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Braz. oral res. (Online) ; 36: e057, 2022. tab, graf
Article in English | LILACS-Express | LILACS, BBO | ID: biblio-1374733


Abstract: This cross-sectional study evaluated factors associated with toothache in 12-year-old adolescents from the state of Minas Gerais in Brazil. Secondary data were collected from the SB Minas Gerais 2012 epidemiological survey. The dependent variable was toothache in the past 6 months. The independent variables were grouped into two levels: individual (sex, ethnic group, family income, periodontal condition, dental caries, dental treatment needs, and type of service used) and contextual (allocation factor, Human Development Index, Gini coefficient, gross domestic product, unemployment, illiteracy, basic sanitation, garbage collection, family income, half or a quarter of a minimum wage, primary healthcare coverage, primary oral healthcare team coverage, oral health technician, access to individual dental care, and supervised tooth brushing). A multilevel analysis was performed using the Hierarchical Linear and Nonlinear Modeling Software Program to assess the association of individual and contextual variables with toothache in the last 6 months. The prevalence of toothache in the last six months among the adolescents of this study was 19.1%. An association was found with family income (p <0.001), dental caries (p <0.001), primary oral healthcare team coverage (p = 0.015) and oral health technician (p = 0.008). Socioeconomic conditions and the most prevalent oral diseases, such as dental caries, as well as the use of public services, were related to toothache in adolescents aged 12 years. These findings reinforce the need to develop and implement public policies to address the oral health problems of this population.

Article in English | LILACS, BBO | ID: biblio-1365228


ABSTRACT Objective To evaluate knowledge and attitudes towards biosafety recommendations during the COVID-19 pandemic at a Brazilian dental school. Material and Methods A cross-sectional study was performed in 2020 with the clinical staff of a Brazilian dental school. The whole clinical staff was sent pre-tested self-administered online questionnaires about knowledge and attitudes towards the recommendations for biosafety in dental settings in the context of the COVID-19 pandemic. Descriptive statistical analyses were carried out for proportion calculation. Results Disposable head covering caps, isolation gowns, and gloves were the most frequently reported personal protective equipment (PPE). The rates ranged from 52.9% to 88.5% for N95 respirators, from 68.6% to 92.6% for face shields, from 47.4% to 67.5% for conventional eye protection shields, and 45.1% to 77.4% for eye protection with solid side shields. Chlorhexidine gluconate was the most frequent mouthwash indicated before clinical dental care. The percentage of agreement to provide clinical care to patients with suspected COVID-19 varied from 23.5% to 50.0%. The percentage of respondents who agreed that bioaerosol-generating procedures should be avoided was higher than 74.5%. Less than 50% knew the correct sequence for doffing of PPE. Conclusion This study revealed important gaps in knowledge and attitudes towards prevention and control measures against infection in dental environments in the context of COVID-19, indicating the need for improvements.

Humans , Brazil , Health Knowledge, Attitudes, Practice , Containment of Biohazards/instrumentation , Education, Dental , Personal Protective Equipment , COVID-19 , Schools, Dental , Epidemiologic Studies , Cross-Sectional Studies/methods , Surveys and Questionnaires , Data Interpretation, Statistical , Infection Control
Article in English | LILACS-Express | LILACS, BBO | ID: biblio-1386803


Abstract Objective: To analyze patients' pain perception requiring endodontic treatment referred to a Dental Specialties Center. Material and Methods: Data was collected through a self-administered questionnaire for patients about their experience of pain and another for endodontists about the treatment performed. The results were analyzed descriptively using Pearson's Chi-square test and Fisher's Exact test, with Bonferroni correction (p≤0.05). Results: The median age of the patients was 39 years, and 71.1% were female. The median waiting time for treatment was five months. Pain was reported by 75.2% of patients, occurred more than one month earlier (63.6%), with moderate/severe intensity (66.9%), and most patients sought emergency treatment more than once (79.1%). In addition, pain was associated with sex (female; p=0.008); moderate/severe intensity (p<0.001); the number of times that patient had to go to the dentist because of the tooth treatment (twice or more; p=0.002); and type of tooth treated (posterior tooth; p=0.002). Conclusion: Severe pain episodes resulted in a repeated search for emergency services, which may overload the primary care service, especially if the waiting time for endodontic treatment is long.

Humans , Male , Female , Adolescent , Adult , Primary Health Care/methods , Toothache , Secondary Care , Pain Perception , Endodontists , Specialties, Dental , Chi-Square Distribution , Surveys and Questionnaires , Statistics, Nonparametric , Regenerative Endodontics/instrumentation
Article in English | LILACS, BBO | ID: biblio-1346669


ABSTRACT Objective: To analyze the profile of the dental teleconsulting in the Pediatric Dentistry field of Telehealth Brazil Networks Program, in Minas Gerais centers, Brazil. Material and Methods: Asynchronous dental teleconsulting was evaluated in the Pediatric Dentistry specialty, extracted from secondary databases of the telehealth centers: the Clinical Hospital of the Universidade Federal de Minas Gerais and UFMG Medical School, from July 2015 to July 2017. The variables collected were: type of issues and area and sub-area of Pediatric Dentistry. The results were descriptively analyzed using the SPSS v.22,0 program by frequencies. Results: Most of the issues in the Pediatric Dentistry specialty were about clinical conduct (81.4%). There was a predominance of issues regarding prevention (16.6%), surgery (15.3%), tooth eruption (15.1%), endodontics (12.1%), harmful oral habits (9.7%), patient cooperation (8.7%), primary teeth trauma (7.2%) and dentistry (6.7%). Regarding sub-areas, most issues were related to child oral hygiene (68.5%), tooth extraction (92%), tooth eruption chronology (65.6%), pulp diagnosis (49.0%), bruxism (64%), patient management (74.3%), post-trauma treatment (79.3%), and restoration (88.9%). Conclusion: Pediatric Dentistry teleconsulting suggested a difficulty of the professionals in the pediatric patient approach. Continuing education programs and training courses for professionals working in primary health care are crucial for the comprehensive care of pediatric patients.

Primary Health Care/methods , Brazil/epidemiology , Dental Care/methods , Pediatric Dentistry , Education, Distance/methods , Teledentistry , Oral Hygiene , Cross-Sectional Studies , Telemedicine/methods
Braz. oral res. (Online) ; 35: e023, 2021. tab
Article in English | LILACS, BBO | ID: biblio-1153625


Abstract This study aimed to describe the structure of oral health services in primary health care in Brazil with centers participating in the second cycle of the 'National Program for Improving Access and Quality of Primary Care' (PMAQ-AB), the largest health service evaluation program ever instituted in the country. This cross-sectional study evaluated 16,202 oral health services, regarding 22 pieces of dental equipment and 25 dental supplies. The presence of each piece of equipment/dental supply generated a score for services. The sum of these scores was compared among different regions in Brazil. Quantitative data were described by quartiles and categorical data by frequencies, using the SPSS, version 25. Most of the evaluated centers presented adequate equipment in good using conditions and sufficient dental supplies for primary oral health care. Data also showed a lack of some equipment, such as X-rays, bicarbonate jet, and ultrasound devices, while for dental supplies, a lack of amalgam (capsule and manual preparation), anesthesia without vasoconstrictors, and intracanal medication was found. The services presented a median of 14 pieces of equipment and 22 dental supplies. Of the Brazilian regions, the South presented the highest median, while the North and Northeast regions presented the lowest one. The oral health services presented dental offices with good availability of equipment and dental supplies to perform clinical activities. However, differences in the structure of services among the Brazilian regions was still observed.

Primary Health Care , Oral Health , Quality of Health Care , Brazil , Cross-Sectional Studies , Health Services , Health Services Accessibility
Arq. odontol ; 56: 1-10, jan.-dez. 2020. tab
Article in Portuguese | LILACS, BBO | ID: biblio-1120470


Objetivo: Analisar as exodontias de dentes permanentes (exodontia de dente permanente e múltipla com alveoloplastia por sextante) realizadas na atenção primária da Região Metropolitana de Belo Horizonte (RMBH). Métodos:Para a coleta de dados, foi utilizado o banco de dados da produtividade da atenção primária, da RMBH, ano de 2017, disponibilizado pelo Departamento de Informática do Sistema Único de Saúde (SUS). A variável dependente foi o indicador nº 21 do SUS, que corresponde ao percentual de exodontias realizadas dentre os procedimentos da atenção primária, cujo parâmetro deve ser ≤ 8% (≤ 8% e > 8%). As variáveis independentes foram: dados sociodemográficos (localização, população, Índice de Desenvolvimento Humano ­ IDH e Índice de Gini) e de saúde (cobertura de Estratégia de Saúde da Família ­ ESF e Equipes de Saúde Bucal ­ ESB e presença de Centro de Especialidades Odontológicas ­ CEO). Associações foram avaliadas por meio dos testes do Qui-Quadrado de Pearson e Exato de Fisher (p < 0,05), utilizando o programa SPSS 22.0. Resultados:Foram analisados 49 municípios, sendo 67,3% do núcleo metropolitano. A mediana populacional foi de 25.537 habitantes, com IDH médio de 0,707 e Índice de Gini mediano de 0,464. As medianas de cobertura da ESF e ESB foram, respectivamente, 96,7% e 52,7%. Apenas 32,7% dos municípios apresentaram CEO. O indicador nº 21 do SUS apresentou uma mediana de 6,7%. Não houve associação entre o indicador nº 21 do SUS e as variáveis sociodemográficas e de saúde (p > 0,05). Conclusão:A RMBH apresentou valores satisfatórios em relação ao percentual de exodontias realizadas, provavelmente devido aos bons indicadores socioeconômicos e de saúde bucal apresentados.

Aim: To analyze the extractions of permanent teeth (extraction of permanent teeth and extraction of multiple teeth with alveoloplasty per sextant), performed in a primary health care unit of the Metropolitan Region of Belo Horizonte (MRBH). Methods:For data collection, the primary care productivity database of 2017 from MRBH, provided by the Department of Information Technology of the Brazilian Unified Health System (SUS in Portuguese), was used. The dependent variable was the SUS indicator number 21, which corresponds to the percentage of extractions performed among primary dental care procedures, whose parameter must be ≤ 8% ( ≤ 8% and > 8%). The independent variables were: sociodemographic data (location, population, Human Development Index (HDI), and Gini Index) and health (coverage of Family Health Strategy (FHS) and Oral Health Teams (OHT), as well as the presence of Dental Specialty Centers (DCS). Associations were evaluated using the Pearson's Chi-square and Fisher's Exact tests (p < 0.05), using the SPSS 22.0 program. Results: This study analyzed 49 municipalities, 67.3% of which were metropolitan areas. The median population was 25,537 inhabitants, with a mean HDI of 0.707 and a median Gini index of 0.464. The median coverage of ESF and ESB were 96.7% and 52.7%, respectively. Only 32.7% of the municipalities presented CEO. The SUS indicator number 21 presented a median of 6.7%. No association was found between the SUS indicator number 21 and the sociodemographic and health variables (p > 0.05). Conclusion: The MRBH presented satisfactory values in relation to the percentage of tooth extractions, most likely due to the good socioeconomic and oral health indicators presented.

Primary Health Care , Surgery, Oral , Tooth Extraction , Unified Health System , Dentition, Permanent , Dental Health Services , Alveoloplasty , Socioeconomic Factors , Cross-Sectional Studies
Braz. dent. j ; 23(6): 729-736, 2012. tab
Article in English | LILACS | ID: lil-662435


This study evaluated the perceptions of Brazilian undergraduate dental students about the endodontic treatments performed using NiTi rotary instruments and hand stainless steel. Data were collected using a questionnaire administered to undergraduate dental students enrolled in endodontic disciplines. The students were divided into 3 groups: G1, students who had treated straight canals with SS hand instruments; G2, students who had treated curved canals with SS hand instruments; and G3, students who had treated both straight and curved canals with NiTi rotary instruments. The number of endodontic treatments performed, types of treated teeth, students' learning, time spent, encountered difficulties, quality of endodontic treatment and characteristics of the employed technique were analyzed. There was a 91.3% rate of return for the questionnaires. Mandibular molars were the most frequently treated teeth, followed by maxillary incisors. The Kruskal-Wallis test showed no differences in learning (p=0.528) or in the characteristics of the technique employed (p=0.560) among the three groups. G3 students performed a greater number of endodontic treatments (p<0.001) in a smaller time (p<0.001) than did G1 and G2 students. Difficulties were reported primarily by students in G2 and G3 compared with G1 (p=0.048). The quality of endodontic treatments differed only between G1 and G2 (p=0.045). The use of NiTi rotary instruments should be included in undergraduate dental curriculum, contributing to the increase of patients assisted and consequently to improve the clinical experience of the students.

Este estudo avaliou a percepção de alunos de graduação de uma Faculdade de Odontologia brasileira sobre os tratamentos endodônticos realizados utilizando instrumentos rotatórios de níquel-titânio (NiTi) e manuais de aço-inoxidável. Os dados foram coletados por meio de um questionário semi-estruturado aplicado aos alunos de graduação matriculados nas disciplinas de Endodontia. Os estudantes foram divididos em 3 grupos; G1; estudantes que realizaram tratamentos endodônticos em dentes com canais retos utilizando instrumentos manuais de aço-inoxidável; G2, estudantes que realizaram tratamentos endodônticos em dentes com canais curvos utilizando instrumentos manuais de aço-inoxidável e G3, estudantes que realizaram tratamentos endodônticos em dentes com canais retos e curvos utilizando instrumentos rotatórios de NiTi. O número de tratamentos endodônticos realizados, tipos de dentes tratados, aprendizado dos estudantes, tempo gasto, dificuldades encontradas, qualidade dos tratamentos realizados e características das técnicas de instrumentação utilizadas foram analisadas. Houve uma taxa de retorno de 91,3% dos questionários. Molares inferiores foram os dentes mais tratados, seguidos dos incisivos superiores. O teste de Kruskal-Wallis não mostrou diferenças no aprendizado (p=0,528) ou nas características das técnicas utilizadas (p=0,560) entre os três grupos. Estudantes do G3 realizaram um maior número de tratamentos endodônticos (p<0,001) e em menor tempo (p<0,001) que os estudantes do G1 e G2. Dificuldades foram relatadas principalmente pelos alunos do G2 e G3 em comparação ao G1 (p=0,048). A qualidade dos tratamentos endodônticos relatada foi diferente apenas entre G1 e G2 (p=0,045). O uso dos instrumentos rotatórios de NiTi deveria ser incluído no currículo da graduação em Odontologia, contribuindo para o aumento de pacientes atendidos e, consequentemente, para o aprimoramento da experiência clínica dos alunos.

Female , Humans , Male , Attitude of Health Personnel , Dental Alloys/chemistry , Nickel/chemistry , Root Canal Preparation/instrumentation , Stainless Steel/chemistry , Students, Dental/psychology , Titanium/chemistry , Brazil , Cross-Sectional Studies , Curriculum , Education, Dental , Equipment Design , Endodontics/education , Incisor/pathology , Learning , Molar/pathology , Root Canal Preparation/psychology , Root Canal Preparation/statistics & numerical data , Self Report , Time Factors