Impact of Oral Health Status on the Oral Health-Related Quality of Life of Brazilian Male Incarcerated Adolescents.

PURPOSE: To assess the impact of oral health status on the oral health-related quality of life (OHRQoL) of incarcerated Brazilian male adolescents. MATERIALS AND METHODS: A cross-sectional survey with 102 male adolescents incarcerated at the São Francisco Juvenile Detention Facility, Piraquara, Brazil in 2010 was carried out. Dental caries, oral hygiene, periodontal status, malocclusion, dental fluorosis and dental trauma were analysed. The Oral Health Impact Profile (OHIP-14) was administered to measure OHRQoL, along with a questionnaire addressing sociodemographic variables, health-related aspects and dental experience. Descriptive statistical analysis and univariate and multiple Poisson regression with robust variance were performed. RESULTS: The prevalence of adolescents who reported an impact on OHRQoL was 64% (95% CI: 54-73) and the mean OHIP-14 score was 6.69 (SD = 8.79; median = 3.00). In the multiple regression model, the prevalence of a negative impact on OHRQoL was significantly higher among individuals with untreated caries (PR = 1.74; 95% CI: 1.10-2.77), those who reported having discomfort in the teeth or mouth (PR = 1.33; 95% CI: 1.03-1.73), using tobacco prior to internment (PR = 1.53; 95% CI: 1.04-2.24) and maintaining a stable relationship (PR = 1.31; 95% CI: 1.01-1.70) in comparison to individuals who did not exhibit these conditions. Moreover, each month of internment represented an increase in the prevalence of an impact on OHRQoL (PR = 1.03; 95% CI: 1.01-1.06). CONCLUSION: Incarcerated male adolescents reported that oral health problems exerted an influence on quality of life, with untreated caries exhibiting the greatest impact.

Performance of distant diagnosis of dental caries by teledentistry in juvenile offenders.

BACKGROUND: Telehealth has been considered a practical and potentially cost-effective method of providing healthcare to the underprivileged population. The aim of this study was to determine whether a teledentistry system is a valid tool to screen for the presence of dental caries in a cohort of 102 Brazilian juvenile offenders. MATERIALS AND METHODS: Clinical examinations were performed to evaluate the decayed, missing, and filled teeth (DMFT) index and oral conditions of each adolescent, documented using a digital camera. For distant diagnosis, two methods of image transmission were tested. In the first, images were uploaded on a file-sharing service, and the link was sent via e-mail to one distant consultant. The other consultant received the images recorded on a compact disc. Both assessed the files and calculated the DMFT index for each case. The degree of agreement between the traditional examination and distant consultant assessments was measured by the kappa coefficient of agreement. Sensitivity and specificity were also calculated. RESULTS: According to the traditional clinical examination, 93.1% of the adolescents had at least one instance of dental caries with a mean DMFT index of 5.9. Kappa statistics ranged from "strong" to "almost perfect." Sensitivity ranged from 48% to 73%, and specificity was either 97% or 98%. CONCLUSIONS: Adolescent inmates could benefit from oral health screening using digital photography. Teledentistry appears to be a reliable alternative to the traditional oral examination for dental caries assessment.

Impacto relatado das alterações bucais na qualidade de vida de adolescentes: revisão sistemática / Reported impact of oral alterations on the quality of life of adolescents: a systematic review

Introdução: Alterações no estado de saúde bucal têm o potencial de comprometer a função e o bem estar dos indivíduos. Objetivo: Buscar evidência científica de que problemas bucais provocam repercussões na qualidade de vida de adolescentes. Métodos: Foi realizada uma busca bibliográfica eletrônica em 4 bases de dados (MEDLINE, LILACS, BVS Adolec e Cochrane Library), abrangendo o período de janeiro de 2000 a outubro de 2011, sem restrição de língua e com complementação de busca realizada manualmente nas referências dos artigos recuperados. Os descritores utilizados foram: ôadolescen*õ, ôoral healthõ e ôquality of lifeõ. Resultados: A estratégia de busca adotada gerou 593 artigos. A partir da análise dos títulos e resumos, foram selecionados, com concordância de 100% entre dois examinadores, 29 artigos, os quais foram obtidos e avaliados na íntegra. Destes, 13 atenderam aos critérios de elegibilidade, tendo sido a decisão final tomada em consenso, sendo quatro estudos com desenho caso-controle e nove transversais. Não foram identificados ensaios clínicos controlados sobre o tema. Os artigos incluídos foram avaliados quanto a sua qualidade metodológica. Dentre os artigos selecionados, a má oclusão foi a condição clínica que teve seu potencial de provocar repercussões na qualidade de vida estudado com mais freqüência, seguida de traumatismo, cárie e erosão dentária. Conclusão: Com exceção da erosão dentária, as alterações bucais estudadas apresentaram impacto relatado negativo na qualidade de vida associada à saúde bucal de adolescentes. Contudo, estudos longitudinais, com especial atenção para aqueles com controle de fatores de confusão, são necessários para esclarecer o nível de evidência desta conclusão...

Introduction: Alterations in the oral health condition can compromise the function and well-being of individuals. Objective: To seek scientific evidence that oral problems have influence on the quality of life of adolescents. Method: A search was performed in four full-text electronic database (MEDLINE, LILACS, BVS Adolec and Cochrane Library), comprising publications from January 2000 to October 2011, without restriction of language, which was complemented by manual search in the references of the retrieved papers. The following descriptors were used: "adolescen*", "oral health" and "quality of life". Results: The search retrieved 593 articles. From the analysis of titles and abstracts, two examiners agreed 100% on the selection of 29 papers that were read in full. Among them, 13 fulfilled the eligibility criteria, after consensual decision of the examiners: 4 were case reports and 9 were cross-sectional studies. No clinically controlled studies were found on this subject. The papers included in the study were evaluated with respect to their methodological quality. Malocclusion was the most studied clinical condition due to its potential of influencing the quality of life, followed by traumatic tooth injuries, dental caries and dental erosion. Conclusion: Except for dental erosion, the evaluated oral alterations had a reportedly negative impact on the quality of life of adolescents relative to oral health. Nevertheless, further longitudinal studies, especially those with the control of confusion factors, are required to enlighten the evidence level of such conclusion...

Profile of Brazilian scientific research in pediatric dentistry based on the 26th Annual Meeting of the SBPqO / Perfil da produção científica brasileira na Odontopediatria baseado na 26ª Reunião da SBPqO

PURPOSE: To describe the Brazilian scientific research in pediatric dentistry in 2009 based on the 26th Annual Meeting of the SBPqO (Brazilian division of the IADR). METHODS: All studies on pediatric dentistry were selected from the abstracts presented at the 26th Annual Meeting of the SBPqO in 2009. They were assessed in terms of subjects, methodology and sampling units. RESULTS: Of the 2,648 abstracts presented, 7.7% were on pediatric dentistry, thereby representing the field with the 4th greatest participation in the meeting. The Southeast was the most productive region in Brazil, accounting for 70.1% of abstracts. A wide range of subjects were addressed: dental trauma (5.4%), diagnosis of dental caries (4.9%), diet and dental caries (4.4%), endodontic medication (4.4%), developmental enamel defects (3.4%), glass ionomer cement (3.4%), and dental care for pregnant women (3.4%). The cross-sectional design was the most prevalent type of study (52.5%), followed by in vitro studies (23.5%). Only 2.5% of the abstracts were randomized controlled trials. A total of 41.7% of the studies included children aged 0 to 11 years old, while 14.7% used human deciduous teeth. CONCLUSION: Pediatric dentistry played an important role in Brazilian scientific research in 2009, presenting a broad diversity of subjects and methodological approaches.

OBJETIVO: Descrever a produção científica brasileira na Odontopediatria em 2009, baseando-se na 26ª Reunião Anual da SBPqO (divisão brasileira do IADR). METODOLOGIA: Todos os estudos na área de Odontopediatria, selecionados a partir dos resumos apresentados na reunião, foram avaliados em termos de assuntos, desenho metodológico e unidades amostrais. RESULTADOS: Dos 2648 resumos apresentados, 7,7% corresponderam aos de Odontopediatria, representando a área com a quarta maior participação. A região sudeste foi a mais produtiva do país, sendo responsável por 70,1% dos resumos. Foram abordados assuntos bastante variados, sendo os mais prevalentes: traumatismo dentário (5,4%), diagnóstico de cárie dentária (4,9%), dieta e cárie dentária (4,4%), medicações endodônticas (4,4%), defeitos de desenvolvimento de esmalte (3,4%), cimento de ionômero de vidro (3,4%) e atendimento odontológico para gestantes (3,4%). Os estudos transversais foram os mais prevalentes (52,5%), seguidos dos estudos in vitro (23,5%). Apenas 2,5% dos resumos foram estudos clínicos controlados e randomizados. Um total de 41,7% incluíram crianças de 0 a 11 anos de idade e 14,7% utilizaram dentes decíduos humanos. CONCLUSÃO: A Odontopediatria desempenhou um papel importante na produção científica brasileira em 2009, oferecendo uma ampla diversidade de temas e abordagens metodológicas.