Conhecimentos e atitudes de cirurgiões-dentistas da rede pública de Pelotas-RS frente aos maus-tratos infantis / Knowledge and attitudes of dentists in the public health system of Pelotas-RS regarding child maltreatment

O presente estudo objetivou identificar e analisar os conhecimentos e as atitudes dos cirurgiões-dentistas (CD) da rede pública de Pelotas-RSfrente aos maus-tratos infantis (MTI). Os dados foram coletados por um questionário semiestruturado. Coletaram-se informações sociodemográficas, relativas ao trabalho, conhecimentos e atitudes dos CD. Realizou-se uma análise estatística descritiva e associações entre as variáveis independentes com os conhecimentos e atitudes por meio do teste de Exato de Fisher e Qui-quadrado (p<0,05). Dos 45 CD incluídos na amostra, mais dametade afirmaram nunca ter recebido informações sobre o tema, 71,1% entenderam ser responsabilidade do CD a identificação de casos suspeitos, 50% não souberam informar a respeito da implicação legal sobre a falta de notificação e 86,7% acreditaram que se deve avisar ao médico ou enfermeiro para que eles tomem alguma atitude. Observou-se que 60% dos profissionais nunca suspeitaram de um caso e 25% dos que suspeitaram tomaram alguma atitude. Houve associação estatística entre a responsabilidade do CD e o sexo e o tempo de formação, da atitude correta frente a um caso suspeito e a pós-graduação, e ainda, da implicação legal com a idade e tempo de formação. Os conhecimentos e atitudes dos CD sobre MTI foram melhores entre profissionais mais jovens, do sexo feminino, com menor tempo de formados, possuindo ou cursando alguma pós-graduação. Os CD conhecem sua importância frente a essa violência, porém apresentam dificuldades quanto às atitudes a tomar (AU).

The present study aimed to identify and analyze the knowledge and attitudes of dentists inthe public health system in Pelotas-RS regarding child maltreatment(CM).Data were collected through semi-structured questionnaire. Sociodemographic information, work-related dataandknowledge and attitudes of dentists were collected.Descriptive statistical analysis and associations between independent variables and knowledge and attitudesof dentists were performed using Fisher's Exact Test and Chi-Square Test (p<0.05).Of the 45 dentists included in the sample, more than halfreportedthat they had never received information on the subject, 71.1% understood the dentist'sresponsibilityin the identification of suspicious cases, 50% were unable to inform about the legal implication of the lack of notification and 86.7% believed that the doctor or nurse should be notified so that they can take action. It was observed that 60% of professionals never suspected a case of CM and 25%of those who suspected took action. There was statistical association between the dentist'sresponsibilityand gender and the time since graduation,betweencorrect attitude towards a suspiciouscase and postgraduate degree and also betweenlegal implication with age and time since graduation.Knowledge and attitudes of dentists about CM were better among younger professionals, females, with less time since graduation, having or attending some postgraduate course. Dentists know their importance towards this violence, but they show difficulties regarding attitudes that they should take (AU).

Health-related quality of life of maltreated children and adolescents who attended a service center in Brazil.

PURPOSE: This study's aim was to evaluate the health-related quality of life (HRQoL) and associated factors of maltreated children and adolescents. METHODS: This cross-sectional study consisted of individuals between 8 and 17 years of age who were victims of maltreatment. The KIDSCREEN-52 was used to measure their HRQoL. Socioeconomic and demographic data were collected, as well as information about the type of abuse, type of perpetrator, and psychological support adherence. The Kruskal-Wallis test was used to analyze the scores of the KIDSCREEN-52 by the independent variables. RESULTS: One hundred and thirteen victims answered the questionnaire. Girls and adolescents had a lower overall HRQoL score (p < 0.05). Children who suffered from sexual abuse had a lowest score on the moods and emotions dimension than children who suffered from physical abuse (p < 0.05). There was a lowest score on the autonomy dimension among the children who suffered maltreatment by an extrafamilial perpetrator than those who were victimized by an intrafamilial perpetrator (p < 0.05). A lower score on the psychological well-being was observed among the children who adhered to the psychological support program provided by the service compared to those who terminated the service before completion (p < 0.05). CONCLUSIONS: Adolescents and girls were associated with lower HRQoL scores. There was no association between the overall HRQoL score and the characteristics of the maltreatment; however, the type of abuse and the victim's relationship with the perpetrator were only related to some dimensions. These findings may assist maltreatment care providers in planning strategies to reduce the consequences that violence may cause.

Oral health-related quality of life in Brazilian child abuse victims: A comparative study.

This study aims to assess and compare Oral Health-Related Quality of Life (OHRQoL) in child abuse victims and non-abused children in a Southern Brazilian city. The study compared two independent samples of children aged 8-10 years: 48 child abuse victims recruited from a centre for Child and Adolescent Psychological Support (NACA) for abused children, and 144 public and private school students. Data collection consisted of administration of the Child Perceptions Questionnaire 8-10 (CPQ8-10) to measure OHRQoL (dependent variable), clinical examination (dental caries), and collection of socioeconomic and demographic information (age, sex, skin colour, family income, and type of school). Multiple linear regression models were used to assess the association between presence of abuse and OHRQoL and subscales. After adjustment for clinical and sociodemographic variables, child abuse victims were found to exhibit higher CPQ scores on the overall scale and on the oral symptoms and functional limitations subscales. In conclusion, child abuse victims have a higher impact on OHRQoL. Based on the results, it is possible to suggest that greater care should be taken of these children, not only in providing treatment for oral disorders, but also in providing interdisciplinary care.

What is the clinical applicability of regenerative therapies in dentistry? / Qual a aplicabilidade clínica das terapias regenerativas na odontologia?

ABSTRACT Regenerative therapies have been widely developed in dentistry and it is important to incorporate dentists' knowledge of these new therapies into the dental clinic routine. This study reviewed the literature on regenerative therapies and clinical applications. Tissue engineering has contributed to changes in the paradigm of restorative health sciences. Its pillars underpin the techniques of tissue and organ regeneration. Despite the majority of studies in this field being in vitro, a range of preclinical studies and methodologies has been formed using these principles and they are already being used on humans. The use of platelet-rich plasma and platelet-rich fibrin in surgery as natural scaffolds for the reestablishment of bone and periodontal tissue are often reported in the literature and clinical trials using this approach have shown promising results. Stem cells from autologous dental pulp have been successfully applied in bone tissue regeneration using natural collagen scaffold in humans. In addition, revascularization of the root canal already appears in the literature as a promising alternative to apexification. The principle behind this therapy is the use of the blood clot as a scaffold and the migration of stem cells of the apical papilla to regenerate the dental pulp organ. Final considerations: Although still in the early stages, regenerative therapies can now be used in dental practice. Knowledge of the principles governing these therapies should be understood by the dentist for use in clinical practice.

RESUMO Terapias regenerativas vem sendo amplamente desenvolvidas na odontologia e o conhecimento destas novas terapias por parte dos dentistas é importante para que elas sejam incorporadas na rotina clínica odontológica. Assim, este estudo revisou a literatura acerca das terapias regenerativas e suas aplicações clínicas. A engenharia tecidual tem contribuído na mudança do paradigma restaurador das ciências da saúde. Seus pilares embasam as técnicas de regeneração de tecidos e órgãos. Apesar da grande maioria dos estudos neste campo ser in vitro, uma gama de metodologias pré-clínicas foi consolidada e estudos utilizando estes princípios já estão sendo empregados em humanos. A utilização de plasma rico em plaquetas e plasma rico em fibrina como scaffolds naturais em cirurgias para reestabelecimento de tecido ósseo e periodontal são frequentemente relatadas na literatura e ensaios clínicos utilizando esta abordagem demonstram resultados promissores. Células-tronco da polpa dental autólogas já foram aplicadas com sucesso na regeneração de tecido ósseo utilizando scaffold naturais de colágeno em humanos. Além disto, a revascularização do canal radicular já aparece na literatura como uma alternativa promissora frente a opção de apecificação do canal radicular. Esta terapia utiliza como princípio o coágulo sanguíneo como scaffold e a migração das células-tronco da papila apical para regenerar o órgão pulpar. Considerações finais: Apesar de incipientes, as terapias regenerativas já podem ser utilizadas na prática clínica odontológica. O conhecimento dos princípios que regem estas terapias deve ser compreendido pelo dentista para que sejam utilizadas na prática clínica.