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1.
Cad. saúde colet., (Rio J.) ; 29(4): 528-537, out.-dez. 2021. tab, graf
Article in Portuguese | LILACS-Express | LILACS | ID: biblio-1360335

ABSTRACT

Resumo Introdução Crianças com defeitos de desenvolvimento de esmalte (DDE) são mais suscetíveis à hipersensibilidade dentinária, maloclusões e dificuldades relativas à adesão de materiais restauradores. O conhecimento sobre a prevalência de DDE e seus fatores associados permite aos profissionais obter maior compreensão desse problema de saúde bucal, minimizando, dessa forma, as sequelas e melhorando a saúde bucal e a qualidade de vida dos indivíduos afetados. Objetivo Determinar a prevalência de DDE e seus fatores associados na dentição decídua. Método Trata-se de estudo transversal com amostra probabilística de 566 pré-escolares de 5 anos de idade, matriculados em creches públicas e privadas de Teresina, Piauí, Brasil. Foi aplicado questionário socioeconômico e de história médica da criança aos responsáveis. Os exames clínicos foram conduzidos por um único examinador (kappa = 0,93 para DDE e 0,86 para cárie) que utilizou os índices DDE modificado e ceo-d. Foi realizada a análise descritiva dos dados, além dos testes qui-quadrado e exato de Fisher e a regressão de Poisson, considerando como significativo p ≤ 0,05. Resultados A prevalência de DDE foi de 33,7%. A média de dentes com DDE por criança foi de 3,12 ± 2,23. O tipo mais prevalente de DDE foi opacidade demarcada (9,5%). Os segundos molares superiores foram os dentes mais afetados (11,9%). Houve associação entre DDE e estudar em creche pública (p = 0,026) e cárie (p = 0,012). Crianças com experiência de cárie apresentaram maior prevalência de DDE (RP: 1,29; IC95%: 1,01-1,64). Conclusão A prevalência de DDE na dentição decídua foi de 33,7% e se mostrou associada à experiência de cárie.


Abstract Background Children with Developmental Defects of Enamel (DDE) are more susceptible to dentin hypersensitivity, malocclusions, and difficulties related to the adhesion of restorative materials. Knowledge about the prevalence and factors associated with DDE allows professionals to gain a greater understanding of this oral health problem, minimizing sequelae, improving oral health and quality of life of affected individuals. Objective To determine the prevalence and factors associated with DDE in primary dentition. Method This is a cross-sectional study assessing a random sample of 566 preschool five-year-old children, enrolled in public and private preschools in Teresina, Piauí, Brazil. It was applied the socioeconomic and medical history of the child questionnaire for the parents or guardians. Clinical examinations were conducted by a single examiner (kappa = 0.93 for DDE and 0.86 for caries) that used the modified DDE index and dmft. Descriptive analysis, chi-square and Fisher's exact tests, and Poisson regression were performed, considering significant p ≤ 0.05. Results the prevalence of DDE was 33.7%. The mean DDE teeth per child was 3.12 ± 2.23. The most prevalent type of DDE was demarcated opacity (9.5%). The second molars were the most affected teeth (11.9%). There was an association between DDE and study at public preschool (p = 0.026) and dental caries (p = 0.012). Children with experience of caries were more likely to DDE (PR: 1.29; 95% CI: 1.01 to 1.64). Conclusion prevalence of DDE in the primary dentition was 33.7% and was associated with caries experience.

2.
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
3.
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
4.
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
5.
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
6.
Article in English | LILACS, BBO | ID: biblio-1101298

ABSTRACT

Abstract Objective: To determine the prevalence and factors associated with malocclusion in the primary dentition of preschool children in a city of Brazilian Northeast. Material and Methods: A cross-sectional study was conducted with 566 five-years-old preschool children who were enrolled in public and private preschools in the city of Teresina, Piauí, Brazil. Data were collected using a sociodemographic questionnaire administrated to parents/caregivers and clinical oral examination of the children was performed. Foster and Hamilton Index for primary teeth was used for the diagnosis of malocclusions. Descriptive analysis was carried out and Poisson regression was used to assesses the association with independent variables. Results: The prevalence of malocclusion was 51.2%. The most frequent types were Class II canines (17% and 16.8%), increased overjet (15.2%) and reduced overbite (14%). Anterior crossbite was present in 3.5% of the preschool children evaluated. There was an association between malocclusion and low family income (PR = 1.22; 95% CI = 1.01-1.47). Conclusion: The prevalence of malocclusion in the primary dentition was high and associated with a low family income.


Subject(s)
Humans , Male , Female , Child, Preschool , Orthodontics , Socioeconomic Factors , Tooth, Deciduous , Child, Preschool , Malocclusion/prevention & control , Brazil/epidemiology , Cross-Sectional Studies , Cross-Sectional Studies/methods , Surveys and Questionnaires , Regression Analysis
7.
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
8.
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
9.
Braz. oral res. (Online) ; 32: e26, 2018. tab, graf
Article in English | LILACS | ID: biblio-889486

ABSTRACT

Abstract: Data about total fluoride intake in children living in a tropical semi-arid climate city is scarce, thus we conducted this study. Fifty-eight children aged two to five years, living in a Brazilian tropical city with optimally fluoridated water were selected. Dietary samples were collected using the duplicate diet method on two non-consecutive days in the children's home toothpaste was determined by subtracting the amount of fluoride recovered after brushing from the amount placed on the toothbrush. The mean total dose (SD) of fluoride intake was 0.043(0.016) mg F·kg-1·d-1, with the major (60.6%) contribution from water. The factors associated with the ingestion of fluoride from toothpaste were fluoride concentration of the toothpaste (p = 0.03) and the use of kids toothpaste (p = 0.02). The findings suggest that children have a low fluoride intake, measured by at-home meals and use of fluoride toothpaste; drinking water is the main source of fluoride ingestion.


Subject(s)
Humans , Male , Female , Child, Preschool , Child , Toothpastes/chemistry , Cariostatic Agents/administration & dosage , Diet , Fluorides/administration & dosage , Reference Values , Toothbrushing/methods , Tropical Climate , Brazil , Cariostatic Agents/analysis , Fluoridation , Risk Factors , Fluorides/analysis
10.
Rev. bras. epidemiol ; 21: e180002, 2018. tab
Article in Portuguese | LILACS | ID: biblio-958822

ABSTRACT

RESUMO: Introdução: Bruxismo do sono (BS) é uma atividade muscular repetitiva cuja epidemiologia em adolescentes tem sido pouco estudada. Este estudo observacional transversal objetivou determinar a prevalência e os fatores associados ao BS em adolescentes. Metodologia: A amostra foi constituída de 594 escolares na faixa etária de 11 a 14 anos de Teresina, Piauí, Brasil. Os instrumentos de coleta dos dados foram questionário direcionado aos pais/responsáveis e exame clínico dentário. Para se verificar associação entre BS e variáveis independentes, o teste qui-quadrado de Pearson foi aplicado, bem como análise de regressão de Poisson com variância robusta, com resultados expressos em razão de prevalência (RP). Resultados: A prevalência de BS foi de 22,2%. Na análise multivariada foi observada maior prevalência de BS em adolescentes do sexo masculino (RP = 1,41; intervalo de confiança de 95% - IC95% 1,04 - 1,89), com relato de ronco (RP = 1,39; IC95% 1,02 - 1,89) e dificuldades para dormir (RP = 1,92; IC95% 1,38 - 2,66). Conclusão: BS é uma condição frequente em adolescentes, e os fatores associados à sua prevalência foram: sexo masculino, ronco e dificuldades para dormir.


ABSTRACT: Introduction: Sleep bruxism (SB) is defined as a repetitive jaw muscle activity whose epidemiology in adolescents has been little studied. This cross-sectional study aimed to determine the prevalence of sleep bruxism and associated factors in adolescents. Methodology: The sample consisted of 594 students aged 11 to 14 years old from Teresina, Piauí, Brazil. Self-administered questionnaire was answered by parents/caregivers and dental clinical examination was performed. Pearson's chi-squared test was used to assess the association between SB and independent variables. Poisson regression analysis with robust variance was applied, with results expressed in prevalence ratio (PR). Results: The prevalence of SB in adolescents was 22.2%. Multivariate analysis showed a higher prevalence of SB in male gender adolescents (PR = 1.41; 95%CI 1.04 - 1.89), presenting snoring (PR = 1.39; 95%CI 1.02 - 1.89) and difficulty falling asleep (PR = 1.92; 95%CI 1.38 - 2.66). Conclusion: SB is a frequent condition in adolescents, and the factors associated with its prevalence were: male sex, snoring and difficulty falling asleep.


Subject(s)
Humans , Male , Female , Child , Adolescent , Sleep Bruxism/epidemiology , Brazil/epidemiology , Prevalence , Cross-Sectional Studies , Risk Factors
11.
Rev. odontol. UNESP (Online) ; 46(2): 82-89, Mar.-Apr. 2017. tab
Article in English | LILACS, BBO | ID: biblio-845612

ABSTRACT

Objective: To evaluate the knowledge and conduct of dentists of the Public Health System (Family Health Strategy – FHS) regarding Atraumatic Restorative Treatment (ART). Material and method: A census survey was conducted and all FHS dentists from the urban area of the city of Teresina, Piauí, Brazil were visited in their workplaces and invited to participate in this study. Data collection was carried out between July and October, 2014 through self-administered questionnaires. For statistical analysis the chi-square test with a significance level of 5% and the linear association test were applied. Result: One hundred and eighty-three professionals participated in the study (with a response rate of 89.7%), mostly women (71.0%), aged twenty to thirty-nine years (49.2%), with twenty or more years’ experience since graduation (45.9%), working only in the public service (70.5%), and with expertise in the clinical area (44.3%). Most of them believe in ART (82.7%) and 95.8% of them apply it (of those, 58.9% apply it only in public service). The professionals’ individual knowledge of ART was measured and most of them have correct information regarding the treatment. The knowledge level evaluation was significantly associated with age and time since graduation (p<0.05). Conclusion: Most of the dentistsworking in the public health system of Teresina, Piauí, Brazil have a good knowledge of and show positive behavior towardentists ART, but improvement is needed regarding the technique and its correct indication.


Objetivo: Avaliar o conhecimento e conduta dos Cirurgiões-Dentistas (CD) da Estratégia Saúde da Família (ESF) sobre o Tratamento Restaurador Atraumático (ART). Material e método: A amostra foi censitária e todos os CD da ESF da zona urbana da cidade de Teresina – PI foram visitados em seus locais de trabalho e convidados a participar do estudo. Questionários autoaplicáveis foram utilizados como técnica de coleta de dados. Para as análises estatísticas aplicou-se o teste qui-quadrado com nível de significância de 5% e o teste de associação linear. Resultado: Participaram do estudo 183 profissionais, a maioria do sexo feminino (71,0%), na faixa etária de 20 a 39 anos (49,2%), com vinte ou mais anos de formados (45,9%), que tem apenas o serviço público como vínculo empregatício (70,5%), e especialização em área clínica (44,3%). A maioria acredita no ART (82,7%) e a realiza (95,8%), apenas no serviço público (58,9%). O conhecimento individual dos profissionais sobre ART foi mensurado e a maioria apresenta informações corretas sobre o tratamento. Houve associação significativa do autorrelato de conhecimento de ART com a faixa etária, o tempo de formado e a titulação dos participantes. A avaliação do nível de conhecimento teve associação significativa com a faixa etária e tempo de formado. Conclusão: A maioria dos Cirurgiões-Dentistas da Estratégia Saúde da Família de Teresina, Piauí, Brasil possui um bom conhecimento e conduta positiva em relação ao ART, mas necessita de aprimoramento com relação à técnica e sua correta indicação.


Subject(s)
Humans , Male , Female , Chi-Square Distribution , Dental Clinics , Dentists , Dental Atraumatic Restorative Treatment , Public Health Services
12.
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
13.
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
14.
Ciênc. saúde coletiva ; 21(4): 1247-1254, Abr. 2016. tab
Article in Portuguese | LILACS | ID: lil-778567

ABSTRACT

Resumo O objetivo deste estudo foi avaliar a prevalência e a severidade de fluorose dentária em escolares de 11 a 14 anos de idade em Teresina (PI) Brasil, município de clima tropical com água de abastecimento público fluoretada. Estudo do tipo observacional transversal no qual foram avaliadas 571 crianças distribuídas nas redes pública e particular de ensino. A coleta de dados foi realizada nas unidades escolares, após recolhimento do Termo de Consentimento Livre e Esclarecido (TCLE) e questionário respondido pelos pais referentes às condições socioeconômicas e demográficas e aos hábitos de higiene bucal. O exame dentário foi realizado por um cirurgião-dentista calibrado. O índice aplicado foi o Thylstrup e Fejerskov (TF). A prevalência de fluorose foi de 77,9%, e apenas 12,5% das crianças acometidas apresentaram TF ≥ 3, grau com comprometimento estético. Os pré-molares foram os dentes mais afetados pela fluorose. Dentre os escolares com maior severidade de fluorose, 98,6% dos pertenciam à classe social mais baixa (>B2), 91,5% nasceram e sempre moraram em Teresina, 94,4% consumiam água de abastecimento fluoretada, 76% usaram dentifrício infantil e 64% as mães relataram que engoliam dentifrício. A prevalência de fluorose foi elevada, mas com baixa severidade, em indivíduos expostos à fluoretação desde o nascimento.


Abstract The scope of this study was to evaluate the prevalence and severity of dental fluorosis among 11 to 14-year-old schoolchildren in Teresina, Piauí, Brazil, which is a tropical city with a fluoridated public drinking water supply. It involved a cross-sectional observational study on a sample of 571 students in public and private schools. Informed Consent forms were approved for the data collection and the exams were conducted at the schools. Data were recorded on a questionnaire answered by the parents, regarding the socioeconomic and demographic characteristics and oral hygiene habits of the sample. The dental exam was performed qualified dental sugeons. The Thylstrup-Fejerskov (TF) index was used. The prevalence of fluorosis was 77.9%, and only 12.5% of the affected children had TF ≥ grade 3 (with aesthetic damage). The premolars were the teeth most affected by fluorosis. Among the students with the highest severity of fluorosis, 98.6% belonged to the lowest social bracket (> B2), 91.5% were born and had always lived in Teresina, 94.4% consumed water from the fluoridated public supply, 76% used toothpaste for children and 64% of mothers reported that they swallowed toothpaste. The prevalence of fluorosis was high, though the severity was low in individuals exposed to fluoridation since birth.


Subject(s)
Humans , Female , Child , Adolescent , Fluoridation , Fluorosis, Dental/epidemiology , Tropical Climate , Water Supply , Brazil/epidemiology , Cross-Sectional Studies , Drinking Water , Fluorides , Prevalence
15.
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
16.
Braz. oral res. (Online) ; 30(1): e117, 2016. tab
Article in English | LILACS | ID: biblio-952059

ABSTRACT

Abstract This study evaluated the impact of molar-incisor hypomineralization (MIH) on oral health-related quality of life (OHRQoL) according to the perceptions of schoolchildren and their parents/caregivers. This cross-sectional study consisted of a sample of 594 schoolchildren between 11 and 14 years of age and their parents/caregivers who answered the questionnaires CPQ11-14ISF:16 and P-CPQ, respectively. The main independent variable of this study was MIH of the schoolchildren. Experience of dental caries, malocclusion, and socioeconomic status were treated as confounding variables. Statistical analysis used descriptive analysis and Poisson regression with robust variance. The prevalence of MIH was 18.9%. The overall P-CPQ score ranged from 0 to 35 (average = 7.26 ± 6.84), and the overall CPQ11-14ISF:16 score ranged from 0 to 47 (average = 11.92 ± 7.98). Severe MIH was associated with a greater negative impact of the "functional limitation" domain (RR = 1.41; 95%CI = 1.01-1.97), according to parents'/caregivers' perceptions. Severe MIH was associated with a greater negative impact of the "oral symptom" domain (RR = 1.30; 95%CI = 1.06-1.60) and functional limitation domain (RR = 1.42; 95%CI = 1.08-1.86), according to the schoolchildren's perceptions. Schoolchildren with severe MIH had a greater negative impact on the oral symptom and functional limitation domains than those without MIH. According to parents'/caregivers' perceptions, schoolchildren with severe MIH had a greater negative impact on the functional limitation domain than those without MIH.


Subject(s)
Humans , Male , Female , Child , Adolescent , Quality of Life , Oral Health , Dental Enamel Hypoplasia/physiopathology , Socioeconomic Factors , Severity of Illness Index , Poisson Distribution , Cross-Sectional Studies , Surveys and Questionnaires , Caregivers , Dental Caries/physiopathology , Dental Caries/psychology , Dental Enamel Hypoplasia/psychology , Incisor , Malocclusion/physiopathology , Malocclusion/psychology , Molar
17.
Ortho Sci., Orthod. sci. pract ; 9(33): 63-69, 2016. tab, graf
Article in Portuguese | LILACS | ID: lil-784591

ABSTRACT

Este estudo teve como objetivo avaliar a prevalência da discrepância de tamanho dentário em uma amostra de pacientes ortodônticos, verificar a prevalência de discrepância severa, determinar a localização do excesso/falta de tamanho dentário nos pacientes com discrepância severa e correlacionar a presença da discrepância de Bolton com o gênero e com as classificações da má oclusão, segundo Angle. Foram avaliados os modelos de pacientes de uma clínica ortodôntica, tratados entre 2001 e 2011. Esses modelos foram classificados quanto à classificação da má oclusão (segundo Angle) e gênero. Foram realizadas mensurações mésio-distais, conforme preconizado por Bolton, utilizando um paquímetro digital. A amostra constituiu-se de 228 pares de modelos (92 masculino e 136 feminino). Quanto à classificação da má oclusão, 140 pacientes eram Classe I, 65 Classe II e 23 Classe III. Não foi observada diferença estatisticamente significante entre as médias das proporções encontradas e os gêneros e classificação da má oclusão, bem como em relação aos parâmetros determinados por Bolton. Também não houve diferença estatisticamente significante quanto à prevalência da discrepância dentária nas classificações da má oclusão. Conclui-se que a prevalência de discrepância dentária anterior foi de 51,75% e o total foi de 40,35%; a prevalência de discrepância dentária anterior clinicamente significativa foi de 22,36% e o total de 10,96%; a localização mais frequente do excesso/falta em relação à discrepância total foi na arcada superior e quanto ao segmento anterior na arcada inferior e não houve correlação estatisticamente significativa quanto à prevalência de discrepância entre os gêneros e classificação da má oclusão...


This study aimed to assess the prevalence of tooth-size discrepancy in a group of orthodontic patients of a private dental clinic, investigate the prevalence of clinically significant discrepancy, determine the location of the tooth size excess, and correlate the prevalence of Bolton’s discrepancy with gender and with the malocclusion groups. We evaluated the models of patients treated between 2001 and 2011. The study casts were classified according to malocclusion diagnosis and according to gender of patients. Mesiodistal width of all permanent teeth were measured, from first left molar to first right molar, in both arches, as recommended by Bolton, to obtain the anterior and overall Bolton ratios. It was used a digital caliper. Among 671 analyzed models, 228 were included, among which 92 were males and 136 females. Hundred and forty patients were Angle’s Class I, 65 Angle’s Class II, and 23 Angle’s Class III. The overall and anterior ratios demonstrated no significant differences between genders. No significant differences were found among the means obtained for each malocclusion group, and in relation to the parameters determined by Bolton. There was also no statistically significant difference in the prevalence of tooth-size discrepancies in the three Classes of malocclusion. It was concluded that the prevalence of anterior tooth-size discrepancies was 51.75% and overall tooth-size discrepancies was 40.35%; the prevalence of clinically significant discrepancy was 22.36%, for the anterior segment, and 10.96% for overall segment; and there was no statistically significant relation between discrepancy and genders or malocclusion groups...


Subject(s)
Humans , Malocclusion , Orthodontics , Tooth Abnormalities
18.
Ciênc. saúde coletiva ; 20(11): 3385-3393, Nov. 2015. graf
Article in Portuguese | LILACS | ID: lil-766423

ABSTRACT

Objetivou-se avaliar a qualidade de vida relacionada à saúde bucal em escolares com bruxismo do sono. Estudo observacional transversal desenvolvido com 594 escolares (11-14 anos) do município de Teresina-Piauí. A qualidade de vida foi avaliada através da versão brasileira do questionário CPQ11-14, na forma curta (ISF:16). A presença do bruxismo do sono foi considerada através de relatos dos responsáveis legais. Para análise dos resultados foi utilizado o cálculo de estimativa de chances (Odds Ratio-OR), análise descritiva, teste de Qui-quadrado de Pearson, teste de Razão de Verossimilhança e regressão logística múltipla. Foi encontrada associação estatisticamente significativa entre escolares com bruxismo do sono e o escore total do CPQ11-14 (p < 0,001), e com os escores dos domínios limitação funcional (p = 0,033) e bem-estar social (p = 0,020). As variáveis gênero e idade não apresentaram associação com a qualidade de vida. O modelo final de regressão revelou que a presença de bruxismo do sono aumenta a chance de ter maior impacto na qualidade de vida (ORaj = 1,82 (1,54 - 2,10) , IC = 95%). Conclui-se que o bruxismo do sono apresentou impacto negativo na qualidade de vida dos escolares, principalmente nos domínios, limitações funcionais e alterações no bem-estar social.


The purpose of this study is to assess quality of life in relation to oral health in schoolchildren with sleep bruxism. It is a transversal observational study of 594 schoolchildren (aged 11–14) of the municipality of Teresina, in the Brazilian State of Piauí. Quality of life was assessed through the Brazilian version of the CPQ11-14 questionnaire, in the short form (ISF:16).The presence of sleep bruxism was assessed from reports by the people legally responsible for the children. The results were analyzed by: calculation of an Odds Ratio (OR) estimate of chances; descriptive analysis; a Pearson Chi-squared test; a Likelihood Ratio test; and multiple logistic regression. A statistically significant association was found between sleep bruxism and the total score on the CPQ11-14 (p < 0.001), and with the scores in two domains: functional limitation (p = 0.033);and social wellbeing (p= 0.020).No association was found between quality of life and the variables gender or age. The final regression model showed that the presence of sleep bruxism increases the chance of having a greater effect on quality of life (ORadj=1.82 (1.54 – 2.10), IC = 95%).It is concluded that sleep bruxism had a negative impact on the quality of life of the schoolchildren, principally in the two domains functional limitations and changes in social wellbeing.


Subject(s)
Humans , Male , Female , Child , Adolescent , Oral Health , Quality of Life , Sleep Bruxism , Brazil , Surveys and Questionnaires
19.
Rev. odontol. UNESP (Online) ; 44(5): 280-284, set.-out. 2015. tab, ilus
Article in Portuguese | LILACS, BBO | ID: lil-763344

ABSTRACT

Introdução: A prevalência e a distribuição das anomalias dentárias de número variam de acordo com a população estudada. Objetivo: Determinar a prevalência de anomalias dentárias de número, verificando-se a frequência com relação a gênero, localização e dentes mais acometidos. Método: Foram avaliadas 1.054 radiografias panorâmicas de pacientes com idade entre 5 e 30 anos, realizadas no período de janeiro a março de 2010, em uma clínica particular de diagnóstico por imagem de Teresina-PI. Foram registrados dados relativos a gênero, idade, presença ou ausência de anomalia, dente acometido e localização. Foram realizados os testes estatísticos Qui-quadrado de Pearson e Teste Binominal, para duas proporções. Resultado: A hipodontia, com prevalência de 4,9%, foi encontrada com mais frequência na maxila, não apresentando diferença entre os lados e os gêneros. Os dentes mais ausentes foram: incisivos laterais superiores e segundo pré-molar inferior. Em relação à hiperdontia, com prevalência de 4,0%, não foram observadas diferenças entre gêneros, lados e maxilares. As regiões com maior presença de supranumerários foram: distal dos terceiros molares e entre pré-molares inferiores. Conclusão: Foi observada prevalência de hipodontia de 4,9%, sendo mais comum na maxila, e de hiperdontia de 4%, não apresentando diferença entre maxilares, lados e gêneros.


Introduction: The prevalence and distribution of dental anomalies of number vary according to the population studied. Objective: To determine the prevalence of dental anomalies of number by assessing the frequency of hypodontia and hyperdontia regarding gender, the region of the maxila or mandible and the most affected teeth. Method: The panoramic radiographs of 1054 patients, aged 5 to 30 years, from a private diagnostic imaging clinic were evaluated. Gender, age, presence or absence of abnormality, affected teeth and region were compared. Chi-square statistical tests and Pearson Test Binominal for two proportions were carried out. Result: The prevalence of hypodontia was 4.9% and it was more frequent in the maxilla. There were no significant differences between the left and right side of the maxila or genders. The most frequently missing teeth were the maxillary lateral incisors and mandibular second premolar. The prevalence of hyperdontia was 4.0%. There were no significant differences between genders, right or left side of the maxila or mandible. The regions most frequently affected were distal to the third molars and between mandibular premolars. Conclusion: The prevalence of hypodontia was 4.9% and it was more frequent in the maxilla. The prevalence of hyperdontia was 4%. No significant differences between genders and the maxillary or mandibular region were found.


Subject(s)
Humans , Child, Preschool , Child , Adolescent , Adult , Tooth Abnormalities , Radiography, Panoramic , Chi-Square Distribution , Prevalence , Maxilla , Anodontia , Orthodontics , Patients , Tooth, Supernumerary
20.
Rev. odontol. UNESP (Online) ; 42(4): 266-272, jul.-ago. 2013. tab
Article in English | LILACS-Express | LILACS | ID: lil-685540

ABSTRACT

OBJECTIVE: Pediatricians are health professionals who treat the child during the first years of their life. The purpose of this study was to evaluate the conduct adopted by pediatricians regarding the oral health of children. METHOD: This was a descriptive cross-sectional observational study with a sample of 100 physicians specialized in pediatrics, working in the public and private sectors. A questionnaire was used for data collection, and the pediatricians were approached in their workplaces. RESULT: Most pediatricians (69%) belong to the female gender, with an average age of 48 years, and work in both the public and private sectors of health and have over 20 years of professional experience. Regarding their level of knowledge on oral health, 59% consider it to be good and 59% said that they had not been approached about this issue during their training in pediatrics. Ninety-two percent routinely examine the oral cavity of the baby; 64% recommend the use of fluoridated toothpaste, and 66.7% direct patients to a dental appointment in the first year of life. Regarding breastfeeding at night, 55.6% do not make the association between breastfeeding and the onset of early childhood caries. Furthermore, 74.7% do not justify the associations between the eruption of the first primary teeth and systemic manifestations, and 93% contraindicate the use of a dummy. CONCLUSION: It was concluded that pediatricians have proactive attitudes with regards to oral health. However, they need more information on the importance of fluoride for the control of dental caries.


OBJETIVO: Os médicos pediatras são os profissionais de saúde que acompanham a criança ao longo dos primeiros anos de vida. O objetivo deste estudo foi avaliar condutas adotadas por pediatras em relação à saúde bucal de crianças. MÉTODO Trata-se de um estudo observacional transversal descritivo, com amostra constituída por 100 médicos especialistas em pediatria, atuantes em serviços público e privado. Foi utilizado questionário como instrumento de coleta de dados e os pediatras foram abordados em seus locais de trabalho. RESULTADO: A maioria dos pediatras (69%) pertence ao gênero feminino, com idade média de 48 anos, trabalham simultaneamente nos serviços de saúde público e privado, com mais de 20 anos de experiência profissional. Com relação ao nível de conhecimento em relação à saúde bucal, 59% consideraram como bom e 59% afirmaram não ter sido abordado o tema sobre saúde bucal durante a formação em pediatria. Noventa e dois por cento realizam exame da cavidade bucal do bebê como procedimento de rotina; 64% recomendam o uso de dentifrício fluoretado; 66,7% encaminham os pacientes à consulta odontológica no primeiro ano de vida. Com relação à amamentação noturna, 55,6% não fazem associação entre aleitamento materno e a instalação de cárie precoce na infância. Além disso, 74,7% não justificam associações entre irrompimento dos primeiros dentes decíduos e manifestações sistêmicas e 93% contraindicam uso de chupetas. CONCLUSÃO: Conclui-se que os pediatras apresentam atitudes pró-ativas em relação à saúde bucal, apesar de necessitarem de maiores esclarecimentos quanto à importância dos fluoretos no controle da cárie dentária.

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