BURNOUT SYNDROME AMONG DENTISTS: A SYSTEMATIC REVIEW AND META-ANALYSIS.

OBJECTIVE: Burnout syndrome has negative consequences on the dentist's health and performance during work. This systematic review aimed to assess the prevalence of Burnout syndrome in dentists. METHODS: Searches were carried out in Medline, Scopus, Web of Science, PsycINFO, EMBASE, LILACS databases, and searches in the gray literature on January 27, 2021. There were no restrictions on language and search period. For the diagnosis of Burnout, only studies that used the Maslach burnout inventory questionnaire and its subscales emotional exhaustion (EE), depersonalization (DP), and reduced personal accomplishment (PA) were included. Proportion meta-analyses were performed using the Stata 13.0 software. RESULTS: A total of 37 articles were included in the narrative and 31 in quantitative syntheses. The overall prevalence of Burnout syndrome in dentists was 13% (95% confidence interval [CI]: 0.006-0.21; I²: 97.07%) and the total prevalence in the subscales EE, DP, and PA, were, respectively: 28% (95% CI: 0.24-0.32; I²: 20.70%), 18% (95% CI: 0.08-0.28; I²: 85.61%) and 10% (95% CI: 0.08-0.13; I²: 0%). About the levels of Burnout syndrome in the subscales, 25% (95% CI: 0.19-0.31; I² 92.58%) presented high EE, 18% (95% CI: 0.10-0.26; I² 96.62%) high DP and 32% (95% 0.20-0.45; I² 97.86%) low PA. About continuous data, the mean of EE, DP and PA was respectively 17.90 (95% CI: 9.36-26.43; I² 94.8), 6.93 (95% CI: 3.41-10.45; I² 80.2) and, 34.69 (95% CI: 23.82-45.55; I² 98.8). No study presented all the positive criteria of the Joanna Briggs Institute Critical Appraisal checklist. CONCLUSION: In conclusion, there was a considerable prevalence of burnout syndrome in dentists, mainly in the subscale of emotional exhaustion.

Conhecimento, percepções e práticas de uma equipe de enfermagem sobre saúde bucal em ambiente hospitalar: uma abordagem qualitativa / Knowledge, perceptions and practices of a nursing team on oral health in a hospital: a qualitative research

A odontologia hospitalar tem demonstrado maior preocupação com a abordagem integral do paciente, visto que o não tratamento ou agravamento de patologias da cavidade bucal podem impactar a saúde geral. O objetivo deste estudo foi analisar, em caráter exploratório e com uma abordagem qualitativa, o conhecimento, as percepções e práticas da equipe de enfermagem sobre a saúde bucal em ambiente hospitalar. A amostra foi composta por 2 enfermeiras e 6 técnicas em enfermagem. A coleta de dados foi feita através de entrevista semi-estruturada e a análise do conteúdo foi realizada em 3 núcleos temáticos: práticas de higiene, conhecimentos sobre saúde bucal e significados dos cuidados em saúde. Diante dos dados obtidos, foi possível observar deficiência com relação ao conhecimento, percepção e prática quanto aos cuidados com a saúde bucal em ambiente hospitalar, bem como a necessidade de orientação e capacitação da equipe de enfermagem para executar tais cuidados. Concluiu-se que necessária a adoção de medidas voltadas a atenção a saúde bucal, com vista à promoção da saúde, reforçando a importância do cuidado com a saúde bucal como parte integrante do restabelecimento da saúde geral, de forma integral ao paciente hospitalizado.

The hospitalar dentistry has shown greater concern with the the integral approach of patients, since the non-treatment or deterioration of pathologies of the oral cavity can impact their general health. The aim of this study was to analyze, using a qualitative approach of an exploratory nature, the knowledge and practices of the nursing staff on oral health in a hospital. The sample consisted of 2 nurses and 6 nursing techniques. Data collection was done through semi-structured interviews and the content analysis was performed on 3 thematic groups: practice and hygiene, oral health knowledge, meanings of health care. According to the obtained data, it was possible to observed the lack of attention regarding the oral health care in hospitals, as well as the need for guidance and training of nursing staff to perform such care. It could be concluded that it is necessary to adopt measures focused on oral health care, to promote health, reforcing the importance of oral health, in an integral part of reestablishment of general health, in full attention to hospitalized patient.

The influence of apical extent of root canal obturation on endodontic therapy outcome: a systematic review.

OBJECTIVES: This systematic review (SR) aimed to investigate the influence of obturation extent on the final outcome of root canal treatment (RCT), by answering the question "among patients requiring RCT on fully formed permanent teeth, is there an association between obturation extent and the final treatment outcome?" MATERIALS AND METHODS: Five electronic databases and three gray literature searches were performed. Observational studies investigating the association between obturation extent and RCT outcome in fully formed permanent teeth with a minimum follow-up of 12 months were included. We evaluated the risk of bias (RoB) in with MAStARI for cohort studies. The overall quality of the evidence was assessed with the GRADE-tool. RESULTS: Twenty-two studies were included, 2 had high RoB, 7 moderate RoB, and 13 low RoB. Underextended obturation demonstrated increased odds of an unfavorable outcome in seven studies, in which the odds varied between 6.94 (95%CI 2.20-21.87) and 1.73 (95%CI 1.02-2.95). Overextended obturation also demonstrated this association in four studies, with odds varying from 1.90 (95%CI 1.23-2.94) to 23.00 (95%CI 5.58-94.75). Due to heterogeneity and the very low level of evidence found in the GRADE analysis, the results from this SR should be interpreted with caution. CONCLUSIONS: Obturation extent seems to influence RCT outcome; overextended and underextended obturations showed higher chance of association with less favorable outcomes than adequate obturation; however, this association was not categorically supported. CLINICAL RELEVANCE: This SR provides information about obturation extent influence on RCT outcome and guides clinicians to make evidence-based decisions during endodontic practice.

Radiographic analysis the obturation's quality in root canal treatment performed by a South Brazilian sample of undergraduate students / Análise radiográfica da obturação em tratamentos endodônticos realizados por alunos de Odontologia de uma amostra do sul do Brasil

ABSTRACT Objective to investigate the quality of root canal treatments performed by undergraduate students. Methods 274 root-filled teeth (excluding molars) from the Department of Endodontology of the Federal University of Santa Catarina in a nine-year period were selected and evaluated by two calibrated examiners. The evaluation was based on tooth type, number of root canals, presence or absence curvature, length of filling material considered the radiographic apex as reference (considered adequate shorter than 2mm from radiographic apex), filling material density, filling taper, and overall quality of RCT. Chi-square and Fisher exact tests were performed to analyze associations between variables of interest (p<0.05). Results 197 RCT were classified as acceptable (71.9%). The frequency of adequate RCT was significantly higher in incisor (79.4%) than in premolars (66.4%) or canines (58.1%) (p=0.015). The number of canals did not influence root canal quality in this sample (p>0.05). The factor more frequently identified as unacceptable was filling length (26.6%). All RCT performed in curved teeth and classified as unacceptable were underfilled. Procedural errors, such as perforations or instrumental separation, were not found in this sample. Conclusion The most common criteria identified as unacceptable was the length of the filling material. Incisors had better quality assessment rates than canines and premolars. The high-quality rates found in this sample may be linked to the professor/student rates.

RESUMO Objetivo Investigar a qualidade dos tratamentos endodônticos realizados por alunos de graduação em odontologia. Métodos 274 dentes (excluindo molares) com endodontia realizada no Departamento de Endodontia da Universidade Federal de Santa Cataria durante 9 anos foram avaliados por dois examinadores calibrados. A avaliação foi baseada no tipo de dente, número de condutos radiculares, presença ou ausência de curvatura, nível da obturação em relação ao ápice radiográfico (considerado adequado quando a menos de 2mm do ápice radiográfico), densidade do material obturador, espessura da obturação e qualidade geral do tratamento. Teste qui quadrado e exato de Fisher foram usados para avaliar a associação entre as variáveis de interesse (p<0.05). Resultados 197 tratamentos foram considerados adequados (71.9%). A frequência de tratamentos adequado foi maior em incisivos (79.4%), do que em pré-molares (66.4%) e caninos (58.1%) (p=0.015). O número de canais não influenciou a qualidade do tratamento nessa amostra (p>0.05). O fator mais associado a tratamentos com qualidade inadequada foi o nível da obturação (26.6%). Todos os tratamentos inadequados, em dentes com curvatura, estavam com obturação mais do que 2mm aquém do ápice. Não houveram erros, como perfuração ou separação de instrumentais. Conclusão O critério mais frequentemente identificado como inadequado foi o nível apical da obturação. Tratamentos realizados em incisivos resultaram em qualidade superior aos em caninos e pré-molares. A alta qualidade dos tratamentos dessa amostra pode estar relacionada com a razão estudante/professor.

Prevalence of reported percutaneous injuries on dentists: A meta-analysis.

OBJECTIVES: To answer the focused question, "What are the prevalence of percutaneous injuries (PIs) on dentists, the location with the highest prevalence, and the dental instrument most responsible for these injuries?" As secondary outcomes, the prevalence by geographic location, type of PI, sex distribution, and dentist's specialty were also considered. ELIGIBILITY CRITERIA: Observational descriptive studies investigating the prevalence of percutaneous injuries on dentists were included. SOURCES: Five electronic databases and three partial grey literature searches were performed. RISK OF BIAS: The MAStARI tool assessed the potential risk of bias (RoB) among the studies, while the GRADE approach determined the level of evidence. INCLUDED STUDIES: Among 2284 identified studies, 55 were included. Three studies were classified as low RoB, 17 as moderate RoB, and 35 as high RoB. The sample size ranged from 9 to 4107 dentists. SYNTHESIS OF RESULTS: The PI prevalence in dentists ranged from 7.72% (95% confidence interval [CI]: 0.93-37.59) to 66.74% (95%CI: 29.83-94.51). North America was the most affected region, while South America was the least affected. Differences between sexes were not significant. The dental bur was the most commonly reported dental instrument causing PIs. LIMITATIONS: Owing to the very low GRADE level of evidence, caution should be applied when considering these findings and further research is required. CONCLUSIONS: A high PI prevalence among dentists was noticed, and most were caused by dental burs. These findings imply that PIs should be considered by every dentist and proper measures instituted to reduce their prevalence.

Effect of Milk Renewal on Cell Viability In Vitro at Different Time Frames.

The purpose of this study was to evaluate if the renewal of milk as a storage medium, every 12, 24 and 48 h, is able to increase its ability to maintain human periodontal ligament fibroblasts (PDLF) viability over time. PDLF were soaked in Minimum Essential Medium at 37 °C (MEM-37) (positive control), tap water (Water) (negative control) and in skimmed milk (44 wells) at 5 °C and 20 °C. The skimmed milk was renewed every 12 h (Milk-12), 24 h (Milk-24) and 48 h (Milk-48) in 11 wells of each plate, and the milk in the remaining 11 wells of each plate was maintained in situ (not renewed milk) (NRM). After 24, 48, 72, 96 and 120 h, cell viability was determined by the tetrazolium salt-based colorimetric (MTT) assay. Data were statistically analyzed by Kruskal-Wallis, Scheffé and Mann-Whitney tests (a=5%). At 5 °C, only Milk-48 was significantly better than NRM. At 20 °C, NRM was more effective than Milk-12 and Milk-24 in all time periods. In relation to the temperature (5 °C or 20 °C), renewal of milk at 5 °C was better in maintaining cell viability than the renewal at 20 °C. In conclusion, the renewal of milk was able to increase its ability to maintain cell viability only when performed every 48 h in milk maintained at 5 °C.

Effect of Milk Renewal on Cell Viability In Vitro at Different Time Frames

Abstract The purpose of this study was to evaluate if the renewal of milk as a storage medium, every 12, 24 and 48 h, is able to increase its ability to maintain human periodontal ligament fibroblasts (PDLF) viability over time. PDLF were soaked in Minimum Essential Medium at 37 °C (MEM-37) (positive control), tap water (Water) (negative control) and in skimmed milk (44 wells) at 5 °C and 20 °C. The skimmed milk was renewed every 12 h (Milk-12), 24 h (Milk-24) and 48 h (Milk-48) in 11 wells of each plate, and the milk in the remaining 11 wells of each plate was maintained in situ (not renewed milk) (NRM). After 24, 48, 72, 96 and 120 h, cell viability was determined by the tetrazolium salt-based colorimetric (MTT) assay. Data were statistically analyzed by Kruskal-Wallis, Scheffé and Mann-Whitney tests (a=5%). At 5 °C, only Milk-48 was significantly better than NRM. At 20 °C, NRM was more effective than Milk-12 and Milk-24 in all time periods. In relation to the temperature (5 °C or 20 °C), renewal of milk at 5 °C was better in maintaining cell viability than the renewal at 20 °C. In conclusion, the renewal of milk was able to increase its ability to maintain cell viability only when performed every 48 h in milk maintained at 5 °C.

Resumo O objetivo deste estudo foi avaliar se a renovação do leite, a cada 12, 24 e 48 h, é capaz de aumentar sua capacidade de manter a viabilidade de fibroblastos do ligamento periodontal humano (FLPH) ao longo do tempo. FLPH foram conservados em Meio Essencial Mínimo a 37 °C (MEM-37) (controle positivo), água da torneira (água) (controle negativo) e em leite desnatado (44 poços) a 5 °C e 20 °C. O leite desnatado foi renovado a cada 12 h (leite-12), 24 h (leite-24) e 48 h (leite-48) em 11 poços de cada placa, e em outros 11 poços de cada placa o leite foi deixado in situ (leite não renovado) (LNR). Depois de 24, 48, 72, 96 e 120 h, a viabilidade celular foi determinada pelo ensaio colorimétrico à base de sal tetrazólio (MTT). Os dados foram analisados estatisticamente pelos testes de Kruskal-Wallis, Scheffé e Mann-Whitney (α=5%). A 5 °C, somente o leite-48 foi significantemente melhor do que o LNR. A 20 °C, LNR foi mais efetivo do que o leite-12 e leite-24 em todos os períodos de tempo. Em relação à temperatura (5 °C ou 20 °C), a renovação do leite a 5 °C foi melhor na manutenção da viabilidade celular do que a renovação a 20 °C. Concluindo, a renovação do leite foi capaz de aumentar sua habilidade em manter a viabilidade celular apenas quando realizada a cada 48 h no leite mantido a 5 °C.

A utilização das ferramentas de marketing pelos cirurgiões-dentistas / The use of marketing tools by dentists

Introdução - O mercado de trabalho em Odontologia no Brasil está cada vez mais difícil. Para que os profissionais consigam aumentar sua atuação nesse mercado altamente competitivo torna-se necessário conhecimentos de administração, gerenciamento emarketing. Sendo assim, o estudo objetivou avaliar a utilização das ferramentas de marketing pelos cirurgiões-dentistas. Materiais e Métodos - A população de estudo foi composta por 138 cirurgiões-dentistas responsáveis-técnicos pelas clínicas odontológicascadastradas no CRO em Florianópolis – SC. Através do Cálculo de Amostra para Universos Finitos (para amostragem aleatória simples) e subtraindo-se as desistências foi definido o tamanho da amostra (n = 90).O método de aplicação dos questionários foi realizado através de entrevista pessoal/ contato direto, no qual o pesquisador aplicou o questionárioaos entrevistados-alvo. Os dados quantitativos foram tabulados e processados no software de pesquisa Sphinx – versão 5.0, e analisados no programa Excel. Resultados - Avaliou-secaracterísticas de localização para análise da ferramenta de marketing Praça: apenas 12,2% realizaram Pesquisa de Mercado previamente à escolha do local. Quanto à ferramentaPreço: somente 35,6% trabalham com cartão de crédito/débito. A ferramenta Promoção foi avaliada através da utilização de materiais de divulgação e 23,3% não utilizam. Com relação à opinião dos cirurgiões-dentistas sobre o que prevê o Código de Ética Odontológica para comunicação visual das clínicas, a maioria (42,2%) desconhece o próprio Código. Amaioria dos entrevistados associou marketing à divulgação e propaganda. Conclusões - Concluiu-se, portanto, que os cirurgiões-dentistas não estão utilizando as ferramentas de marketing de forma adequada e não possuem conhecimento sobre o assunto.

Introduction - The labor market in dentistry in Brazil is increasingly difficult. For professionals become able to increase its activities in this highly competitive market it is necessary knowledge about administration, management and marketing. Thus, the study aimed to evaluate the use of marketing tools by dentists. Material and Methods - The study population consisted of 138 dentists, technicians responsible for dental clinics registered with the CRO in Florianópolis - SC. Through the Sample Calculation for Finite Universes (for simple random sampling) and subtracting the dropouts was set the sample size (n = 90). The method of application of the questionnaires was conducted through personal interviews / direct contact, in which the researcher applied the questionnaire to the target respondents.Quantitative data were tabulated and processed in the Sphinx search software - version 5.0, and analyzed in Excel. Results - Characteristics of location were used for analyze the Place marketing tool: only 12.2% conducted Market Research prior to site selection. Price tool: only 35.6% work with credit / debit cards. Promotion tool was evaluated through the use ofpromotional materials and 23.3% do not use. With respect to the opinions of dentists on what the Code of Ethics provides for visual communication of dental clinics, the majority (42.2%)are unaware of the Code itself. Most respondents associated marketing with disclosure and advertising. Conclusions - We conclude, therefore, that the dentists are not using marketing tools properly and have no knowledge on the subject.

[Prevalence of orofacial pain and its impact on the oral health-related quality of life of textile industries workers of Laguna, SC, Brazil]. / Prevalência da dor orofacial e seu impacto no desempenho diário em trabalhadores das indústrias têxteis do município de Laguna, SC.

The aim of this study was to establish the prevalence of orofacial pain and its impact on the daily performance of workers in the textile industry in the municipality of Laguna, Brazil. A cross-sectional study involving all workers (n= 267) of the five textile industries of the municipality in 2004 was conducted. Data were obtained through the questionnaire proposed by Locker and Gruska to measure the Oral Impact on Daily Performance (OIDP) indicator. Socio-demographic data such as gender, age, level of schooling, income, job function and absenteeism due to orofacial pain was collected. Data were descriptively analyzed and the prevalence ratios, confidence intervals and unconditional multiple logistic regression were calculated. The prevalence of orofacial pain was 32.2% and the oral impact on daily performance was 28.5%. The regression model indicated that orofacial pain was the only variable statistically associated with the oral impact on daily performance, increasing its prevalence by more than 22 times, compared to those without orofacial pain. It was concluded that the prevalence of orofacial pain was high among workers, representing a decisive factor on the oral impact on daily performance.

Prevalência da dor orofacial e seu impacto no desempenho diário em trabalhadores das indústrias têxteis do município de Laguna, SC / Prevalence of orofacial pain and its impact on the oral health-related quality of life of textile industries workers of Laguna, SC, Brazil

Foram examinadas as tendências em saúde da população idosa brasileira utilizando-se dados da Pesquisa Nacional por Amostra de Domicílios (1998-2008). O estudo incluiu uma amostra probabilística de 105.254 pessoas com > 60 anos de idade. A média da idade foi de 69 anos e 56 por cento eram mulheres. Houve um aumento gradativo da boa autoavaliação da saúde (39,3 por cento, 43,5 por cento e 45,0 por cento em 1998, 2003 e 2008, respectivamente) e uma diminuição na prevalência de artrite, doença do coração e depressão autorreferidas. A prevalência da hipertensão (43.9 por cento, 48.8 por cento e 53.3 por cento, respectivamente) e do diabetes autorreferidos (10.3 por cento, 13.0 por cento e 16.1 por cento respectivamente) aumentou acentuadamente. A prevalência da incapacidade para realizar atividades da vida diária (alimentar-se, tomar banho ou ir ao banheiro) permaneceu estável (6.5 por cento, 6.4 por cento e 6.9 por cento, respectivamente). A realização de três ou mais consultas médicas nos 12 meses precedentes aumentou 21 por cento entre 1998 e 2008. As hospitalizações diminuíram 10 por cento no mesmo período. Essas tendências foram independentes do sexo e da idade. Os resultados mostram melhora em algumas dimensões da saúde dos idosos, mas não em todas. As mudanças no uso de serviços de saúde ocorreram como esperado em decorrência da expansão das atividades de atenção primária no Brasil.

The aim of this study was to establish the prevalence of orofacial pain and its impact on the daily performance of workers in the textile industry in the municipality of Laguna, Brazil. A cross-sectional study involving all workers (n= 267) of the five textile industries of the municipality in 2004 was conducted. Data were obtained through the questionnaire proposed by Locker and Gruska to measure the Oral Impact on Daily Performance (OIDP) indicator. Socio-demographic data such as gender, age, level of schooling, income, job function and absenteeism due to orofacial pain was collected. Data were descriptively analyzed and the prevalence ratios, confidence intervals and unconditional multiple logistic regression were calculated. The prevalence of orofacial pain was 32.2 percent and the oral impact on daily performance was 28.5 percent. The regression model indicated that orofacial pain was the only variable statistically associated with the oral impact on daily performance, increasing its prevalence by more than 22 times, compared to those without orofacial pain. It was concluded that the prevalence of orofacial pain was high among workers, representing a decisive factor on the oral impact on daily performance.

[Knowledge and practices of oral health on hospitalized children with cancer]. / Conhecimentos e práticas em saúde bucal com crianças hospitalizadas com câncer.

The aim of this study was to evaluate the knowledge and practices of oral health (OH) in hospitalized children with cancer. The sample was composed by the nurse team, caretakers and children. It was applied a questionnaire concerning the general knowledge about OH, methods and instruments used for oral hygiene (OH). According to the results, the responsible of OH of children are the caretakers (90.7%) who receive instructions from the nurse team in 21.4% of cases. As for the oral cavity discomfort, the nurse team reported that all patients exhibited clinical manifestations while the caretakers reported a different number, 62.8% of cases. All participants considered important having a dentist in the oncology sector. According to the results obtained, it was possible to conclude that there is no oral health protocol for hospitalized children with cancer and that the most frequent oral manifestations among patients going through antineoplastic treatment were: mucositis, nausea, vomit, xerostomy and lack of sense of taste.

Conhecimentos e práticas em saúde bucal com crianças hospitalizadas com câncer / Knowledge and practices of oral health on hospitalized children with cancer

O objetivo do estudo foi avaliar os conhecimentos e práticas em saúde bucal (SB) com crianças hospitalizadas com câncer. A amostra foi composta pela equipe de enfermagem, cuidadores e crianças. Foi aplicado um questionário relacionado ao conhecimento geral sobre SB, métodos e instrumentos utilizados para a higiene oral (HO) e dados socioeconômicos. Baseado nos resultados, quem realiza a HO das crianças são os cuidadores (90,7 por cento), que receberam orientações da equipe de enfermagem em 21,4 por cento dos casos. Com relação ao desconforto na cavidade bucal, a equipe de enfermagem reportou que todos apresentaram manifestações clínicas, enquanto apenas 62,8 por cento dos cuidadores reportaram casos. Todos os participantes consideram importante haver um CD no setor de oncologia. Pôde-se concluir que não existe um protocolo de cuidados com a higiene bucal de crianças hospitalizadas com câncer e que as manifestações bucais mais frequentes entre os pacientes em tratamento antineoplásico foram: mucosite, enjoos, vômitos, xerostomia e ausência de paladar.

The aim of this study was to evaluate the knowledge and practices of oral health (OH) in hospitalized children with cancer. The sample was composed by the nurse team, caretakers and children. It was applied a questionnaire concerning the general knowledge about OH, methods and instruments used for oral hygiene (OH). According to the results, the responsible of OH of children are the caretakers (90.7 percent) who receive instructions from the nurse team in 21.4 percent of cases. As for the oral cavity discomfort, the nurse team reported that all patients exhibited clinical manifestations while the caretakers reported a different number, 62.8 percent of cases. All participants considered important having a dentist in the oncology sector. According to the results obtained, it was possible to conclude that there is no oral health protocol for hospitalized children with cancer and that the most frequent oral manifestations among patients going through antineoplastic treatment were: mucositis, nausea, vomit, xerostomy and lack of sense of taste.

Conhecimentos e práticas sobre saúde bucal em pacientes infantis com câncer / Knowledge and practice of oral health in child patients with cancer

The aim of this study was to use a qualitative approach of an exploratory nature to analyze the knowledge and practice of a nursing staff at Hospital Infantil Joana de Gusmão as regards oral health. The sample consisted of 2 nurses and 10 nursing technicians. Data collection was carried out through semi-structured interviews and the content was analysed considering 2 thematic groups: practice and oral health knowledge and meanings of health care. The results revealed a lack of attention concerning oral health care in child patients undergoing antineoplastic treatment. It could be concluded that there is a clear need to adopt measures directed towards oral health care to promote patient health and quality of life. Furthermore, training courses on oral health in oncology, as well as the inclusion of a dentist on the hospital staff, are also suggested.

Cárie dentária nas populações jovens em todo mundo / Dental caries in the young population around the world

Através de uma análise detalhada da prevalência de cárie em populações jovens de vários países do mundo, demostra-se que a doença ainda atinge de forma severa alguns grupos populacionais. Apresenta-se o índice SIC (Significant Caries Index), um novo índice de cárie dental, além de se discutir sua relação com os valores do CPO-D (ìndice de dentes cariados, perdidos e obturados). Observou-se que o índice SIC, com relação ao CPO-D, mostrou-se mais preciso e criterioso, facilitando o planejamento adequado de políticas públicas de saúde.