated water groups was 1.53 (± 2.47) and 3.54 (± 4.10) / 1.53 (± 1.81) and 3.54 (± 3.82), respectively. Children (OR = 2.86, 95% CI = 1.71-4.75) and adolescents (OR = 1.95, 95% CI = 1.24-3.05), who did not consume fluoridated water, had greater caries experience. Among adolescents, there was an association between fluoridated water and the prevalence of very mild/mild fluorosis (OR = 5.45, 95% CI: 3.23-9.19) and moderate fluorosis (OR = 11.11, 95% CI = 4.43-27.87). Children and adolescents, who consumed fluoridated water, presented lower prevalence and severity of dental caries compared to those who used only fluoridated toothpaste as the source of fluoride. There is an association between water fluoridation and very mild/mild and moderate fluorosis in adolescents.


Resumo Este estudo transversal avaliou a prevalência e severidade de cárie dentária e fluorose em crianças de 5 anos e adolescentes de 12 anos usuários de dentifrício fluoretado, em áreas com e sem água fluoretada. Os responsáveis pelas crianças e adolescentes responderam questionários para determinação de características socioeconômicas e demográficas e hábitos relacionados à saúde. Os indivíduos foram examinados e a cárie e a fluorose foram mensuradas pelos índices ceo-d / CPOD e TF, respectivamente. Foram realizadas análises descritivas, bivariadas e de regressão logística (p <0,05). Dos 692 participantes, 47,7% tinham 5 anos e 52,3% tinham 12 anos. A média de ceod / CPOD em crianças de 5/12 anos dos grupos de exposto e não exposto à água fluoretada foi 1,53 (± 2,47) e 3,54 (± 4,10) / 1,53 (± 1,81) e 3,54 (± 3,82), respectivamente. Crianças (OR = 2,86, IC 95% = 1,71-4,75) e adolescentes (OR = 1,95, IC 95% = 1,24-3,05) que não consumiram água fluoretada tiveram maior experiência de cárie. Entre os adolescentes, houve associação entre a água fluoretada e a prevalência de fluorose muito leve / leve (OR = 5,45, IC 95%: 3,23-9,19) e fluorose moderada (OR = 11,11, IC 95% = 4,43-27,87). Crianças e adolescentes que consumiram água fluoretada apresentaram menor prevalência e severidade de cárie dentária em comparação com aqueles que usaram apenas dentifrício fluoretado como fonte de flúor. Houve uma associação entre a fluoretação da água e fluorose muito leve / leve e moderada em adolescentes.


Subject(s)
Humans , Child, Preschool , Child , Adolescent , Dental Caries/epidemiology , Dentifrices , Fluorosis, Dental/epidemiology , DMF Index , Fluoridation , Prevalence , Cross-Sectional Studies , Fluorides
3.
Article in English | LILACS, BBO | ID: biblio-1346684

ABSTRACT

ABSTRACT Objective: Use cone-beam computed tomography (CBCT) images to evaluate the dentin thickness of the pulp chamber floor in primary molars. Material and Methods: Cross-sectional study, conducted with CBCT images of teeth of children. Primary molars with preserved pulp chamber floor were included. The dentin thickness of the pulp chamber floor in the primary molars was measured linearly in CBCT cross-sections. Data were descriptively analyzed and the Mann-Whitney test was applied (p<0.05). Results: 27 CBCT exams and 123 primary molars of children aged 4 to 13 years were analyzed; the majority was female (52.0%). In maxillary molars, the median dentin thickness was 1.50 (0.6-2.2) mm in the first and 1.65 (0.6-2.3) mm in the second (p=0.049) molars. In mandibular molars, the median was 1.20 (0.3-1.7) mm in the first and 1.60 (1.0-2.2) mm in the second (p<0.001) molars. Children aged 4 to 8 years showed less dentin thickness (p<0.001). Conclusion: The median dentin thickness of the pulp chamber floor in primary molars was 1.50 mm, ranging from 0.3 to 2.3 mm. Less dentin thickness was associated with younger children, teeth in the mandibular arch, and first molars.


Subject(s)
Humans , Male , Female , Child, Preschool , Child , Adolescent , Colonography, Computed Tomographic/instrumentation , Dental Pulp Cavity , Dentin , Cone-Beam Computed Tomography/instrumentation , Molar/anatomy & histology , Brazil/epidemiology , Child , Cross-Sectional Studies , Statistics, Nonparametric , Dental Caries/prevention & control
4.
Article in English | LILACS, BBO | ID: biblio-1351219

ABSTRACT

ABSTRACT Objective: To determine in vitro the frequency, shape, type, diameter, and patency of accessory canals in the primary molars pulp chamber floor. Material and Methods: Sixteen healthy primary molars were evaluated by micro-computed tomography and scanning electron microscopy. Descriptive analyses of the frequency, shape (round, oval, or irregular), type (blind, true, or hidden), patency and diameter of the accessory canals were performed. Results: Half of the teeth presented accessory canals, 62.5% of which were located in the upper molars and 37.5% in the lower molars. The most frequent shape was irregular. In three-dimensional analysis, blind accessory canals (12.5%) and with patency (18.7%) of the teeth were observed. The average accessory canal diameter was 51.97 µm (± 26.03 µm). Conclusion: Upper molars showed a higher frequency of accessory canals with larger diameters. The irregular shape was the most frequent. 18.7% of accessory channels showed patency.


Subject(s)
Humans , Male , Female , Child , In Vitro Techniques/methods , Microscopy, Electron, Scanning/instrumentation , Root Canal Preparation/instrumentation , X-Ray Microtomography/instrumentation , Molar , Brazil/epidemiology , Statistics, Nonparametric , Dental Pulp Cavity/anatomy & histology
5.
Rev. odontol. UNESP (Online) ; 50: e20210007, 2021. tab, graf
Article in English | LILACS, BBO | ID: biblio-1289857

ABSTRACT

Abstract Introduction Sugar ingestion is the most important isolated factor related to dental caries. Contact with sugary foods at an early age may represent a risk to the oral health of preschool children. Objective To evaluate the timing of the introduction of sugar in the diet of preschoolers and its association with early childhood caries. Material and method Cross-sectional population-based study with 888 five-year-old preschoolers from public and private schools. Parents answered a questionnaire on sociodemographic data, eating habits and oral health. The variables timing of sugar introduction (>1 year and ≤1 year) and dental caries experience were dichotomized and data were analyzed using descriptive statistics and Poisson regression (p<0.05). Result The introduction of sugar in the diet occurred during the first twelve months of life for 73.8% of preschoolers. There was no association between the timing of sugar introduction and early childhood caries (p>0.05). The interruption of exclusive breastfeeding and low family income increased the prevalence of preschoolers having early contact with sugar by 32% and 23%, respectively (p<0.05). The prevalence of early childhood caries was 42.3% and was associated with a lower level of maternal education, low income, increased frequency of ingestion of candy and the use of nonfluoridated toothpaste (p<0.05). Conclusion The introduction of sugar in the diet occurred during the first year of life in most preschoolers and there was no association with early childhood caries.


Resumo Introdução A ingestão de açúcar é um importante fator relacionado à cárie dentária. O contato com alimentos açucarados em idade precoce pode representar risco para a saúde bucal de crianças em idade pré-escolar. Objetivo Avaliar o momento de introdução do açúcar na dieta de pré-escolares e sua associação com a cárie na primeira infância. Material e método Estudo transversal de base populacional com 888 pré-escolares de cinco anos de escolas públicas e privadas. Os pais responderam questionário sobre dados sociodemográficos, hábitos alimentares e saúde bucal. As variáveis ​​tempo de introdução do açúcar (> 1 ano e ≤1 ano) e experiência de cárie dentária foram dicotomizadas e os dados foram analisados ​​por meio de estatística descritiva e regressão de Poisson (p <0,05). Resultado A introdução do açúcar na dieta ocorreu nos primeiros doze meses de vida para 73,8% dos pré-escolares. Não houve associação entre o momento de introdução do açúcar e a cárie na primeira infância (p> 0,05). A interrupção do aleitamento materno exclusivo e a baixa renda familiar aumentaram a prevalência de pré-escolares com contato precoce com açúcar em 32% e 23%, respectivamente (p <0,05). A prevalência de cárie na primeira infância foi de 42,3% e esteve associada à menor escolaridade materna, baixa renda, maior frequência de ingestão de doces e uso de dentifrício não fluoretado (p <0,05). Conclusão A introdução de açúcar na dieta ocorreu durante o primeiro ano de vida na maioria dos pré-escolares e não houve associação com cárie na primeira infância.


Subject(s)
Humans , Male , Female , Child, Preschool , Child, Preschool , Dental Caries Susceptibility , Population Studies in Public Health , Dietary Sugars
6.
Article in English | LILACS | ID: biblio-1342994

ABSTRACT

Objective: this study aimed to evaluate long-term survival and prognostic factors in patients with oral squamous cell carcinoma (OSCC) in an economically poor region of Brazil. Methods: the data were obtained from analysis of medical and mortality records of 210 patients with OSCC treated at an oncology hospital providing services to the Brazilian Unified National Health System in a State of northeastern Brazil between January 2006 and December 2008. Sociodemographic and clinical information, treatment performed, recurrence and evolution were collected. Survival curves were estimated by the Kaplan-Meier method and the log rank and Cox regression tests were used to compare the curves. Results: the median survival in the study period was 47.4 months (95% CI = 38.2 - 56.7). The overall survival rates at 5 and 10 years were 29% and 19.8%, respectivelly. Individuals over 60 years of age (HR = 1.70; 95% CI = 1.06 - 2.73), presence of regional metastasis (HR = 2.51; 95% CI = 1.55 - 4.08), presence of recurrence (HR = 3.18; 95% CI = 1.88 - 5.39) and no surgical treatment (HR = 2.10; 95% CI = 1.31 - 3.35) had a worse prognosis. Conclusions: advanced age, presence of regional metastasis, tumor recurrence and non-surgical treatment predict poorer survival in patients diagnosed with OSCC.


Objetivo: este estudo objetivou avaliar a sobrevida a longo prazo e fatores prognósticos de pacientes com carcinoma espinocelular bucal em uma região pouco desenvolvida economicamente do Brasil. Métodos: os dados foram obtidos a partir da análise de registros médicos de 210 pacientes com carcinoma espinocelular bucal tratados em um hospital especializado em oncologia que presta serviços ao Sistema Único de Saúde em um estado do Nordeste brasileiro entre janeiro de 2006 e dezembro de 2008. Informações clínicas, sociodemográficas e referentes aos tratamentos realizados, recidivas e evoluções foram coletadas. As curvas de sobrevida foram estimadas pelo método de Kaplan-Meier, sendo utilizado o teste de Log-rank para comparar as curvas. Resultados: a sobrevida média no estudo foi de 47.4 meses (95% IC = 38.2 - 56.7). As taxas de sobrevida global em 5 e 10 anos foram de 29% e 19.8%, respectivamente. Indivíduos com idade superior a 60 anos (RR = 1.70; 95% IC = 1.06 - 2.73), que apresentaram metástases regionais (RR = 2.51; 95% IC = 1.55 - 4.08), recidivas tumorais (RR = 3.18; 95% IC = 1.88 - 5.39) e que foram tratados apenas não cirurgicamente (RR = 2.10; 95% IC = 1.31 - 3.35) tiveram pior prognóstico. Conclusões: idade avançada, presença de metástases regionais, recidivas tumorais e tratamento apenas não cirúrgico foram preditores de pior sobrevida em pacientes diagnosticados com carcinoma espinocelular bucal.


Subject(s)
Humans , Male , Female , Carcinoma, Squamous Cell , Prognosis , Mouth Neoplasms , Survival Analysis , Oral Medicine
7.
Rev. ABENO ; 20(2): 147-158, 20200600. tab
Article in Portuguese | LILACS, BBO | ID: biblio-1370599

ABSTRACT

As transformações e dificuldades que permeiam o mercado de trabalho odontológico despertam questões sobre a inserçãodos cirurgiões-dentistas e sua formação diante do exercício profissional. O objetivo deste trabalho foi avaliar a inserção de egressos do curso de Odontologia da Universidade Federal do Piauí no mercado de trabalho. Neste estudo transversal de caráter quantitativo, um questionário online autoaplicável foi enviado a 76 cirurgiões-dentistas formados entre 2017 e 2018, abordandodados sociodemográficos,investimento em pós-graduação e ingresso no mercado de trabalho.Foi realizada análise descritiva dos dados.A taxa de resposta foi de 92,1%. A maioria dos egressos(88,6%)possuíaou cursavaalgum tipo de pós-graduação, principalmente nas áreas de Cirurgia, Endodontia e Ortodontia. Quanto ao ingresso no mercado, apenas 4,3% nunca exerceram a profissãoe 75,7% se inseriram em até 3meses de formados. Os cirurgiões-dentistas estão divididos de forma equiparável entre os setores público e privado, possuem em sua maioria jornadas de até 40 horas (75,4%) e renda mensal de até 5 salários mínimos (91,3%). Apenas 11,4% nãoestão satisfeitos com a profissão escolhida e 40% julgam o mercado como regular. Entre as dificuldades relatadas no início da profissão, as mais citadas foram baixa remuneração (82,1%) e insegurança na prática clínica (70,1%). Como sugestão para o curso de graduação, indicaram a abordagem de Administração, Marketing e Empreendedorismo. Observou-se que o mercado proporcionou oportunidades para uma inserção rápida, no entanto, com redução do exercício estritamente autônomo. Os egressos valorizam a pós-graduação e apesar das dificuldades, estão satisfeitos com a profissão (AU).


Existent transformations and complexities within dental labor market raise doubts about dentists' inclusion in professional practice, and their training. This research, therefore, aimed to evaluate the entry of Federal University of Piauí dentistry course graduates into the labor-market. This cross-sectional, quantitative study, conducted by sending an online auto-questionnaire to 76 dentists, graduated between 2017 and 2018, addressing sociodemographic data, postgraduate studies and entry into the labor market, receiving response-rate of 92.1%. Descriptive data analysis performed showed the majority of graduates (88.6%) had or were taking a postgraduate course, mainly in Surgery, Endodontics and Orthodontics. Relative to market entry, 4.3% had never practiced the profession, and 75.7% entered within 3 months after graduation. Dentists were equally divided between public and private sectors, primarily working 40 hours/week (75.4%), earning monthly income of up to 5 minimum salaries (91.3%). Only 11.4% were not satisfied with the chosen profession, and 40% judged the level of market difficulty was intermediate. Among the difficulties reported at the beginning of the profession, the majority of dentists cited the low salaries (82.1%) and insecurity in clinical practice (70.1%). As a suggestion for the undergraduate course, they indicated that they could focus on Administration, Marketing and Entrepreneurship. The market was observed to provide opportunities for rapid inclusion, however with a reduction in exercising the profession in a strictly independent manner. Graduates placed value on postgraduate studies, and despite difficulties, they were satisfied with the profession (AU).


Subject(s)
Humans , Male , Female , Adult , Professional Practice , Brazil , Dental Staff/education , Dentists , Job Market , Surveys and Questionnaires , Dentistry
8.
Ciênc. Saúde Colet ; 24(11): 4031-4042, nov. 2019. tab, graf
Article in Portuguese | LILACS | ID: biblio-1039497

ABSTRACT

Resumo O objetivo do estudo foi avaliar o impacto da cárie dentária na qualidade de vida de pré-escolares. A população foi constituída por pré-escolares com idade de 5 anos, matriculados em instituições públicas e privadas de Teresina, PI, Brasil. Instrumento de qualidade de vida validado para população brasileira (Pediatric Quality of Life Inventory - PedsQL™) foi aplicado para as crianças e responsáveis, além de questionário socioeconômico-demográfico para os responsáveis. No exame dentário o índice ceod foi utilizado para avaliar a experiência de cárie. Das 566 crianças examinadas, 50,2% apresentaram experiência de cárie. Foi observada associação entre experiência de cárie e pior qualidade de vida no domínio de saúde bucal na percepção das crianças (RR= 0,981; IC95% = 0,97-0,99) e dos pais (RR= 0,955; IC95% = 0,94-0,97). De acordo com a percepção das crianças, cárie em dentes posteriores foi associada a pior qualidade de vida no domínio capacidade física (RR= 0,985; IC95% = 0,97-0,99). Concluiu-se que experiência de cárie impactou negativamente na QVRSB (qualidade de vida relacionada à saúde bucal) no domínio saúde bucal da criança de acordo com a percepção das crianças e dos pais. Cárie localizada em molares impactou negativamente na QVRSB no domínio capacidade física segundo a percepção das crianças.


Abstract The objective of this study was to evaluate the impact of dental caries on the quality of life of preschool children. The population was made up of preschoolers aged 5 years, enrolled in public and private institutions of Teresina, PI, Brazil. The Pediatric Quality of Life Inventory (PedsQL™) was applied to children and caregivers, as well as a socioeconomic-demographic questionnaire for those responsible. In the dental examination the ceod index was used to evaluate the caries experience. Of the 566 children examined, 50.2% presented with caries experience. It was observed an association between caries experience and poorer quality of life in the oral health domain in the children's perception (RR = 0.981, 95% CI = 0.97-0.99) and parents (RR = 0.955, 95% CI = 0, 94-0.97). According to the children's perception, caries in the posterior teeth was associated with poorer quality of life in the physical capacity domain (RR = 0.985, 95% CI = 0.97-0.99). It was concluded that caries experience had a negative impact on the OHRQoL (oral health-related quality of life) in children's oral health according to the perception of children and parents. Caries located in molars had a negative impact on HRQoL in the physical ability domain according to the children's perception.


Subject(s)
Humans , Male , Female , Parents , Quality of Life , Oral Health , Dental Caries/epidemiology , Brazil/epidemiology , Cross-Sectional Studies , Surveys and Questionnaires
9.
Braz. oral res. (Online) ; 33: e125, 2019. tab, graf
Article in English | LILACS, BBO | ID: biblio-1100928

ABSTRACT

Abstract Atraumatic Restorative Treatment (ART) is one of the strategies used to control dental caries; it involves hand instruments for removal of carious tissue, and restorations using high-viscosity Glass Ionomer Cement (GIC). The present controlled clinical trial aimed to evaluate the performance of low-cost GIC indicated for ART in primary teeth, compared with high-viscosity GIC, after one year of follow-up. Two-to six-year-old children with dentin caries lesions on one or two surfaces of anterior and posterior teeth were selected. The children were randomly assigned to 2 groups according to the restorative material used: G1 (control) - Ketac Molar®; G2 (experimental) - Vitro Molar®. Treatments were performed in a school setting, following the guidelines of the ART. A total of 728 restorations were performed in 243 children. Descriptive analysis and Poisson regression were applied, with a significance level of p < 0.05. After 12 months, 559 (76.8%) restorations were re-evaluated. The success rate was evaluated by the prevalence ratio (PR), associated with restorations performed in primary second molars (PR = 1.21; 95%CI = 1.03-1.42), and with small (PR = 1.35; 95%CI = 1.14-1.60) or medium cavities (PR = 1.29; 95%CI = 1.08-1.55), using Ketac Molar® material (PR= 1.07; 95%CI = 1.01-1.15), considering p < 0.05. Small or medium restorations in primary second molars performed with high-viscosity GIC (Ketac Molar®) were more successful than restorations performed with low-cost GIC indicated for ART.


Subject(s)
Humans , Male , Female , Child, Preschool , Child , Dental Caries/therapy , Dental Atraumatic Restorative Treatment/methods , Glass Ionomer Cements/chemistry , Time Factors , Tooth, Deciduous , Viscosity , Materials Testing , Poisson Distribution , DMF Index , Treatment Outcome , Dental Restoration Failure , Dental Restoration, Permanent/methods , Glass Ionomer Cements/therapeutic use
10.
In. Drumond, Clarissa Lopes. Provável bruxismo do sono em crianças de 8 a 10 anos de idade e fatores associados: um estudo de caso-controle / Sleep bruxism in children aged eight to ten years and associated factors: a casecontrol study. Belo Horizonte, s.n, 2018. p.[197], ilus.
Thesis in Portuguese | LILACS, BBO | ID: biblio-906756

ABSTRACT

Bruxismo do sono (BS) é uma atividade repetitiva da musculatura mandibular caracterizado por ranger ou apertar dos dentes durante o sono. Esse distúrbio do movimento pode ser influenciado por fatores psicossociais e ambientais. Dados sobre sua associação com a qualidade de vida em crianças são escassos. Diante disso, foi realizado um estudo transversal, de base populacional, com os objetivos de determinar a prevalência, identificar os fatores associados e avaliar a associação entre o provável bruxismo do sono (PBS) e a qualidade de vida relacionada à saúde bucal (QVRSB) de escolares. Participaram do estudo 1.053 escolares, de 8 a 10 anos de idade, matriculados em escolas públicas e privadas de Teresina, PI, Brasil, e seus pais/responsáveis. O diagnóstico do PBS foi baseado no critério do consenso internacional (relato dos pais/responsáveis associado ao exame clínico). Os pais/responsáveis responderam um formulário sobre aspectos socioeconômicos e demográficos, condições gerais e de saúde e autorrelato de possível bruxismo do sono no responsável, e a versão brasileira curta do Parental-Caregiver Perceptions Questionnaire (P-CPQ). Os escolares responderam a versão brasileira do questionário Child Perceptions Questionnaire (CPQ8-10) e foram examinados clinicamente, na própria escola, por uma única examinadora treinada e calibrada (kappa >_0,80). Foram avaliadas as condições bucais: desgaste dentário, experiência de cárie dentária (índices ceo-d/CPO-D), má oclusão (Dental Aesthetic Index - DAI) e traumatismo dentário (Classificação de Andreasen), como possíveis variáveis confundidoras. Os dados foram analisados por meio de regressão de Poisson bivariada e multivariada com variância robusta (p<0,05). Os resultados mostraram que a prevalência do PBS nos escolares foi de 28%. Padrão respiratório bucal, uso de estímulos luminosos e sonoros ao dormir, responsável ter possível bruxismo do sono foram associados ao PBS nos escolares (p<0,001). Na percepção dos escolares, o PBS foi associado ao maior impacto negativo na QVRSB nos domínios limitação funcional (RR = 1,174; IC95% = 1,03 - 1,34) e bem-estar social (RR = 1,211; IC95% = 1,01 - 1,46) e escore total do CPQ8-10 (RR = 1,131; IC 95% = 1,01 - 1,27). Na percepção dos pais/responsáveis, o maior impacto negativo na QVRSB foi associado com presença do PBS no filho, nos três domínios do P-CPQ: sintomas orais (RR = 1,331; IC95% = 1,14 - 1,55), limitação funcional (RR = 1,916; IC95% = 1,66 - 2,21) e bem-estar (RR = 1,485; IC95% = 1,25 - 1,79), e no escore total do P-CPQ (RR = 1,513; IC 95% = 1,34 - 1,71). Conclui-se que a prevalência do PBS foi relevante. A ocorrência dessa desordem foi associada padrão respiratório bucal, uso de estímulos luminosos e sonoros ao dormir, responsável ter possível bruxismo do sono. O PBS nos escolares está associado com maior impacto negativo na QVRSB autorrelatada e na percepção dos pais/responsáveis


Sleep bruxism (SB) is a repetitive of the mandibular musculature characterized by grinding or clenching of teeth during sleep. This movement disorder can be influenced by psychosocial and environmental factors. Data regarding its association with quality of life in children are scarpe. A cross-sectional, population-based study was conducted to determine prevalence, to identify associated factors, and to evaluate the assiciation between probable sleep bruxism (PSB) and oral health-related quality of life (OHRQoL) of schoolchildren. A total of 1,053 schoolchildrem, 8 to 10 years of age, enrolled in public and private schools in Terezina, PI, Brazil, and theirparents/guardians participated in the study....


Subject(s)
Humans , Male , Female , Child , Cross-Sectional Studies , Sleep Bruxism/diagnosis , Quality of Life , Sleep Bruxism/psychology
11.
Pesqui. bras. odontopediatria clín. integr ; 17(1): e3508, 13/01/2017. tab
Article in English | LILACS, BBO | ID: biblio-914449

ABSTRACT

Objective: To determine the prevalence and factors associated with early weaning according to the report of mothers in a Child Friendly Hospital Initiative. Material and Methods: This is an observational, cross-sectional study with a sample of 252 mother/child binomials, participants in a maternal and childcare program, in a Child Friendly Hospital Initiative in Teresina, Brazil. A semi-structured questionnaire was used as the data collection instrument, administered to the mothers in individual interviews, with questions about socioeconomic conditions, breastfeeding, period, reason and way of weaning; and non-nutritive sucking habits. Early weaning was considered when the supply of breast milk was interrupted before the six months of life. For data analysis, descriptive and bivariate analyses were performed (Pearson's Chi-Square Test and Fisher's Exact Test), with a level of significance of 5%. Results: The prevalence of early weaning was 11.9%. The reasons given for interrupting breastfeeding by the mothers were: 23,% attributions of the mother; 46.% attributions of the infant; 23.3 % organic deficiency of the mother; 6.7% influence of others; and 4.8% of the mothers were still breastfeeding. The finger and/or pacifier sucking habits (p=0.002), and the use of a bottle (p=0.003) were associated with early weaning. A significant association between the total weaning period and the socioeconomic variables was not observed (p>0.05). Conclusion: The prevalence of early weaning was low. The main factors were related to "infant attributions", associated to children with non-nutritive sucking habits, bottle use, first tooth erupted with less than 6 months and whose mothers had formal employment.


Subject(s)
Humans , Female , Adult , Breast Feeding , Mother-Child Relations , Sucking Behavior , Brazil , Chi-Square Distribution , Habits , Socioeconomic Factors
12.
Fisioter. Bras ; 18(1): f: 38-I: 46, 2017.
Article in Portuguese | LILACS | ID: biblio-883641

ABSTRACT

Bruxismo é um hábito parafuncional provocado por atividades musculares repetitivas e caracterizado pelo apertamento ou ranger de dentes. Pode ocorrer durante o sono, bruxismo do sono (BS) ou durante a vigília, bruxismo diurno. Poucos estudos avaliaram o impacto dessa condição na qualidade de vida dos indivíduos e de seus familiares. Este estudo teve como objetivo avaliar o impacto do BS na qualidade de vida relacionada à saúde bucal de crianças de acordo com a percepção de seus pais/responsáveis. Trata-se de um estudo observacional transversal com amostra composta por pais/responsáveis de crianças na faixa etária de 2 a 5 anos, atendidas na Clínica Odontológica Infantil da UFPI. A coleta de dados foi realizada através da aplicação do formulário socioeconômico e do questionário de qualidade de vida Brazilian Early Childhood Oral Health Impact Scale (B-ECOHIS). A presença de BS foi considerada pelo relato dos pais/responsáveis. Para análise estatística adotou-se análise descritiva e regressão de Poisson com nível de significância p < 0,05. A prevalência do bruxismo do sono nas crianças foi de 33,0%. O impacto negativo na qualidade de vida relacionada à saúde bucal da criança foi associado ao bruxismo do sono (RP = 1,238; IC 95%: 1,055­1,452). O bruxismo do sono teve impacto negativo na qualidade de vida relacionada à saúde bucal das crianças na percepção de pais/responsáveis.(AU)


Bruxism is a parafunctional habit caused by repetitive muscle activity and characterized by clenching or gnashing of teeth. It may occur during sleep, sleep bruxism (BS) or during waking hours, daytime bruxism. Few studies have evaluated the impact of health on quality of life for individuals and their families. This study aimed at assessing the BS impact on quality of life related to oral health of children in accordance with the perception of their parents/guardians. This cross-sectional observational study with a sample of parents/guardians of children aged 2- 5 years attending the Children's Dental Clinic of the Federal University of Piauí. Data collection was performed by applying the socio-economic form and the quality of life questionnaire Brazilian Early Childhood Oral Health Impact Scale (B-ECOHIS). The presence of BS was considered the report of the parent/guardian. For the statistical analysis was adopted the descriptive analysis and Poisson regression with significance level of p < 0.05. The prevalence of sleep bruxism in children was 33.0%. The negative impact on quality of life related to oral health of children was associated with sleep bruxism (RP = 1.238; IC 95% : 1,055-1,452). Sleep bruxism had a negative impact on quality of life related to oral health of children in the perception of parents/guardians. (AU)


Subject(s)
Humans , Male , Female , Child, Preschool , Sleep Bruxism , Bruxism , Child, Preschool , Quality of Life , Sleep
13.
Pesqui. bras. odontopediatria clín. integr ; 16(1): 279-287, jan.-dez. 2016. tab
Article in English | LILACS, BBO | ID: biblio-912453

ABSTRACT

Objective: To compare the oral health condition of children and adolescents victims of maltreatment housed in foster care with that of children and adolescents that have not been victims of maltreatment. Material and Methods: This is a case-control study with children and adolescents that have not been victims of maltreatment. In Group 1, the population was composed of 56 children victims of abuse housed in foster care. Group 2 was composed of an equal number of children and adolescents attending pediatric dentistry clinic at UFPI. Both groups were matched for sex and age. Data collection was divided into two phases: questionnaire application to children's parents / guardians and clinical examination of the oral cavity. The questionnaire was composed of questions about socioeconomic variables, reasons for admission in the foster care and oral health-related habits. To assess the oral health condition, epidemiological indexes dmft, DMFT and Gingival Bleeding Index (GBI) were determined and soft tissues were inspected to evaluate possible maltreatment sequelae. Results: Neglect was reported as the major cause of entry into the foster care (84%). There were no statistically significant differences between the mean dmft (p=0.240), DMFT (p=0.862) and GBI (p=0.275) values between groups evaluated. No sequelae or lesions characteristic of physical aggression were found; however, all individuals have been institutionalized for more than four months. Conclusion: Child and adolescents victims of maltreatment showed oral health condition similar to that of individuals that have not been victims of maltreatment.


Subject(s)
Humans , Male , Female , Child , Adolescent , Adolescent , Age and Sex Distribution , Child , Liability, Legal , Oral Health , Oral Manifestations , Statistics, Nonparametric , Surveys and Questionnaires
14.
Rev. cir. traumatol. buco-maxilo-fac ; 13(1): 77-82, Jan.-Mar. 2013. ilus
Article in Portuguese | LILACS-Express | LILACS | ID: lil-792148

ABSTRACT

O fibroma ossificante é um tumor fibro-ósseo benigno raro da região craniofacial, diagnosticado com uma combinação de exames clínico, radiológico e histopatológico. A lesão é assintomática, na maioria dos casos, até o crescimento produzir tumefação visível e deformidade moderada. problemas estéticos e oclusais são frequentemente as primeiras manifestações dessas lesões. ocorrem com maior frequência na mandíbula, porém podem ocorrer em outras regiões do corpo. Têm um bom prognóstico e uma baixa recorrência. o presente trabalho relata o caso clínico de um fibroma ossificante na mandíbula, dando um enfoque nas suas características clínicas, radiográficas e histológicas, na forma de tratamento, além de revisar a literatura atual sobre o tema. A paciente procurou atendimento, queixando-se de aumento de volume na região mentual. A lesão foi diagnosticada como fibroma ossificante, e o tratamento de escolha foi a realização de ressecção completa da lesão. A paciente encontra-se em acompanhamento pós-operatório sem intercorrências, confirmando o bom prognóstico e a baixa recorrência do fibroma ossificante na mandíbula.


Ossifying fibroma is a rare benign fibro-osseous tumor occurring in the craniofacial region, diagnosed with a combination of clinical, radiological, and histopathological examinations. The lesion is asymptomatic in most cases, until it grows to the point of producing a visible swelling and moderate deformity. occlusal and aesthetic problems are often the first manifestations of this lesion. It occurs most frequently in the mandible, but can occur in other regions of the body. It has a good prognosis and a low recurrence. This study reports the case of an ossifying fibroma in the mandible, laying particular emphasis on its clinical, radiographic and histological features and forms of treatment, in addition to reviewing the current literature on the subject. The patient sought treatment complaining of swelling in the region of the chin. The injury was diagnosed as ossifying fibroma and the treatment chosen was the complete resection of the lesion. The patient is being followed up postoperatively without complications, confirming the good prognosis and low recurrence of ossifying fibroma in the mandible.

15.
Rev. odontol. UNESP (Online) ; 41(5): 348-352, set.-out. 2012. tab
Article in Portuguese | LILACS-Express | LILACS | ID: lil-666264

ABSTRACT

INTRODUÇÃO: Dentre as competências necessárias à formação profissional em Odontologia no Brasil, está aquela destinada à atuação nos serviços de saúde. Nesse processo de formação, a participação em programas de extensão universitária amplia as possibilidades de aprendizado por permitir a vivência entre os ambientes acadêmico e comunitário. OBJETIVO: Determinar o impacto que as informações e ações desenvolvidas em um programa de extensão universitária exerceram na formação profissional de egressos de uma universidade pública. MATERIAL E MÉTODO: Foi realizado um estudo observacional transversal descritivo. A população do estudo foi composta por 268 cirurgiões-dentistas, que participaram do projeto de extensão universitária do curso de Odontologia da Universidade Federal do Piauí - Programa Preventivo para Gestantes e Bebês, no período de 1997 a 2011. Foi utilizado questionário enviado por e-mail como instrumento de coleta de dados, incluindo perguntas relativas à importância que o programa exerceu na qualificação profissional dos ex-estagiários. RESULTADO: O percentual de resposta foi de 52,6%, ou seja, 141 cirurgiões-dentistas responderam ao questionário. Os resultados apontaram que 98,6% dos sujeitos classificaram o Programa Preventivo para Gestantes e Bebês como ótimo; 91,5% declararam aplicar os conhecimentos adquiridos no projeto em sua rotina profissional; 28,4% implantaram programas semelhantes; 85,8% atendem gestantes em suas rotinas de trabalho e, destes, 19,8% relataram dificuldade nos atendimentos; 69,5% atendem bebês em suas rotinas de trabalho e, destes, 63,3% se sentem capacitados para executar procedimentos clínicos. CONCLUSÃO: As informações e ações desenvolvidas no Programa Preventivo para Gestantes e Bebês apresentaram impacto positivo na qualificação profissional de egressos, contribuindo para que os mesmos atuem com segurança nos atendimentos de gestantes e bebês.


INTRODUCTION: In the current context, Dentistry seeks to form a competent professional and technical skills to work in health services. In the process of training participation in university extension program expands the possibilities for learning by allowing the experience between the academic and community settings. OBJECTIVE: To determine the importance of the orientations and the actions developed in a university extension program in the professional qualification of dentists graduated at a public university. MATERIAL AND METHOD: A cross sectional observational study was performed. The study population was composed of 268 dentists who had participated at an extension project of the dentistry course at the Universidade Federal do Piauí - Preventive Program for Pregnant Mothers and Babies, in the period from 1997 to 2011. Questionnaires containing questions regarding the importance the university extension program to the qualification of the professional activities of former trainees were send to the dentists. RESULT: The percentage of response was 52.6%, 141 dentists answered to the questionnaire. The results showed that 98.6% of the subjects rated the Preventive Preventive Program for Pregnant Mothers and Babies, 91.5%, reported that they apply the knowledge acquired in the project in their professional routine; 28.4% have implemented similar programs, 85.8% of pregnant women meet in their daily work and of these, 19.8% reported difficulty in attendance, 69.5% attend babies in their daily work and of those, 63.3% feel qualified to perform clinical procedures. CONCLUSION: Informations and actions developed in the Preventive Program for Pregnant Mothers and Babies produced positive impact on the professional qualification of dentists who attended the program, contributing to their clinical security during the dental attendance of pregnant women and babies.

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