Concordância entre agravos bucais autorreferidos durante e após a COVID-19 e condições clínicas de pacientes de um município do Sul do Brasil / Agreement between self-reported oral disorders during and after COVID-19 and clinical conditions of patients in municiplity in Southerm Brazil

O objetivo do presente estudo foi identificar a concordância entre agravos bucais autorreferidos durante e após a COVID-19 e condições clínicas de pacientes do município de Palhoça-SC. Materiais e Método: Estudo exploratório, transversal de base quantitativa descritiva com 30 participantes que possuíram testagem positiva para COVID-19 no município de Palhoça-SC. Cada paciente participou de uma avaliação clínica, identificando os agravos bucais, nessa mesma oportunidade, foram registrados dados sociodemográficos e condições bucais autorreferidas. Todas as análises foram conduzidas pelo Software Stata® versão 13. Análises descritivas, inferenciais pelo teste de Qui-quadrado de Pearson (α=5%). Concordância entre presença dos agravos bucais autorreferidos e presença do agravo avaliado clinicamente, pelo coeficiente Kappa e classificadas como: fraca 0 a 0,20; razoável 0,41 a 0,60; boa 0,61 a 0,80; muito boa 0,81 a 0,92; e excelente 0,93 a 1,00. Resultados: A maioria da amostra foram de mulheres (70%), com idade entre 36-59 anos (56,6%) e de baixa renda (70%). Houve concordância boa entre presença de cárie e relato de dor (Kappa=0,70), e para o diagnóstico clínico de sangramento gengival e autopercepção ruim/péssima a classificação também foi boa (Kappa=0,72). Todavia, a concordância entre o relato de sintomas de boca seca e baixo fluxo salivar foi considerada razoável (Kappa=0,57), assim como, para a presença de bolsa periodontal e o relato de autopercepção ruim/péssima (Kappa=0,41). Conclusão: A autopercepção das condições de saúde bucal durante a pandemia foi concordante com determinadas condições clínicas que necessitam de atendimento odontológico, corrobando com as preocupações sobre o agravamento das condições bucais durante a pandemia.(AU)

Aim: To identify the concordance between self-reported oral health problems during and after COVID-19 and clinical conditions of patients in the city of Palhoça-SC. Materials and Method: Exploratory, cross-sectional study with a descriptive quantitative base, formatted by 30 patients who tested positive for COVID-19 in the municipality of Palhoça-SC. Each patient participated in a clinical evaluation, identifying oral health problems. At the same time, sociodemographic data and self-reported oral conditions were recorded. All analyzes were performed using the Stata® Software, version 13. Descriptive and inferential analyzes were performed using Pearson's chi-square test (α=5%). Agreement between the presence of self-reported oral health problems and the presence of the clinically evaluated disease, by the Kappa coefficient and classified as: weak 0 to 0.20; take 0.21 to 0.40; reasonable 0.41 to 0.60; good 0.61 to 0.80; very good 0.81 to 0.92; and excellent 0.93 to 1.00. Results: Most of the sample were women (70%), aged between 36-59 years (56.6%) and low-income (70%). There was good agreement between the presence of caries and reported pain (Kappa=0.70), and for the clinical diagnosis of gingival bleeding and bad/very poor self-perception, the classification was also good (Kappa=0.72). However, the agreement between the report of symptoms of dry mouth and low salivary flow was considered reasonable (Kappa=0.57), as well as the presence of periodontal pockets and the report of poor/terrible self-perception (Kappa=0.41). Conclusion: The self-perception of oral health conditions during the pandemic was consistent with certain clinical conditions that require dental care, corroborating concerns about the worsening of oral conditions during the pandemic.(AU)

O uso emergente da teleodontologia durante a pandemia de Covid-19: experiência de um município do sul do Brasil / The emerging use of teleodontology during the Covid-19 pandemic: experience from a municipality in southern Brazil

Objetivo: descrever a experiência do serviço de teleodontologia no município de Palhoça, Santa Catarina, durante a pandemia da Covid-19. Métodos: trata-se de um estudo observacional, de caráter transversal. A pesquisa foi realizada com os dados de pacientes atendidos pelo serviço de teleodontologia do município Palhoça, Santa Catarina. Foram registrados dados referentes ao perfil sociodemográfico do usuário, agravos bucais e desfecho do caso. Resultados: houve 20.745 teleatendimentos e 7.666 agendamentos. A maioria dos usuários era do sexo feminino, sendo a faixa etária mais prevalente composta por jovens adultos. As principais queixas relatadas foram para monitoramento de caso e dor. Dos casos agendados, 91,23% dos usuários foram encaminhados para as unidades básicas de saúde. Conclusão: diante dos achados, a teleodontologia demonstrou ser uma excelente ferramenta, contribuindo para a diminuição no fluxo de pessoas em unidades de saúde e colaborando com os processos instituídos no atendimento, possibilitando a manutenção da assistência de casos.(AU)

Objective: to describe the experience of a Dentistry- by-phone (Teleodontologia) service in the city of Palhoça, SC, Brazil, during the Covid-19 pandemic. Methods: this is an observational, cross-sectional study. The research was carried out with data from patients assisted by the service. Data regarding the user's sociodemographic profile, oral health problems and case results were recorded. Results: there were 20745 calls and 7666 appointments. Most users were female, with the most prevalent age group being young adults. Main reported complaints were for case monitoring and pain. From the scheduled cases, 91% of users were referred to the UBSs (Health Basic Units). Conclusion: the service was considered to be an excellent tool, assisting on reducing the flow of people in health units and collaborating with the processes established in the service, allowing for health care maintenance.(AU)

Prevalência das lesões orais em idosos atendidos no serviço de estomatologia do Instituto de Saúde de Nova Friburgo ­ UFF/RJ / Prevalence of oral lesions in the elderly treated at the stomatology service of the Instituto de Saúde de Nova Friburgo ­ UFF/RJ

Objetivo: realizar um levantamento epidemiológico acerca das alterações na mucosa oral dos pacientes acima de 60 anos, atendidos no serviço de Estomatologia do Instituto de Saúde de Nova Friburgo - UFF/RJ, no período de 2013 a 2018, e estabelecer as principais causas e formas de tratamento. Materiais e Métodos: estudo retrospectivo e observacional, com análise descritiva, através da coleta de dados nos prontuários: idade, sexo, cor da pele, ocupação, lesão e sua localização. Resultados: foram analisados 640 prontuários, destes, 395 (61,7%) apresentaram lesão, sendo 132 (20,6%) deles com mais de uma lesão. Dos 395 com lesão, 57,0% (225) eram do sexo feminino. A cor de pele branca representou 56,7% (224), porém 107 prontuários não apresentaram essa informação. A amostra contou com pacientes de 60 a 91 anos, com média de 65 anos. No total foram encontradas 613 lesões. Queilite actínica foi a mais prevalente 15,5% (95), seguida da estomatite protética 14,0% (86) e hiperplasia fibrosa 13,4% (82). Conclusão: os indivíduos idosos do presente estudo apresentaram alta frequência de lesões orais, sendo a queilite actínica, estomatite protética e hiperplasia fibrosa as mais comuns.

Objective: to carry out an epidemiological survey of oral mucosa lesions of patients aged over 60 years, attended at the Stomatology Service of the Nova Friburgo Health Institute - UFF/RJ, from 2013 to 2018, and to establish the main etiologies and forms of treatment. Materials and Methods: retrospective and observational study through data collection from medical records as: age, gender, skin color, occupation, lesion and its location. Results: 640 medical records were analyzed, of which 395 (61.7%) had lesions, 132 (20.6%) had more than one lesion. Of the 395 with injuries, 57.0% (225) were female. White skin color represented 56.7% (224), but 107 medical records did not present this information. The sample included patients aged 60 to 91 years, with a mean of 65 years. In total, 613 injuries were found. Actinic cheilitis was the most prevalent 15.5% (95), followed by prosthetic stomatitis 14.0% (86) and fibrous hyperplasia 13.4% (82). Conclusion: the elderly individuals in the present study had a high frequency of oral lesions, with actinic cheilitis, denture stomatitis and fibrous hyperplasia being the most common.

Condição bucal de mulheres com diabetes mellitus gestacional internadas em um hospital escola no sul do Brasil / Oral condition of women with gestational diabetes mellitus admitted in a school hospital in southern Brazil

Objetivo: avaliar a condição bucal de mulheres com diabetes mellitus gestacional (DMG) internadas no Hospital Escola (HE) da Universidade Federal de Pelotas (UFPel). Métodos: trata-se de um estudo transversal retrospectivo de base hospitalar, em que dois residentes treinados realizaram a coleta dos dados por meio da avaliação dos prontuários médicos e odontológicos, no período de setembro de 2019 a março de 2020. Os dados socioeconômicos e demográficos e o diagnóstico de DMG foram coletados dos prontuários médicos, enquanto hábitos e condição bucal, dos prontuários odontológicos. A análise dos dados foi realizada no programa Stata 11.0, usando os testes Exato de Fisher e Regressão de Poisson. Resultados: foram avaliados os prontuários de 83 gestantes, destas, 37 (44,6%) apresentavam DMG. A presença de DMG esteve asso-ciada com as gestantes de maior faixa etária (62,2%) e no terceiro trimestre de gestação. Em sua maioria, tinham renda de até dois salários mínimos, eram solteiras, tinham filhos e realizaram pré-natal. Em relação à avaliação bucal, apenas a presença de cálculo dental e inflamação gengival foi estatisticamente associada à presença de DMG (p= 0,030 e 0,014 respectivamente). A autopercepção do sorriso foi considerada ruim por 40,5%, e a maioria teve dentes perdidos por cárie (64,9%). Conclusões: a prevalência de DMG foi alta entre as gestantes internadas, sendo maior em mulheres de mais idade. Presença de cálculo dental e inflamação gengival foram fortemente associadas à presença de DMG, enquanto hábitos bucais e presença de cárie não apresentaram associação. Novas pesquisas, com exames periodontais completos, são necessárias para verifi-car as condições periodontais dessas mulheres.(AU)

Aim: to assess the oral condition of women with Gestacional Diabetes Mellitus (GDM) admitted in a School Hospital (HE)/UFPel. Methods: medical and dental records, from September 2019 to March 2020, were evaluated in this hospital-based retrospective cross-sectional study. Socioeconomic and demographic data were collected from medical records, while oral condition and habits were obtained from the dental records. Statistical analysis was performed with Stata 11.0 software using Fisher's exact test and Poisson regression. Results: the medical records of 83 pregnant women were evaluated, of which 37 (44.6%) had GDM. The presence of GDM was associated with pregnant women of older age (62.2%) and most in the third trimester of pregnancy. Most of them had an income of up to two minimum wages, were single, had children and underwent prenatal care. Regarding the oral evaluation, only the presence of dental calculus and gingival inflammation was statistically associated with the presence of GDM (p = 0.030 and 0.014 respectively). The self-perception of the smile was considered bad to 40.5% and many of them had lost teeth due to caries (64.9%). Conclusions: the prevalence of GDM was high in hospitalized pregnant women, being higher in older women. Presence of dental calculus and gingival inflammation were strongly associated with the presence of GDM, while oral habits and the presence of caries were not associated. Further research, with complete periodontal examinations is necessary to verify the periodontal conditions of these women.(AU)

Perfil dos usuários e necessidades odontológicas dos pacientes atendidos nas clínicas odontológicas da Universidade Franciscana ­ Santa Maria, RS / Users profile and dental needs of patients attending the dentistry clinics of Universidade Franciscana ­ Santa Maria, RS

Objetivo: o modelo de uso de serviços de saúde de um determinado grupo populacional é, em grande parte, explicadopor seu perfil de necessidades em saúde. O conhecimento deste é importante para estabelecer o modocomo a atenção odontológica será ofertada. Métodos: realizou-se um estudo retrospectivo a partir de dados secundários(prontuários) (n=381) de pacientes atendidos nas clínicas odontológicas da Universidade Franciscana(UFN) de Santa Maria, RS. Os dados deste estudo foram obtidos através da análise dos prontuários de pacientesatendidos nas clínicas odontológicas da UFN entre os anos de 2005 e 2019. Apenas prontuários com a assinaturado paciente ou responsável foram inseridos neste trabalho. Para a obtenção dos dados, foi construído uminstrumento de coleta, sendo obtidas informações sociodemográficas (idade, sexo, cor, estado civil, profissão elocal de residência) e sobre o estado de saúde (doenças sistêmicas, uso de medicação, perfil de saúde bucal eCPO-D). Cada sujeito selecionado recebeu uma codificação que garantiu seu anonimato. A análise estatísticafoi do tipo descritiva e foi realizada em software estatístico. Resultados: a maioria dos pacientes atendidos erado sexo feminino (68,5%), sendo que a faixa etária mais prevalente foi entre 31 e 50 anos (44,5%). A maioriados pacientes eram estudantes (20,3%), seguidos de trabalhadores do lar (10,9%) e aposentados (7,8%).A queixa principal mais reportada foi a dor de dente (25,2%). Nos resultados deste trabalho, a presença dedoença preexistente foi reportada por 87 (22,8%) pacientes, sendo todas classificadas como doenças crônicas,de acordo com a classificação proposta por Murow e Oglesby13 (1996); a mais prevalente foi problemas alérgicos,69 (18,1%), seguidos por problemas respiratórios, 42 (11%), e problemas gástricos, 39 (10%). A utilizaçãode medicação de uso contínuo foi relatada por 150 (39,3%) pacientes. Conclusão: os pacientes das clínicasodontológicas da UFN de Santa Maria, RS, são, em sua maioria, estudantes, aposentados e trabalhadores do lar,sendo a dor e a fratura dentária as principais queixas dos usuários. Dessa maneira, acredita-se que os discentesda instituição devem estar aptos a realizarem atendimentos de caráter emergencial. O conhecimento do manejoodontológico de pacientes com doenças crônicas não transmissíveis deve ser uma preocupação para daquialguns anos, visto que o envelhecimento da população é esperado para os próximos 30 anos.(AU)

Objective: the health services use model of a given population group is largely explained by its profile of health needs. The knowledge of this is important to establish how dental care will be offered. Methods: in view of this, a retrospective study was carried out using secondary data (medical records) (n = 381) of patients seen at the dental clinics at the Franciscana University (UFN) in Santa Maria, RS. The data of this study were obtained through the analysis of the medical records of patients seen at dental clinics at Universidade Franciscana, between the years 2005 and 2019. Only medical records with the signature of the patient or guardian were included in this work. To obtain the data, an instrument for collecting and collecting sociodemographic information (age, sex, color, marital status, profession and place of residence) and health status (systemic diseases, use of medication, oral health profile and CPO-D) were obtained. Each selected subject received a code that guaranteed their anonymity. The statistical analysis was descriptive and was performed using statistical software. Results: most of the patients seen were female (68.5%), with the most prevalent age group between 31 and 50 years old (44.5%). Most patients were students (20.3%), followed by household workers (10.9%) and retired (7.8%). The main complaint most reported was toothache (25.2%). In the results of this study, the presence of pre-existing disease was reported by 87 (22.8%) patients, all of whom were classified as chronic diseases, according to the classification proposed by Murow and Oglesby13 (1996). The most prevalent were allergic problems, 69 (18.1%), followed by respiratory problems, 42 (11%), and gastric problems, 39 (10%). The use of medication for continuous use was reported by 150 (39.3%) patients. Conclusion: patients at dental clinics at UFN in Santa Maria / RS are mostly students, retirees and home workers, with dental pain and fracture being the main complaints of users. Thus, it is believed that the institution's students must be able to provide emergency care. Knowledge of the dental management of patients with chronic non-communicable diseases should be a concern for some years to come, since the aging of the population is expected for the next 30 years.(AU)

A propósito del artículo Nivel de conocimiento sobre el tabaquismo y su relación con la cavidad bucal / About paper Level of knowledge about smoking and its relation with oral cavity

Al leer detenidamente el artículo Nivel de conocimiento sobre el tabaquismo y su relación con la cavidad bucal,1 pareció de gran importancia resaltar este tema, debido a la elevada tasa de fumadores en Cuba, y cada vez son más los jóvenes que se suman a esta práctica, ya sea por motivos recreativos o de otra índole. Al revisar exhaustivamente las cifras ofrecidas en el trabajo1 se hace relevante que el 83,63 % de la muestra no conociera la influencia negativa del hábito de fumar en los tejidos periodontales. Las enfermedades periodontales, no solo se encuentran entre las más frecuentes, sino que existen evidencias cada vez mayores, sobre su impacto sistémico, con importantes repercusiones orgánicas. Se estima que las enfermedades periodontales tienen algún grado de asociación con otras 54 enfermedades, algunas tan importantes como la diabetes, complicaciones del embarazo o algunas enfermedades cardiovasculares. La propia Sociedad Europea de Cardiología sitúa a la periodontitis como sexto factor de riesgo cardiovascular.2,3,4 Otra de las cifras a resaltar en la investigación,1 es el conocimiento sobre la relación con el cáncer bucal. Aunque se muestra una cifra relativamente alta, un porciento nada despreciable de personas aún no conocen esta relación. Los tumores de cavidad bucal, son la principal causa de mortalidad por cáncer de cabeza y cuello (localizaciones C00-C14) con un total de 826 fallecidos en 2018 (Cuba) con una razón de 4,7 hombres por cada mujer.5) Como antes se mencionaba, el hábito de fumar se ha extendido a una gran parte de la población y con ello ha disminuido la edad media de fumadores, se instaura un balance entre sexos, debido al aumento de mujeres fumadoras. Esta situación ha llevado a que cada vez sea más frecuente la presencia de estos tumores en menores de 60 años y con ello la edad media de fallecimiento disminuya. Solo queda expresar la satisfacción de leer el artículo1 e incentivar a más investigadores a abordar este tema como un problema de salud en la sociedad cubana. Además, se recomienda realizar estudios similares, pero con poblaciones mayores para lograr datos más consistentes, e impulsar estudios en adolescentes y jóvenes(AU)

Prevalencia de lesiones bucales en tejido blando encontradas en la Clínica de Estomatología de la Facultad de Odontología de la Universidad de los Andes: periodo 2015-2018 / Prevalence of oral lesions in soft tissue found in the Clinic of Stomatology of the Faculty of Dentistry of the University of los Andes: 2015-2018 period

Introducción: La epidemiología sobre alteraciones en tejidos blandos bucales es limitada cuando se compara con caries, enfermedades periodontales y maloclusiones, por lo que su estudio representa un paso adelante en la odontología más allá de los dientes. Objetivo: Describir la prevalencia de las lesiones bucales en tejido blando encontradas en la Clínica de Estomatología de la Facultad de Odontología de la ULA, del 2015 al 2018, con la finalidad de proporcionar una fuente de datos actualizada, que oriente a una mejor prevención y oportuno diagnóstico. Material y métodos: Se realizó una investigación descriptiva, documental, retrospectiva y multivariable. Resultados: De 1,000 fichas clínicas estudiadas, las patologías más frecuentes fueron: lengua saburral (50.6%), queilitis (33.4%), traumatismo de la mucosa de los carrillos (27.6%), várices linguales (18.3%), anquiloglosia (13.7%) y agrandamiento de rugas palatinas (11.7%). La zona con mayor alteración fue la lengua (92.1%), mientras que el paladar fue la menos afectada (29%). De los hábitos predisponentes a la formación de lesiones, el mordisqueo de mucosa fue el más común (16.5%). En cuanto a los factores locales asociados, una higiene oral regular/ deficiente resultó el principal (53.8%). Conclusión: La educación del paciente sigue siendo considerada la clave para disminuir la aparición de patologías y su evolución a entidades más graves (AU)

Introduction: Epidemiological studies on soft tissue alterations in the mouth are limited when compared with caries, periodontal diseases and malocclusions, so their study represents a step forward in dentistry beyond the teeth. Objective: To describe the prevalence of soft tissue oral lesions found in the Stomatology Clinic of the ULA School of Dentistry, from 2015 to 2018, in order to provide an up-to-date data source, to guide better prevention and timely diagnosis. Material and methods: A descriptive and documentary, retrospective and multivariable research was carried out. The statistical package IBM SPSS Statistics v 23 was applied for the analysis. Results: 1,000 clinical records studied, the most frequent pathologies were: saburral tongue (50.6%), cheilitis (33.4%), traumatism of the cheek mucosa (27.6%), lingual varices (18.3%), ankyloglossia (13.7%) and enlargement of palatal rugas (11.7%). The tongue was the most affected (92.1%), while the palate was the least affected (29%). Of the predisposing habits to the formation of lesions, mucosal nipping was the most common (16.5%). Regarding the associated local factors, a regular / deficient oral hygiene was the main one (53.8%). Conclusion: Patient education is still considered the key to diminish not only the appearance of pathologies but their evolution to more serious entities (AU)

Fatores associados ao impacto das condições de saúde bucal nas atividades de vida diária de adolescentes, Estado de São Paulo, 2015 / Factors associated with the impact of oral health conditions on daily activities of adolescents, São Paulo State, 2015

RESUMO: Objetivo: Verificar a associação entre impacto nas atividades de vida diária e variáveis sociodemográficas e parâmetros bucais em adolescentes no Estado de São Paulo. Métodos: Estudo transversal com dados de 5.409 adolescentes que participaram da "Pesquisa Estadual de Saúde Bucal de São Paulo - SB", de 2015. O impacto nas atividades de vida diária foi avaliado pelo índice de impacto das condições de saúde bucal nas atividades de vida diária (em inglês: oral impacts on daily performances [OIDP]), pela prevalência (presença ou ausência de impacto) e pela severidade do impacto (escores do OIDP). Utilizou-se o modelo de regressão binomial negativa inflado de zeros, considerando os pesos amostrais. Foram calculados as razões de prevalências (RP), as razões de médias (RM) e os intervalos de confiança (IC). Resultados: A prevalência de impacto nas atividades de vida diária foi de 37,4%. Após o ajuste, pôde-se observar que o sexo feminino permaneceu com maior prevalência (RP = 1,59; IC95% 1,36 ‒ 1,81) e severidade do impacto (RM = 1,49; IC95% 1,22 ‒ 1,81). Na comparação com brancos, os demais grupos tiveram maior prevalência de impacto. A renda familiar maior que R$ 2.501 (RM = 0,79; IC95% 0,64 ‒ 0,98) e a aglomeração domiciliar (RM = 1,18; IC95% 1,00 ‒ 1,39) foram associadas com a severidade do impacto. Nas condições de saúde bucal, verificou-se que a cárie não tratada (RP = 1,46; IC95% 1,23 ‒ 1,74) e o sangramento gengival (RP = 1,35; IC95% 1,14 ‒ 1,60) permaneceram associados com maior prevalência de impacto. Conclusão: Sexo feminino, ter cor não branca, ter cárie não tratada e sangramento gengival foram associados ao maior impacto nas atividades de vida diária. Ter renda maior que R$ 2.500 e residir em domicílios menos aglomerados associaram-se com menor impacto.

ABSTRACT: Objective: To assess the association between the impact of oral health on daily life and sociodemographic variables with oral parameters in adolescents living in the State of São Paulo, Brazil. Methods: A cross-sectional study was conducted with data from 5,409 adolescents who participated in the "State Oral Health Survey of São Paulo - OH", 2015. The impact of oral health on daily life was assessed by the oral impacts on daily performances (OIDP) index, prevalence (presence or absence of impact) and severity of impact (OIDP scores). The negative binomial regression model (zeros-inflated) was used, considering the complex sampling and the sample weights. Prevalence ratio (PR), ratio of means (ROM) and confidence intervals (CI) were calculated. Results: The prevalence of impact was 37.4%. After adjusting for the model, the impact was more prevalent (PR = 1.59; 95%CI 1.22 ‒ 1.81) and more severe (RR = 1.49; 95%CI 1.22 ‒ 1.81) among females. Compared to white-skin people, all remaining groups had a higher prevalence of impact. Among socioeconomic characteristics, family income higher than R$ 2,501 (RR = 0.79; 95%CI 0.64 ‒ 0.98) and household crowding (RR = 1.18; 95%CI 1.00 ‒ 1.39) were associated with the severity of impact. In the oral health conditions, untreated caries (PR = 1.46; 95%CI 1.23 ‒ 1.74) and gingival bleeding (PR = 1.35; 95%CI 1.14 ‒ 1.60) were associated with higher prevalence of impact. Conclusion: Females, non-whites, with untreated caries and gingival bleeding were associated with higher impact of oral health on daily life. Family income higher than R$ 2,500 and living in less crowded households were factors associated with less impact.

Análisis retrospectivo de las lesiones de la mucosa oral entre 2008-2015 en el internado clínico de odontología de la Universidad de Costa Rica / Retrospective analysis of oral mucosal lesions between 2008-2015 in the clinical boarding school of dentistry of the University of Costa Rica

RESUMEN Objetivo: determinar la frecuencia de las diferentes lesiones de la mucosa oral en el internado clínico de la Facultad de Odontología de la Universidad de Costa Rica (UCR). Metodología: estudio retrospectivo de 263 informes de lesiones orales recuperados del archivo de biopsias de la Facultad de Odontología de la UCR del 2008 a 2015. Se evaluaron y analizaron de forma descriptiva y cualitativa información sobre el sexo, edad, localización de la lesión y diagnóstico histopatológico. Resultados: los casos de lesiones de la mucosa oral afectaron preferentemente a las mujeres (n= 144; 54.8 %), el promedio de edad fue 48.8 años (16.4 DS) y con lesiones predominantemente localizadas en lengua (n= 68; 25.9 %), encía (n=62; 23.6 %) y labio (n=61; 23.2 %). Las lesiones proliferativas no neoplásicas (n=101; 38.7 %), lesiones potencialmente malignas (n=29; 11.1 %) y lesiones epiteliales benignas y malignas (n=24; 9.1 %) fueron los grupos más prevalentes. Las cuatro lesiones más predominantes fueron la hiperplasia fibrosa, hiperplasia fibrosa inflamatoria, liquen plano e hiperqueratosis sin atipia. Conclusiones: las lesiones proliferativas no neoplásicas fueron las predominantes, siendo en forma individual la hiperplasia fibrosa la lesión más prevalente. Estos resultados pueden ser útiles para comprender la distribución de las enfermedades bucales en una muestra nacional.

ABSTRACT Objective: to determine the frequency of the different lesions of the oral mucosa in the clinical internship of the Faculty of Dentistry of the University of Costa Rica (UCR). Methodology: retrospective study of 263 reports of oral lesions recovered from the biopsies file of the Faculty of Dentistry of the UCR from 2008 to 2015. Information on sex, age, location of the lesion and histopathological diagnosis was collected and evaluated in a descriptive and qualitative manner. Results: cases of oral mucosal lesions affected women preferentially (n = 144, 54.8 %), the average age was 48.8 years (16.4 SD) and with lesions predominantly located in tongue (n = 68, 25.9%), gum (n = 62, 23.6 %) and lip (n = 61, 23.2 %). Non-neoplastic proliferative lesions (n ​​= 101, 38.7 %), potentially malignant lesions (n ​​= 29, 11.1%) and benign and malignant epithelial lesions (n ​​= 24, 9.1 %) were the most prevalent groups. The four most predominant lesions were fibrous hyperplasia, inflammatory fibrous hyperplasia, lichen planus and hyperkeratosis without atypia. Conclusions: non-neoplastic proliferative lesions were predominant, with the fibrous hyperplasia being the most prevalent lesion. These results may be useful to understand the distribution of oral diseases in a national sample.

Oral health condition of elderly people with Parkinson disease / Condição de saúde bucal de idosos com doença de Parkinson

The oral hygiene of individuals with Parkinson disease (PD) is markedly impaired by difficulties in toothbrushing due to motor impairment and tremors. Additionally, it appears that other features associated with PD have an impact on the quality of oral health. Objective: this cross-sectional observational study characterized the oral health condition of individuals with PD. Methods: fifty individuals with PD, aged 53 to 94 years, users of medication for such condition were examined. The research participants had their oral cavities examined to assess prosthetic use and need; index of Decayed, Missing and Filled Teeth (DMFT); Community Periodontal Index (CPI); Periodontal Attachment Loss (PAL); and oral mucosa. In addition, a questionnaire was applied to obtain personal data, general health, and oral health. The data were analyzed using descriptive statistics. Results: a high prosthetic use was observed in the upper arch (92%), while the lower arch revealed high prosthetic need (66%). The DMFT index showed a high number of missing teeth, CPI showed a prevalence of 43% of dental calculus, and PAL revealed 28% of attachment loss of 4-5 mm. The most frequent findings in the assessment of oral mucosa were denture stomatitis and inflammatory fibrous hyperplasia. Conclusion: PD patients refer xerostomia and present high number of missing teeth, a minority of healthy teeth, and oral lesions, representing a target population for specialized oral health care. (AU)

A higiene bucal de indivíduos com doença de Parkinson (DP) é claramente prejudicada por dificuldades na escovação devido ao comprometimento motor e aos tremores. Além disso, outros aspectos relacionados à doença parecem impactar a qualidade da saúde bucal. Objetivo: este estudo observacional seccional caracterizou a condição de saúde bucal de indivíduos com DP. Métodos: foram examinados cinquenta indivíduos com DP, com idades variando entre 53 e 94 anos, que utilizavam medicamentos para DP. Os participantes da pesquisa foram submetidos a exame bucal para avaliar: uso e necessidade de prótese, índice de dentes cariados, perdidos e obturados (CPOD), Índice Periodontal Comunitário (IPC), Índice de Perda de Inserção Periodontal (PIP) e mucosa bucal. Além disso, foi aplicado um questionário para obtenção de dados pessoais e sobre saúde geral e saúde bucal. Os dados foram analisados usando estatística descritiva. Resultados: observou-se alto percentual de uso de prótese superior (92%), enquanto o arco inferior apresentou elevada necessidade de prótese (66%). O CPOD revelou um alto número de dentes perdidos; o IPC apresentou prevalência de 43% de cálculo dentário; e o PIP revelou 28% de perda de inserção de 4-5 mm. Os achados mais frequentes na avaliação da mucosa bucal foram estomatite por dentadura e hiperplasia fibrosa inflamatória. Conclusão: os indivíduos com DP mencionam xerostomia, apresentam alto número de dentes faltantes, um número reduzido de dentes saudáveis e lesões bucais, representando uma população-alvo para o cuidado de saúde bucal especializado. (AU)

Modelo operativo de promoción de la salud y prevención de enfermedades bucales en preescolares de Cuautla, Morelos-México / Operational model of health promotion and prevention of oral diseases in preschool children in Cuautla, Morelos-Mexico

Las estrategias tradicionales para abordar la salud bucal en México han carecido de un enfoque integrado a la promoción de la salud y a los factores de riesgo en común con otras patologías, principalmente crónicas. De unir esfuerzos se aprovecharían mejor los limitados recursos sanitarios. Esta investigación tuvo como objetivo implementar un modelo operativo de promoción de la salud y prevención de las enfermedades bucales, usando un ciclo de mejora continua en el preescolar de la comunidad Peña-Flores, Cuautla, Morelos. Se realizó un estudio cuasi-experimental con 120 niños de ambos sexos. La implementación contempló: diagnóstico epidemiológico bucal y social, capacitación de actores clave, ejecución del programa de salud bucal, monitoreo, análisis y evaluación de resultados. Se levantaron datos mediante una guía de observación participante, de reuniones con madres de familia y maestras bajo la perspectiva participativa del triple diagnóstico de educación popular. Se determinó el índice de dientes cariados, a extraer y obturados. Se realizó la medición de la placa dento-bacteriana utilizando el índice de sedimento dental (DIS). Como resultado del control y sistematización del proceso de cepillado dental y del monitoreo de la placa dento-bacteriana, se identificó una disminución del DIS de 1,04 a 0,47. Con la implementación de un menú escolar, se mejoró la alimentación infantil. El modelo implementado constituye una posible solución a la problemática de salud bucal del preescolar de la comunidad Peña-Flores, situado en un contexto de desventaja social por factores como pobreza, migración y déficit de servicios públicos(AU)

Estudo da prevalência de alterações orais em uma população de pacientes diabéticos do estado da Paraíba / Study of the prevalence of oral changes in a population of diabetic patients in the state of Paraiba

Introdução: o Diabetes Mellitus (DM) atinge cerca de 425 milhões de pessoas no mundo. A cavidade oral pode se tornar susceptível ao surgimento de inúmeras alterações decorrentes do DM como xerostomia, infecções, queilites, alterações gengivais e periodontais. Objetivo: determinar a prevalência de alterações da cavidade oral em pacientes com DM. Material e Método: A amostra foi composta por 118 indivíduos com DM atendidos nas unidades básicas de saúde da família. As características clínicas dos pacientes foram analisadas com auxílio de espátula e iluminação artificial e registradas em um formulário previamente elaborado. Para a análise estatística foi considerado o valor de p<0,05 como significativo. Resultados: da amostra, 38 (32,2%) indivíduos eram do sexo masculino e 80 (67,8%) do sexo feminino, sendo a média de idade de 63,6 anos. O tipo 2 de DM foi o mais frequente (n=109/92,4%). Observou-se alta prevalência de alterações orais, destacando-se: a xerostomia, que exibiu associação com o uso de medicamentos (p=0,049) e a doença periodontal mais frequente em indivíduos com ≤ 60 anos (p<0,0001). A maioria dos indivíduos que fazia uso de hipoglicemiantes orais não apresentou a doença (77,8%; p=0,035). As lesões potencialmente malignas estiveram associadas com o sexo masculino (65,2%; p<0,0001) e com indivíduos de idade acima de 60 anos (82,6%; p<0,015). Conclusão: os indivíduos com DM apresentaram alta prevalência de alterações orais, destacando-se a xerostomia, doença periodontal e alterações potencialmente malignas sugerindo que o diabetes pode influenciar o desenvolvimento e/ou agravamento das doenças orais.(AU)

Introduction: Diabetes Mellitus (DM) affects about 425 million people worldwide. The oral cavity may become susceptible to the emergence of numerous changes from DM, such as xerostomia, infections, cheilitis, and gingival and periodontal changes. Objective: To determine the prevalence of oral cavity changes in patients with DM. Material and Method: The sample consisted of 118 individuals with DM assisted at basic family health units. The clinical characteristics of the patients were analyzed using an oral spatula and artificial lighting, and they were recorded on a form previously prepared. For the statistical analysis, the value of p <0.05 was considered significant. Results: From the sample, 38 (32.2%) individuals were men and 80 (67.8%) were women, with an average age of 63.6 years. Type 2 DM was the most frequent (n = 109 / 92.4%). There was a high prevalence of oral changes, namely xerostomia, which showed association with medication use (p = 0.049) and a higher frequency of periodontal disease in individuals aged ≤ 60 years (p <0.0001). Most of the individuals who used oral hypoglycemic agents did not present the disease (77.8%; p = 0.035). Potentially malignant lesions were associated with the male sex (65.2%, p <0.0001) and individuals over 60 years old (82.6%, p <0.015). Conclusion: Individuals with DM presented a high prevalence of oral changes, especially xerostomia, periodontal disease, and potentially malignant changes, suggesting that diabetes may affect the development and/or aggravation of oral diseases.(AU)

Prevalence and risk factors for oral human papillomavirus infection in Mexican HIV-infected men / Prevalencia y factores de riesgo para infección oral con virus de papiloma humano en hombres mexicanos con VIH

Abstract: Objective: To determine the prevalence and risk factors for oral high-risk human papillomavirus (HR-HPV) infection in human immunodeficiency virus(HIV)-infected men. Materials and methods: Consecutive male outpatients with HIV-infection were enrolled. Demographic and behavioral risk data were obtained. Anal swabs and oral rinses were tested for HR-HPV DNA. Oral, pharyngeal and video laryngoscopy examinations were performed for detection of lesions. Results: The prevalence of HR-HPV oral infection was 9.3% (subtypes other than HR HPV 16/18 predominated). The prevalence of anal HR-HPV infection was 75.7%. The risk factors for oral infection with HR-HPV were tonsillectomy (OR=13.12) and years from HIV diagnosis (OR=1.17). Conclusions: Tonsillectomy and years from HIV diagnosis were associated with oral HPV infection. No association was found between oral and anal HR-HPV infections. This is the first study reporting the prevalence and risk factors for oral HR-HPV infection in Mexican HIV-infected population.

Resumen: Objetivo: Determinar la prevalencia y los factores de riesgo para infección oral por virus de papiloma humano de alto riesgo (VPH-AR) en individuos con VIH. Material y métodos: Se incluyeron pacientes ambulatorios consecutivos con VIH. Se recabó información demográfica y sobre factores de riesgo conductuales. Se detectó DNA de VPH-AR en hisopado rectal y enjuague bucal. Se efectuó exploración de boca, faringe y videolaringoscopía para detectar lesiones. Resultados: La prevalencia de VPH-AR oral fue 9.3% (predominaron subtipos diferentes de VPH-AR 16/18). La prevalencia de VPH-AR anal fue 75.7%. Los factores de riesgo para VPH-AR oral fueron la tonsilectomía (OR=13.12) y los años de diagnóstico del VIH (OR=1.17). Conclusiones: La tonsilectomía y los años de diagnóstico del VIH se asociaron con VPH-AR oral. No hubo asociación entre VPH-AR oral y anal. Este es el primer reporte sobre prevalencia y factores de riesgo para VPH-AR oral en población mexicana con VIH.

Lesiones bucales y maxilofaciales en niños y adolescentes / Oral and maxillofacial lesions in children and adolescents

Introduction: Despite the vast literature reporting the prevalence of oral and maxillofacial diseases in the last decades, few studies have focused on lesions biopsied in the pediatric population. Objective: To determine the prevalence of oral and maxillofacial lesions that were biopsied in children and adolescents aged 0-19 years. Methods: Observational and descriptive study. We carried out a retrospective review of 862 reports of pathological examinations performed in an oral pathology laboratory of the northeast of Brazil, during the period from March 2001 to December 2009. The categories were neoplasms, hyperplastic/reactionary lesions, salivary gland lesions, bone lesions, healthy tissues and teeth, oral mucosal lesions, cystic lesions, odontogenic tumors, periapical inflammation, dental alteration and conclusive diagnosis. Results: The epidemiological profile of patients was characterized by females (53.24 percent), Caucasian (45.12 percent), with a mean age of 13.06 years. Salivary gland lesions were the category with the largest number of cases (182), and mucocele was the most prevalent histopathological diagnosis (18.44 percent), with an average size of 1.97 cm. Most cases were asymptomatic (70.88 percent). Conclusions: This study showed a predominance of lesions diagnosed as benign, the most prevalent lesions were associated with the salivary gland. Females were the most affected(AU)

Introducción: A pesar de la gran cantidad de literatura que informa sobre la prevalencia de enfermedades bucales y maxilofaciales en las últimas décadas, pocos estudios se concentraron en las lesiones biopsiadas en la población pediátrica. Objetivo: Determinar la prevalencia de las lesiones bucales y maxilofaciales que fueron biopsiadas en los niños y adolescentes de 0 a 19 años. Métodos: Estudio observacional y descriptivo. Se realizó una revisión retrospectiva de 862 informes de los exámenes patológicos realizados en un laboratorio de Patología Oral del nordeste de Brasil, durante el período comprendido entre marzo de 2001 y diciembre de 2009. Las categorías fueron: neoplasias, hiperplásicas / lesiones reactivas, lesiones de las glándulas salivales, lesiones óseas, tejidos y dientes sanos, lesiones de la mucosa bucal, lesiones quísticas, tumores odontogénicos, inflamación periapical, alteración dental y diagnóstico concluyente. Resultados: El perfil epidemiológico de los pacientes se caracterizó por las mujeres (53,24 por ciento), de raza caucásica (45,12 por ciento) con una edad media de 13,06 años. Lesiones de las glándulas salivales fueron la categoría con el mayor número de casos (182), y el mucocele fue el diagnóstico histopatológico más frecuente (18,44 por ciento), con un tamaño medio de 1,97 cm. La mayoría de los casos fueron asintomáticos (70,88 por ciento). Conclusiones: Este estudio mostró un predominio de las lesiones diagnosticadas como benignas. Las lesiones más frecuentes se relacionaron con la glándula salival. Las mujeres fueron las más afectadas(AU)

Manifestaciones bucales de la diabetes mellitus tipo 2 en el adulto mayor / Oral manifestations of type 2 diabetes mellitus in the elderly

Introducción: La diabetes mellitus tipo 2 favorece la aparición de enfermedades bucales en el adulto mayor. Objetivos: Identificar las alteraciones bucales y factores de riesgo más frecuentes en pacientes con diabetes mellitus tipo 2. Métodos: Se realizó un estudio observacional, descriptivo y transversal. El universo lo conformaron 52 pacientes pertenecientes al consultorio # 13 del Policlínico Héroes del Corynthia, atendidos desde 2016 a 2017 en la Clínica Estomatológica Docente H y 21, municipio Plaza de la Revolución. Las variables analizadas fueron: edad, sexo, estado de salud bucal, factores de riesgo y manifestaciones bucales. Resultados: 55,7 por ciento de los adultos mayores pertenecieron al grupo de 60-69 años y el 59,4 por ciento del total de los pacientes involucrados en el estudio fueron mujeres. El 44,2 por ciento presentó un estado de salud bucal medianamente favorable. Por caries dental fueron afectados 34 pacientes, 31 por periodontitis y 25 por gingivitis. La obesidad se evidenció en el 59,6 por ciento de los pacientes. Conclusiones: El factor de riesgo predominante fue la obesidad. Las alteraciones bucales más observadas fueron la caries dental, la periodontitis y la gingivitis(AU)

Introduction: Type 2 diabetes mellitus fosters the appearance of oral diseases in the elderly. Objectives: Identify the most common oral alterations and risk factors among patients with type 2 diabetes mellitus. Methods: A cross-sectional observational descriptive study was conducted. The study universe was 52 patients from Consultation Office No. 13 of Héroes del Corynthia polyclinic cared for from 2016 to 2017 at H and 21st University Dental Clinic in the municipality of Plaza de la Revolución. The variables analyzed were age, sex, oral health status, risk factors and oral manifestations. Results: 55.7 percent of the elderly patients were in the 60-69 age group, and 59.4 percent of the total patients involved in the study were women. 44.2 percent had a fairly favorable oral health status. 34 had dental caries, 31 periodontitis and 25 gingivitis. 59.6 percent were obese. Conclusions: Obesity was the prevailing risk factor. The oral alterations most commonly found were dental caries, periodontitis and gingivitis(AU)

Validação do Oral Impacts on Daily Performances para a população portuguesa / Validation of the Oral Impacts on Daily Performance index among the Portuguese population

Resumo O "Oral Impacts on Daily Performances (OIDP)" é um indicador de qualidade de vida relacionada com a saúde oral. Foi desenvolvido com o intuito de avaliar o impacto das condições orais na capacidade de o indivíduo desempenhar atividades diárias. O principal objetivo deste trabalho foi validar o OIDP para a população Portuguesa, com idade igual ou superior a 18 anos. Começou-se por obter uma versão portuguesa provisória: traduziu-se o original inglês e retro traduziu-se. Fizeram-se adaptações linguísticas e obteve-se a versão portuguesa do OIDP (OIDP-PT), aprovada por uma comissão de revisão composta por investigadores e tradutores. Fez-se o estudo piloto, com 36 participantes (26 em papel e 10 "online"). Por fim, realizou-se o estudo final com 513 participantes, tendo a recolha de dados sido feita "online". Ao nível da confiabilidade, determinou-se o alfa de Cronbach (0,67) e o alfa com base em itens padronizados (0,69). A validade foi estudada nas suas várias vertentes: validade de face, de conteúdo, de construto e concorrente. O OIDP-PT mostrou ter boas propriedades psicométricas e ser um instrumento confiável e válido para ser aplicado à população portuguesa.

Abstract The Oral Impacts on Daily Performance (OIDP) questionnaire is an oral health-related quality of life indicator. It was developed in order to assess the influence of oral conditions on the self-ability to execute daily activities. The main goal of this research was to validate the OIDP for the Portuguese population aged 18 years and above. The first step was to obtain a provisional Portuguese version of the OIDP: the original was translated from English and then back-translated. Some linguistic changes were made, and the final Portuguese version was obtained, which was duly approved by a review committee, whose members included researchers and translators. Subsequently, a pilot study was conducted with 36 subjects (26 on paper and 10 online). Lastly, the final study was performed collecting data online from 513 subjects. Chronbach's alpha (0.67) and the alpha for standardized items (0.69) were established for reliability. Validity was studied in its various aspects: face, content, construct and concurrent validity. The OIDP-PT revealed good psychometric properties and is a reliable and valid instrument that can be applied to the Portuguese population.

Aplicación de un programa preventivo de salud bucal en escuelas primarias mexicanas / Application of an oral health prevention program in Mexican elementary schools

Introducción: la alta prevalencia de enfermedades bucales en los escolares, tiene un impacto importante en su salud, lo que ha generado la necesidad de desarrollar programas y estrategias a nivel de políticas públicas para su control. Objetivo: evaluar el Programa de Salud Bucal en alumnos de escuelas primarias mexicanas. Métodos: estudio de intervención comunitaria en dos escuelas primarias públicas de la Secretaria de Salud, en la Delegación de Tlalpan, Ciudad de México. Se incluyeron 111 alumnos de quinto grado de primaria, 53 pertenecientes a la escuela primaria pública del turno matutino Río Pánuco como grupo de intervención con aplicación del Programa de Salud Bucal (grupo de trabajo), y 58 correspondientes a la escuela Ignacio Rodríguez Galván, sin intervensión (grupo control). A todos los alumnos se les realizó determinación de los índices de dientes cariados, perdidos y obturados temporales, y permanentes, y el índice periodontal comunitario. Para el análisis estadístico inferencial se utilizó U de Mann-Whitney y chi cuadrado de Pearson, con nivel de significancia 0,05. Se empleó el programa estadístico SPSS versión 22. Resultados: el promedio de edad de los niños de la escuela con intervención fue de 10,9 y de la escuela control de 10,8. En el índice para dentición temporal, el promedio de dientes cariados fue de 0,49 (IC 95 por ciento 0,07-0,91) para la escuela que intervino en el programa, y de 1,10 (IC 95 por ciento 0,70-1,51) para escuela sin intervención, con diferencias estadísticas significativas (p= 0,003). En el índice periodontal comunitario, se obtuvo 92,4 por ciento de escolares sanos para la escuela que intervino en el programa, y de 70,68 por ciento para la escuela sin intervención, con diferencia estadística significativa (p= 0,003). Conclusiones: los resultados muestran que el programa es efectivo ya que la población intervenida presenta mejores condiciones de salud bucal que los escolares del grupo control, diferencia esta clínicamente relevante(AU)

Introduction: the high prevalence of oral disease among school children has a great impact on their health, hence the need to develop control programs and strategies at public policy level. Objective: evaluate the Oral Health Program for Mexican elementary school children. Methods: a community intervention study was conducted in two public elementary schools from the Ministry of Health in the borough of Tlalpan, Mexico City. The study sample was composed of 111 fifth grade students, 53 from Río Pánuco morning session public school as intervention group with application of the oral health program (work group), and 58 from Ignacio Rodríguez Galván school, without intervention (control group). All students were examined to determine the rate of decay, loss, temporary fillings and permanent teeth, and the community periodontal index. Inferential statistical analysis was based on Mann-Whitney U and Pearson's chi-square, with a significance level of 0.05. Data were processed with the statistical software SPSS version 22. Results: mean age was 10.9 at the intervention school and 10.8 at the control school. With respect to the primary dentition index, the average of decayed teeth was 0.49 (CI 95 percent 0.07-0.91) for the school with the intervention program, and 1.10 (CI 95 percent 0.70-1.51) for the school without intervention, with significant statistical differences (p= 0.003). As to the community periodontal index, 92.4 percent of the children were healthy at the school with the intervention program, and 70.68 percent were healthy at the school without intervention, with a significant statistical difference (p= 0.003). Conclusions: results show that the program is effective, since the school children intervened are in better oral health conditions than those in the control group, and the difference is clinically relevant(AU)

Enfermedades bucales y factores de riesgo en la población geriátrica perteneciente a un consultorio médico / Oral diseases and risk factors in the geriatric population of a family doctor's office

Se realizó un estudio descriptivo y transversal, desde noviembre de 2016 hasta abril de 2017, de los 166 adultos mayores pertenecientes al consultorio médico No 20 del Policlínico Carlos Juan Finlay del municipio de Santiago de Cuba, para evaluar la presencia de enfermedades bucodentales y los factores de riesgo. Para la recolección de la información se utilizó la encuesta de salud bucal de la Organización Mundial de la Salud y la historia de salud bucal familiar. Los hábitos nocivos como la deficiente higiene bucal y la dieta cariogénica, además de las enfermedades crónicas no transmisibles, fueron los factores de riesgo más comunes en esta población, en quienes la disfunción masticatoria y la caries dental constituyeron los problemas principales

A descriptive and cross-sectional study of 166 elderly belonging to the family doctor office No 20 of Carlos J Finlay Polyclinic in the municipality of Santiago de Cuba, was carried out from November, 2016 to April, 2017, to evaluate the presence of oral-dental diseases and risk factors. The survey of oral health from the World Health Organization and the medical record of family oral health were used for gathering the information. Harmful habits as poor oral hygiene and a cariogenic diet, besides non communicable chronic diseases, were the most common risk factors in this population, for whom masticatory dysfuntion and dental decay constituted the main problems

Prevalence of oral lesions and chronic non-communicable diseases in a sample of chilean institutionalized versus non-institutionalized elderly

Chile is experiencing a process of demographic aging with an increase in the number of elderly people, a percentage of which resides in long-term establishments for the elderly (LEE). however, there is little information on the reality of the elderly in these long-term care facilities, so this study was conducted to compare the epidemiological profile of the prevalent oral pathologies as well as chronic non-communicable diseases (NCDs), of institutionalized versus non-institutionalized elderly subjects. seventy-six institutionalized and forty-three non-institutionalized subjects were examined intraorally, and their clinical health record, gender and age were obtained, according to inclusion/exclusion criteria. the results indicate that female gender is the most common, with an average age of 78.5 year, with those 80 years old and above comprising the predominant group. the most prevalent oral lesions within the institutionalized group were denture stomatitis and irritative hyperplasia, while in the non-institutionalized these two lesions were found less frequently. as for the presence of xerostomia, there was no difference between the groups. the most common condition in both groups was total maxillary and mandibular edentulous, with the latter variable present more frequently in the institutionalized group (p<0.05). the predominant NCD for both groups were arterial hypertension, arthritis-osteoarthritis and diabetes mellitus (p>0.05), and depression was the most prevalent NCD in the non-institutionalized group (p<0.05). this study provides valuable information on the epidemiology of elderly´s oral lesions and NCDs to inform the decision-making process of public health policies.

A multicenter study of biopsied oral and maxillofacial lesions in a Brazilian pediatric population

Abstract The aim of this study was to investigate the prevalence of oral and maxillofacial lesions among children from representative regions of Brazil. A retrospective descriptive study was conducted. Biopsy records comprising the period from 2000 to 2015 were obtained from the archives of three Brazilian oral pathology referral centers. A total of 32,506 biopsy specimens were analyzed, and specimens from 1,706 children aged 0-12 years were selected. Gender, age, anatomical location and histopathological diagnosis were evaluated. Descriptive statistics was carried out. Likelihood ratio tests were used to evaluate the association between the categorical variables. The level of significance was set at 0.05. The post-hoc test was used to identify the subgroups that significantly differed from one another, and the Bonferroni correction was applied. A total of 1,706 oral and maxillofacial lesions were diagnosed in pediatric patients, including 51.9% girls. Oral mucocele was the most prevalent reactive/inflammatory lesion (64%). The most commonly affected sites were the lips (34.5%) and mandible (19.9%). A significant association was observed between age and the group of lesions of the oral cavity (p < 0.001), and between age and anatomical location (p < 0.001). Pediatric oral and maxillofacial lesions were frequent and showed wide diversity, with the prevalence of mucocele. Knowledge of oral lesions is important for pediatric dentists worldwide, since it provides accurate data for the diagnosis and oral health of children.