Oral Health of Hospitalized Brazilian Children: A Cross-Sectional Study

Objective:To evaluate the oral health conditions of hospitalized children, as well as describe the knowledge and practices of oral health care adopted by their parents/guardians. Material and Methods:The sample was composed of 46 children who had been hospitalized for at least five days, who had erupted teeth in the oral cavity and were accompanied by their parents/guardians. Information was collected in relation to: theoral health status of children (DMFT/DEF), the socioeconomic profile and access to information on health and oral hygiene of the parents/guardians anddata regarding the hospitalization of the children. The data were analyzed using the Fisher, Pearson's and Mann Whitney's Chi-squared tests, with a confidence level of 95%.Results:47.8% of the hospitalized children had experienced caries, and the most relevant component for the determination of the experience of caries was the presence of decayed teeth (0.50 to 1.94). A total of 97.8% of parents/guardians said they had not received information on oral health and hygiene, 100.0% had not received guidance on the sugar contained in medicines or the salivary decrease caused by the medications. 34.8% of the children did not perform oral hygiene during hospitalization. According to medical records, 58.7% took liquid medication orally. Conclusion:The hospitalized children had precarious oral health conditions, with the occurrence of carious lesions of the teeth. The presence of risk factors for dental caries in hospitalized children was observed (poor oral hygiene, low schooling and income of parents/guardians, limited knowledge of parents/guardians regarding health care and oral hygiene, consumption of medicines with cariogenic potential) (AU).

Oral findings in Williams-Beuren syndrome

Background: Williams-Beuren syndrome (WBS; OMIM #194050) is a developmental disorder characterized by congenital heart disease, intellectual disability, dysmorphic facial features and ophthalmologic abnormalities. Oral abnormalities are also described in clinical manifestations of the disease. This paper describes orofacial features in patients with WBS. Material and Methods: Seventeen patients with a confirmed molecular diagnosis of WBS were examined for oral abnormalities through clinical oral evaluations and panoramic radiography. Results: Malocclusion, specifically with dental midline deviation, and high-arched palate were the most common findings. Conclusions: The present results contribute to knowledge on the orofacial manifestations of WBS. Since such patients with WBS may develop severe oral abnormalities, early detection and treatment can help improve their quality of life (AU

No disponible

Impacto das lesões cariosas cavitadas e das consequências da cárie dentária não tratada na qualidade de vida de crianças de 08 a 10 anos de idade / Impact of cavitated carious lesions and the consequences of untreated dental caries on the quality of life of children aged 8 to 10 years

Objetivo: Avaliar o impacto da cárie dentária (lesões cariosas cavitadas/CPOD/ceo-d e lesões não-tratadas/PUFA) na qualidade de vida relacionada à saúde bucal (QVRSB) de crianças de 8 a 10 anos.Métodos: A QVRSB foi medida pela versão brasileira do Child Perceptions Questionnaire-CPQ8-10 de 30 crianças das Clínicas de Infantil da Universidade Estadual de Montes Claros. Os dados clínicos (CPOD/ceod e PUFA) e as entrevistas foram coletados por 5 examinadores calibrados. O Programa Estatístico das Ciências Sociais, versão 20.0 foi usado para a análise descritiva e bivariada.Resultados: Setenta por cento das crianças apresentaram experiência de cárie. Onze crianças apresentaram as consequências da doença não tratada. Na análise bivariada, a variável lesões cariosas cavitadas mostrou uma associação estatisticamente significante ao impacto negativo na QVRSB destas crianças.Conclusão: Lesões cariosas cavitadas foram associadas à um alto impacto negativo na qualidade de vida relacionada à saúde bucal em crianças de 8 a 10 anos de idade. Políticas públicas de saúde para crianças em fase de dentadura mista devem ser encorajadas.

Aim: To evaluate the impact of dental caries (cavitated caries lesions/DMFT/dmft and consequences of untreated lesions / PUFA) on the oral health-related quality of life (OHRQoL) of 8 to 10-year-old children.Methods: OHRQoL was measured by the Brazilian version of the Child Perceptions Questionnaire-CPQ8-10of 30 children from the Children's Clinics of the State University of Montes Claros. Clinical data and interviews were collected by 5 calibrated examiners. The Statistical Program of Social Sciences, version 20.0, was used for descriptive and bivariate analysis. Results: Seventy percent of the children presented caries experience. Only 11 children presented the consequences of the untreated disease. In the bivariate analysis, the variable cavitated carious lesions showed a statistically significant association with the negative impact on the OHRQoL of these children. Conclusion: Cavitated caries lesions were statistically associated with a high negative impact on oral health related quality of life of 8 to 10-year-old children. Public health policies for children in mixed dentition phases should be encouraged.

Facial features of patients with sickle cell anemia.

OBJECTIVE: To characterize the craniofacial features of patients with sickle cell anemia (SCA). MATERIALS AND METHODS: Fifty patients with SCA in the north of Minas Gerais, Brazil, were evaluated using standardized photographs (front and profile) for a subjective facial analysis and digital radiographs for a computerized cephalometric analysis. To obtain linear and angular measurements, cephalometric points were marked on the digital images by a single examiner, using the program Radiocef 6.0, and facial analyses were performed by four different orthodontists. RESULTS: Of the population studied, 28 patients were female with a mean age of 27.7 years. Most of the patients (64%) had their faces classified as esthetically acceptable, although results showed a predominance of convex profiles (72%). The mean of the SNA angle was 84.56°, diagnosing proper positioning of the maxilla from the base of the skull. The prevalence of pattern II was 32%, and 31% showed maxillary protrusion; the effective length of the maxilla was reduced in 64%. Retrusion of the mandible was observed in 30%, and 76% had reduced mandibular length. Four measurements (mandibular length, maxillary length, anterior face height, and maxillomandibular difference) showed statistically significant differences between genders, where these measurements were higher for males than for females. CONCLUSION: Most patients did not show compensatory maxillary expansion, which was determined by the prevalence of decreased maxillary length (64%) and by the absence of maxillary protrusion in 69% of the SCA patients evaluated.