Profile of Patients with Special Needs Assisted at a Brazilian University

Objective: To characterize the profile of patients with special needs assisted at a Dentistry School of a Brazilian University. Material and Methods: A retrospective and descriptive study was carried out through the analysis of 329 dental records from individuals with special needs assisted at the Dentistry for Special Needs Patients discipline between 2012 and 2017. Data on gender, age, race, monthly family income, schooling, medical diagnosis of the disabling condition, drug used and type of dental procedures performed were reviewed. Data were analyzed by descriptive and inferential statistics (Shapiro-Wilk and t-student tests) with 5% significance level. Results: There was higher prevalence of females (50.5%) aged 45-54 years (18.7%), low schooling (36.2%) and monthly income of 1 minimum wage (61.9%). Most special needs were chronic systemic diseases (67.2%) and endocrine-metabolic diseases (16.7%). Among patients investigated, 66.3% used anti-hypertensive (38.3%) and anti-inflammatory (20.6%) drugs. Of dental procedures performed, curative procedures were the most prevalent in the majority of patients (90.6%). Conclusion: The profile of most patients with special needs was characterized by females with chronic systemic diseases and mean age of 39.6 years, low schooling and monthly family income of up to 1 minimum wage, whose main reason for the visit was the search for curative dental treatment.

Agreement Between Reports of Parents and Children About Children's Oral Health-Related Quality of Life

Abstract Objective: To assess agreement between reports of parents and children about children's oral health-related quality of life (OHRQoL). Material and Methods: A total of 50 pairs of preschool-aged children, aged 5-6 years and their parents, who sought dental care at the Faculty of Dentistry of the Federal University of Amazonas, answered the Brazilian version of the Scale of Oral Health Outcomes for 5-year-old children (SOHO-5). SOHO-5 was completed through face-to-face independent interviews. A specific instrument containing information about demographics and socioeconomic conditions of children and their families was also applied to parents. Children's oral examinations were performed for the diagnosis of dental caries (dmft). The agreement between total and items scores was evaluated using the means comparison and the correlation analysis, calculated by the Intraclass Correlation Coefficient (ICC) Results: There was a significant difference between the means of parent-child reports in total scores (p=0.0028) and items associated with difficulty speaking (p=0.038) and difficulty playing (p=0.0034). Children reported worse OHRQoL than their caregivers, suggesting different perceptions between them. The ICC for the total score of parent-child reports was 0.44 (95% CI, 0.02-0.68). Higher SOHO-5 scores were found in children with dental caries experience Conclusion: Moderate agreement was observed, suggesting that the reports of parents should be complementary to those of preschool children about the OHRQoL, allowing the clinician to make the best treatment decision, according to the different views and expectations of both.

Molar-incisor hypomineralization in schoolchildren of Manaus, Brazil

To analyze the prevalence and severity of Molar Incisor Hypomineralization (MIH) and its relationship with dental caries in public school children in Manaus/AM.Material and Methods:Overall, 2,062 primary school children aged 6-10 years were examined to obtain MIH, DMFT, dmft and DDE indexes. The participation of five schools in each district of the city of Manaus was randomly determined, totaling 40 schools, and in each of them, two classes of each grade of elementary school in two shifts were selected, totaling 10 classes. Clinical examinations were conducted by two previously calibrated examiners in school environment under natural lighting. Data collected were submitted to descriptive statistical analysis by Chi-square, Fisher's Exact and Mann-Whitney tests at 5% significance level. Results:The prevalence of MIH in Manaus was 9.12% and no significant association with gender and age of schoolchildren was found. The mandibular arch was the most affected, with greaternumber of teeth being affected on the left side. The most frequently affected teeth were the mandibular permanent first molars, followed by maxillary counterparts and maxillary/mandibular central incisors. The most frequent diagnosis was mild MIH. The DMFT of children with MIH was 1.58 and dmft was 2.47, higher than those of the unaffected group. A correlation was found between DDE and MIH. Conclusion:Earlydiagnosis of MIH is imperative, since children affected show high risk for the development of dental caries...

Hipomineralização molar-incisivo em escolares da rede municipal de ensino da área urbana e rural de Manaus-AM / Molar-incisor hypomineralization in schoolchildren from municipal schools in the rural and urban areas of Manaus - AM

Com o objetivo de identificar a prevalência, severidade, relação com a cárie dentária e possíveis fatores etiológicos envolvidos na Hipomineralização Molar - Incisivo, foram examinados 1124 escolares da área rural e urbana de Manaus/Am. Para diagnóstico da HMI utilizou-se critérios da EAPD e para cárie dentária, CPOD e ceod. Um questionário semi-estruturado foi respondido pelas mães para investigação da saúde gestacional e da criança nos primeiros anos de vida, fatores socioeconômicos e demográficos. Os dados foram tabulados e analisados por meio de estatística descritiva, associação entre as variáveis pelo teste Qui-quadrado, Mann-Whitney, método backward e Odds ratio. A prevalência da HMI em Manaus foi de 8,9%, não sendo observada diferença relacionada à zona de moradia, gênero ou idade nas crianças diagnosticadas (p>0,05). A alteração dentária estudada foi observada com maior frequência no arco inferior sendo os primeiros molares os mais afetados. A severidade leve foi o diagnóstico mais frequente. A experiência de cárie foi maior na zona rural e na Zona urbana observou-se estreita relação entre esta e HMI. Nenhuma associação foi observada entre HMI, fatores socioeconômicos e história médica da mãe, no entanto, observou-se associação significativa com prematuridade (p= 0,01), icterícia/falta de oxigênio pós-parto (p=0,04). A HMI apresenta-se como grave problema para as crianças afetadas e profissional de saúde, devido à complexidade dos sinais e sintomas apresentados, sendo necessária realização de estudos prospectivos para elucidação da etiologia.

With the purpose of identifying the relationship between dental caries and possible etiologic factors, prevalence, severity of molar-incisor hypomineralization (MIH), 1,124 schoolchildren from rural and urban area in Manaus, Amazonas, were examined. We used the criteria established EAPD and to diagnose MIH and the DMFT and deft indices to diagnose dental caries. A semi-structured questionnaire was completed by the mothers to investigate gestational health and the child's health during the first years of life, as well as the socioeconomic and demographic factors. Data were tabulated and analyzed using descriptive statistics and the chi-square test, Mann-Whitney test, backward method, and odds ratio were used to correlate the variables. The prevalence of MIH in Manaus was 8.9%, not being related to housing area, gender or age of the children diagnosed (p>0,05). Dental alteration was more frequently observed in the lower arch and the first molars were the most affected. The most frequent diagnosis was mild severity. Dental caries experience was higher in rural areas, but in Urban area there was a close relationship between this and the HMI. No association was observed among MIH, socioeconomic factors, and the medical history of the mother, however, a significant association was found among prematurity (p = 0.01), jaundice or lack of oxygen after birth (p = 0.04). MIH is a severe problem for both the children affected and the health professionals due to the complex signs and symptoms, requiring prospective studies to elucidate the etiology