Impact of dental fluorosis on the oral health-related quality of life: a systematic review.

OBJECTIVE: The aim of this systematic review is to investigate the literature to assess the effect of dental fluorosis on the Oral Health-Related Quality of Life (OHRQoL). MATERIALS AND METHODS: Included studies were epidemiological investigations, clinical trials, or human studies that directly compared the impact on OHRQoL between individuals with dental fluorosis and those without, utilizing valid OHRQoL assessment tools. The searches were conducted up to March 2024 in databases, including PubMed, Scielo, LILACS, Scopus, Web of Science, Embase, and the Virtual Health Library. Additionally, gray literature sources such as Google Scholar, OpenGrey, Ibict/BDTD, and ProQuest were searched. Reference lists were also manually reviewed for potential eligible studies. The risk of bias in cohort studies was assessed using the Newcastle-Ottawa Scale (NOS), while its modified version was employed for cross-sectional studies. A narrative synthesis of the results was conducted. RESULTS: 16 studies were included in this Systematic Review. In total, 16,314 participants, aged 8 to 18, were assessed across the studies. Most of the included studies were cross-sectional, except for one cohort study. In assessing OHRQoL across different age groups and severities of dental fluorosis, the impact varied. A negative association between dental fluorosis and OHRQoL was found in 9 of the included studies, a positive association was found in 1 study, and no significative association was identified in 6 studies. Limitations in the included studies primarily pertained to cross-sectional designs, with significant issues such as the absence of sample size calculations, lack of non-response rate reporting, limited consideration of confounding factors, and substantial heterogeneity stemming from diverse diagnostic methods and assessment tools. CONCLUSION: The findings of the systematic review demonstrate a complex and varied relationship between dental fluorosis and OHRQoL in children and adolescents. These conclusions may have limitations in scientific evidence. The findings emphasize the need for further investigations to explore the intricate aspects of this relationship and identify contributing factors to varying outcomes. CLINICAL RELEVANCE: Dental caries preventive fluoridated measures might be indicated even if there would be a risk for mild dental fluorosis as the fluoridated public water. REVIEW REGISTRATION: This systematic review was registered in the International Prospective Register of Systematic Reviews (PROSPERO) under number: CRD42020186552.

The impacts of oral health-related quality of life of elderly people living at home: a cross-sectional study.

The scope was to verify the impact of oral and sociodemographic conditions, the dental treatment needs and dental pain, on the quality of life of the elderly. This cross-sectional study was conducted in 15 primary health care areas. A backward multivariate linear regression model was used (p<0.05) with oral health related-quality of life as dependent variable. There were 335 elderly people with predominance of women (56.72%) and aged up to 74 years (59.40%). Those who had up to 8 years of education predominated (87.46%), and those who were still working were the minority (13.43%). Multivariate linear regression (p<0.05) showed association with missing teeth (ß=0,12; IC 0,00:0,04; p<0,04) and dental prosthesis needs (ß=0,14; IC 0,13:0,81; p<0,01), women (ß=0,18; IC 0,23:0,85; p<0,01), less aged (ß=-0,12; IC -0,05:0,00; p<0,02), not working (ß=-0,15; IC -1,09:-0,20; p<0,01), with dental care need (ß=0,24; IC 0,25:0,63; p<0,01) and dental pain (ß=0,14; IC 0,10:0,64; p<0,01). Missing teeth, sociodemographic conditions, dental treatment needs and dental pain might impact oral health-related quality of life of elders.

The impacts of oral health-related quality of life of elderly people living at home: a cross-sectional study / Impactos da qualidade de vida relacionada à saúde bucal de idosos em domicílio: estudo transversal

Abstract The scope was to verify the impact of oral and sociodemographic conditions, the dental treatment needs and dental pain, on the quality of life of the elderly. This cross-sectional study was conducted in 15 primary health care areas. A backward multivariate linear regression model was used (p<0.05) with oral health related-quality of life as dependent variable. There were 335 elderly people with predominance of women (56.72%) and aged up to 74 years (59.40%). Those who had up to 8 years of education predominated (87.46%), and those who were still working were the minority (13.43%). Multivariate linear regression (p<0.05) showed association with missing teeth (β=0,12; IC 0,00:0,04; p<0,04) and dental prosthesis needs (β=0,14; IC 0,13:0,81; p<0,01), women (β=0,18; IC 0,23:0,85; p<0,01), less aged (β=-0,12; IC -0,05:0,00; p<0,02), not working (β=-0,15; IC -1,09:-0,20; p<0,01), with dental care need (β=0,24; IC 0,25:0,63; p<0,01) and dental pain (β=0,14; IC 0,10:0,64; p<0,01). Missing teeth, sociodemographic conditions, dental treatment needs and dental pain might impact oral health-related quality of life of elders.

Resumo O objetivo foi verificar o impacto da condição bucal e sociodemográfica, necessidade de tratamento odontológico e dor dentária na qualidade de vida de idosos. Este estudo transversal realizou-se em 15 áreas de cuidados primários de saúde. O modelo de regressão linear multivariado foi utilizado (p <0,05) considerando qualidade de vida como variável dependente. Participaram 335 idosos, predomínio de mulheres (56,72%) com idade até 74 anos (59,40%). Ter até 8 anos de estudo predominou (87,46%) e os que trabalhavam eram minoria (13,43%). A regressão linear multivariada (p <0,05) apresentou associação da qualidade de vida com dentes perdidos (β=0,12; IC 0,00:0,04; p<0,04) e necessidade de próteses (β =0,14; IC 0,13:0,81; p<0,01), com mulheres (β=0,18; IC 0,23:0,85; p<0,01), idosos mais jovens (β=-0,12; IC -0,05:0,00; p<0,02), que não trabalham (β=-0,15; IC -1,09:-0,20; p<0,01), com necessidades de tratamento odontológico (β=0,24; IC 0,25:0,63; p<0,01) e dor dentária (β=0,14; IC 0,10:0,64; p<0,01). Dentes perdidos, aspectos sociodemográficos, necessidade de tratamento odontológico e dor dentária podem impactar a qualidade de vida relacionada à saúde bucal de idosos.

Portal of the elderly: development and evaluation of the website with information about the aging process and the main speech, language and hearing disorders that affect the elderly. / Portal dos idosos: desenvolvimento e avaliação de um website com informações sobre o processo de envelhecimento e as principais alterações fonoaudiológicas que acometem os idosos.

PURPOSE: This research aimed to develop and evaluate a website with information on Speech-language therapy area with focus on the aging process. A website containing information with simple language, clear purpose and concise content was designed based on scientific evidence. METHODS: The Flesch Index was used to check the material readability, with 50% of the content corresponding to "easy" and 50% of the content corresponding to "difficult". The website development followed the steps: analysis and planning, modeling, implementation and evaluation. Evaluators invited to participate were part of the following categories: elderly people, caregivers and speech-language therapists. The sample consisted of 10 elderly, 8 caregivers and 10 speech-language therapists. Most individuals (89.28%) were females, who often accessed the Internet (78.57%) and had different educational levels. RESULTS: Statistical analyses were performed using the Kruskal-Wallis test and Spearman correlation coefficient. The website's content was classified as "adequate" and the website's technical quality as "excellent". There was no statistically significant difference between the categories and subscales or the overall score. CONCLUSION: The website can be considered an accessible material, and a source of consultation and complementation of information about the theme, as well as an important tool for effecting the information transmission process.

OBJETIVO: o estudo teve como objetivo desenvolver e avaliar um website com informações na área de Fonoaudiologia com enfoque no processo de envelhecimento. MÉTODO: foi elaborado um website contendo informações com linguagem simples, objetivo claro e conteúdo conciso, baseado em evidências científicas. Utilizou-se o índice de Flesch para verificar a legibilidade do material, encontrando-se, em 50% do conteúdo, o correspondente a "fácil" e, em 50% do conteúdo, o correspondente a "difícil". A elaboração do website seguiu as etapas: análise e planejamento, modelagem, implementação e avaliação. Foram convidados avaliadores que fizeram parte das categorias: idoso, cuidador de idoso e fonoaudiólogo. A amostra foi composta por 10 idosos, 8 cuidadores de idosos e 10 fonoaudiólogos. A análise estatística foi realizada por meio do teste Kruskal-Wallis e Coeficiente de Correlação de Spearman. RESULTADOS: o conteúdo do website foi avaliado como "adequado" e a qualidade técnica do website apresentou-se como "excelente". CONCLUSÃO: conclui-se que o website pode ser considerado um material acessível, que compõe uma fonte de consulta e de complementação de informações sobre a temática, além de uma importante ferramenta para efetivar o processo de transmissão de informação.

Portal dos idosos: desenvolvimento e avaliação de um website com informações sobre o processo de envelhecimento e as principais alterações fonoaudiológicas que acometem os idosos / Portal of the elderly: development and evaluation of the website with information about the aging process and the main speech, language and hearing disorders that affect the elderly

RESUMO Objetivo o estudo teve como objetivo desenvolver e avaliar um website com informações na área de Fonoaudiologia com enfoque no processo de envelhecimento. Método foi elaborado um website contendo informações com linguagem simples, objetivo claro e conteúdo conciso, baseado em evidências científicas. Utilizou-se o índice de Flesch para verificar a legibilidade do material, encontrando-se, em 50% do conteúdo, o correspondente a "fácil" e, em 50% do conteúdo, o correspondente a "difícil". A elaboração do website seguiu as etapas: análise e planejamento, modelagem, implementação e avaliação. Foram convidados avaliadores que fizeram parte das categorias: idoso, cuidador de idoso e fonoaudiólogo. A amostra foi composta por 10 idosos, 8 cuidadores de idosos e 10 fonoaudiólogos. A análise estatística foi realizada por meio do teste Kruskal-Wallis e Coeficiente de Correlação de Spearman. Resultados o conteúdo do website foi avaliado como "adequado" e a qualidade técnica do website apresentou-se como "excelente". Conclusão conclui-se que o website pode ser considerado um material acessível, que compõe uma fonte de consulta e de complementação de informações sobre a temática, além de uma importante ferramenta para efetivar o processo de transmissão de informação.

ABSTRACT Purpose This research aimed to develop and evaluate a website with information on Speech-language therapy area with focus on the aging process. A website containing information with simple language, clear purpose and concise content was designed based on scientific evidence. Methods The Flesch Index was used to check the material readability, with 50% of the content corresponding to "easy" and 50% of the content corresponding to "difficult". The website development followed the steps: analysis and planning, modeling, implementation and evaluation. Evaluators invited to participate were part of the following categories: elderly people, caregivers and speech-language therapists. The sample consisted of 10 elderly, 8 caregivers and 10 speech-language therapists. Most individuals (89.28%) were females, who often accessed the Internet (78.57%) and had different educational levels. Results Statistical analyses were performed using the Kruskal-Wallis test and Spearman correlation coefficient. The website's content was classified as "adequate" and the website's technical quality as "excellent". There was no statistically significant difference between the categories and subscales or the overall score. Conclusion The website can be considered an accessible material, and a source of consultation and complementation of information about the theme, as well as an important tool for effecting the information transmission process.

Parents' perception of dental caries in intellectually disabled children.

The aim of this study was to evaluate the parents' perception of dental caries in children with intellectual disability. This cross-sectional study was conducted with 6 to 14 years old schoolchildren: Group 1 (50 children diagnosed with intellectual disabilities) and Group 2 (50 children without it). The dental caries was assessed by the World Health Organization (WHO) criteria for primary and permanent teeth. Parents' psychosocial perception was assessed by Early Childhood Oral Health Impact Scale (ECOHIS). Similar prevalence of caries free children was found between groups in both dentitions. In primary dentition the caries index was higher in Group 2, and the opposite occurred in permanent teeth. Group 1 presented higher impact (p < .05) in the dimension drinking, eating and pronunciation, whereas in Group 2 there was higher impact (p = .01) on pain, sleep, irritation, the smile and family finances. Findings showed significant impact of dental caries on parents' perception of the oral health related quality of life of children with intellectual disabilities.

Conhecimento sobre a atuação fonoaudiológica em um município da região Amazônica / Knowledge about Speech Language Pathology and Audiology in a district in Amazon / Conocimiento sobre la actuación fonoaudiológica em un município de la región Amazónica

Objetivo: Analisar o conhecimento de uma população quanto à atuação fonoaudiológica. Métodos: Participaram 81 sujeitos residentes no município de Monte Negro, Estado de Rondônia, que foram divididos em três grupos, sendo o G1 composto por sujeitos que buscaram por atendimento fonoaudiológico, o G2 por sujeitos que buscaram por atendimento odontológico e o G3 pela população que não procurou nenhum tipo de atendimento. Para a quantificação do conhecimento sobre a atuação fonoaudiológica, os pesquisadores desenvolveram um questionário composto por 10 perguntas. Resultados: A média etária dos sujeitos do G1 foi de 47,88 anos, para o G2 foi 37,44 anos e para o G3 37,27 anos. No G1 houve prevalência do sexo masculino, o que não foi observado nos G2 e G3. Quanto à escolaridade, nos três grupos houve prevalência dos sujeitos analfabetos ou com ensino fundamental incompleto. Quando questionados sobre o conhecimento da atuação fonoaudiológica, não foi observada diferença entre os grupos, no entanto houve diferença ao associar o conhecimento sobre a atuação fonoaudiológica e a escolaridade dos indivíduos. Em relação à faixa etária que o fonoaudiólogo atua, grande parte da amostra respondeu que este profissional pode atuar com qualquer faixa etária. Quando questionados sobre a área de atuação fonoaudiológica, a maior parte dos sujeitos referiu a audiologia. Ao realizar as comparações entre a necessidade de atendimento fonoaudiológico, a escolaridade e idade não foram encontradas diferenças significativas. Conclusão: Observou-se o desconhecimento ou conhecimento parcial sobre a atuação fonoaudiológica, mesmo entre os sujeitos que aguardavam pelo atendimento fonoaudiológico.

Objective: to analyze a population's knowledge regarding Speech Language Pathology and Audiology. Methods: 81 subjects resident in Monte Negro city were interviewed, and were divided into three groups, G1 composed of subjects who sought for Speech Language Pathology and Audiology therapy, G2 by subjects who sought for dental care and G3 by a population which did not seek any kind of service. For quantification of knowledge about Speech Language Pathology and Audiology performance, the researchers developed a questionnaire with 10 questions. Results: The mean age of the subjects in G1 was 47.88 years, 37.44 years for G2 and to G3 37.27 years. G1 was prevalent in males, which was not observed in G2 and G3. Regarding education, the three groups showed prevalence of subjects illiterate or with incomplete primary education. When asked about the knowledge of Speech Language Pathology and Audiology practice, no difference between the groups was observed, however there was difference when combining knowledge about Speech Language Pathology and Audiology therapy care and education of individuals. Regarding the age at which the Speech Language Pathologist and Audiologist acts, most of the sample responded that this professional can work with any age group. When questioned about the area of actuation most of them reported the area of audiology. To make comparisons of the need for speech therapy with education and age, no difference was found. Conclusion: There was ignorance or partial knowledge about the Speech Language Pathology and Audiology, even among subjects who were waiting for Speech Language Pathology and Audiology therapy.

Objetivo: Analizar el conocimiento de una población sobre la actuación fonoaudiológica. Métodos: participaron 81 sujetos que viven en el município de Monte Negro, Estado de Rondónia, que fueron divididos en tres grupos: el G1 compuesto por individuos que buscaban atención fonoaudiológica, el G2 por sujetos que buscaban la atención odotontológica y el G3 por la población que no buscó cualquier tipo de atención. Para cuantificar el conocimiento sobre la actuación fonoaudiológica, los investigadores desarrollaron un cuestionario con 10 preguntas. Resultados: la media etaria de los sujetos de G1 fue 47,88 años, para el G2 fue 37,44 años y 37,27 años para el G3. En G1 hubo un predominio del sexo masculino, lo que no fue observado en el G2 y G3. En la educación, los tres grupos mostraron prevalencia de sujetos analfabetos o con enseñanza primaria incompleta. Cuando se les preguntó a respeto del conocimiento sobre la fonoaudiologia, no hubo diferencia entre los grupos, sin embargo hubo diferencia al asociar el conocimiento sobre la actuación fonoaudiológica y la escolaridad de los individuos. Sobre los grupos etarios que el fonoaudiólogo actua, la mayoría de los participantes respondieron que este profesional puede trabajar con cualquier grupo de edad. Cuando se les preguntó acerca de la área de operaciones fonoaudiológicas, la mayoría informó la Audiología. Al realizar comparaciones entre la necesidad de atención fonoaudiológica, la escolaridad y la edad no fueron encontradas diferencias significativas. Conclusión: Se observó desconocimiento o conocimiento parcial sobre la actuación de la fonoaudiologia, incluso entre los sujetos que aguardaban la atención fonoaudiológica.

Xylitol concentrations in artificial saliva after application of different xylitol dental varnishes.

OBJECTIVE: The present study analyzed xylitol concentrations in artificial saliva over time after application of varnishes containing 10% and 20% xylitol. MATERIAL AND METHODS: Fifteen bovine enamel specimens (8x4 mm) were randomly allocated to 3 groups (n=5/group), according to the type of varnish used: 10% xylitol, 20% xylitol and no xylitol (control). After varnish application (4 mg), specimens were immersed in vials containing 500 µL of artificial saliva. Saliva samples were collected in different times (1, 8, 12, 16, 24, 48 and 72 h) and xylitol concentrations were analyzed. Data were assessed by two-way repeated-measures ANOVA (p<0.05). RESULTS: Colorimetric analysis was not able to detect xylitol in saliva samples of the control group. Salivary xylitol concentrations were significantly higher up to 8 h after application of the 20% xylitol varnish. Thereafter, the 10% xylitol varnish released larger amounts of that polyol in artificial saliva. CONCLUSIONS: Despite the results in short-term, sustained xylitol releases could be obtained when the 10% xylitol varnish was used. These varnishes seem to be viable alternatives to increase salivary xylitol levels, and therefore, should be clinically tested to confirm their effectiveness.

Xylitol concentrations in artificial saliva after application of different xylitol dental varnishes

OBJECTIVE: The present study analyzed xylitol concentrations in artificial saliva over time after application of varnishes containing 10% and 20% xylitol. MATERIAL AND METHODS: Fifteen bovine enamel specimens (8x4 mm) were randomly allocated to 3 groups (n=5/group), according to the type of varnish used: 10% xylitol, 20% xylitol and no xylitol (control). After varnish application (4 mg), specimens were immersed in vials containing 500 µL of artificial saliva. Saliva samples were collected in different times (1, 8, 12, 16, 24, 48 and 72 h) and xylitol concentrations were analyzed. Data were assessed by two-way repeated-measures ANOVA (p<0.05). RESULTS: Colorimetric analysis was not able to detect xylitol in saliva samples of the control group. Salivary xylitol concentrations were significantly higher up to 8 h after application of the 20% xylitol varnish. Thereafter, the 10% xylitol varnish released larger amounts of that polyol in artificial saliva. CONCLUSIONS: Despite the results in short-term, sustained xylitol releases could be obtained when the 10% xylitol varnish was used. These varnishes seem to be viable alternatives to increase salivary xylitol levels, and therefore, should be clinically tested to confirm their effectiveness.

Dental caries profile in Monte Negro, Amazonian state of Rondônia, Brazil, in 2008.

OBJECTIVE: This epidemiological survey assessed the dental caries profile in Monte Negro, a small town in the Amazonian state of Rondônia, Brazil, and its relationship with the northern region, national and global goals for oral health in the years 2000 and 2020. MATERIAL AND METHODS: The groups randomly examined were composed of individuals aged 5, 12, 15 to 19, 35 to 44, 65 to 74 years, living in both rural and urban areas. RESULTS: The means dft (standard deviation) and DMFT (standard deviation) for the groups were, respectively, 3.15 (3.12), 3.41 (2.69), 5.96 (4.19), 16.00 (7.30) and 25.96 (9.82). Caries-free individuals were 34.42%, 14.81% and 8.16% in the preschoolchildren, schoolchildren and adolescent groups, respectively. The Significant Caries Index percentages applied to the two younger groups were 6.65 and 6.70, and they increased to 32.00 in the individuals aged 65 to 74 years. Care Index percentages for adolescents, adults and elderly groups were, respectively, 29.40, 25.00 and 1.41. The dental caries profile in Monte Negro in 2008 shows that, 8 years after the year 2000, no FDI/WHO goal for any age settled in 1982 has been achieved. Dental caries increased with age and the main dental problem of adult and elderly groups was tooth loss. CONCLUSION: Oral health promotion and prevention of oral disease policies are urgent needs. Setting of oral health goals and targets to people living in Monte Negro or Amazonia to be pursuit and achieved in a near future is an important action to do because of the culture, sanitary conditions and socioeconomic aspects of this particular population.

Dental caries profile in Monte Negro, Amazonian state of Rondônia, Brazil, in 2008

OBJECTIVE: This epidemiological survey assessed the dental caries profile in Monte Negro, a small town in the Amazonian state of Rondônia, Brazil, and its relationship with the northern region, national and global goals for oral health in the years 2000 and 2020. MATERIAL AND METHODS: The groups randomly examined were composed of individuals aged 5, 12, 15 to 19, 35 to 44, 65 to 74 years, living in both rural and urban areas. RESULTS: The means dft (standard deviation) and DMFT (standard deviation) for the groups were, respectively, 3.15 (3.12), 3.41 (2.69), 5.96 (4.19), 16.00 (7.30) and 25.96 (9.82). Caries-free individuals were 34.42 percent, 14.81 percent and 8.16 percent in the preschoolchildren, schoolchildren and adolescent groups, respectively. The Significant Caries Index percentages applied to the two younger groups were 6.65 and 6.70, and they increased to 32.00 in the individuals aged 65 to 74 years. Care Index percentages for adolescents, adults and elderly groups were, respectively, 29.40, 25.00 and 1.41. The dental caries profile in Monte Negro in 2008 shows that, 8 years after the year 2000, no FDI/WHO goal for any age settled in 1982 has been achieved. Dental caries increased with age and the main dental problem of adult and elderly groups was tooth loss. CONCLUSION: Oral health promotion and prevention of oral disease policies are urgent needs. Setting of oral health goals and targets to people living in Monte Negro or Amazonia to be pursuit and achieved in a near future is an important action to do because of the culture, sanitary conditions and socioeconomic aspects of this particular population.

Epidemiologia das doenças bucais em indivíduos na faixa etária entre 35 e 44 anos: o cenário epidemiológico do trabalhador / Epidemiology of oral diseases in individuals between the ages of 35 and 44 years:an epidemiological scenario of the worker

Objetivo: Revisar a respeito de estudos epidemiológicos em doenças bucais, especificamente cárie, doença periodontal e câncer bucal, na faixa etária entre 35 e 44 anos. Métodos: A estratégia utilizada para identificação dos artigos foi realizada por meio da base de dados PubMed, utilizando as palavras chave: dental health surveys, epidemiology, caries, periodotitis, cancer, sempre com o operador boleano and sem limitação de idioma. Os critérios de exclusão foram: artigos publicados a mais de 10 anos, artigos que não retratassem adultos de 35 a 44 anos e artigos que não abordassem o assunto proposto. Resultados: Para cárie dentária foram encontrados 7 071 artigos e foram excluídos 6 992 artigos, restando 79. Do critério textos completos, de 19 artigos foram selecionados 8 que estavam coerentes com os objetivos do trabalho. Para doença periodontal foram encontrados 1 554 artigos e foram excluídos 872 artigos. Com a avaliação de textos completos, foram selecionados 6 artigos. Quanto ao assunto câncer bucal foram encontrados 573 artigos e 3 artigos se adequaram ao trabalho. Conclusão: Pode-se considerar que a doença cárie aumenta com a idade e que a perda dentária prevalece no CPO-D nos adultos. Em adultos prevalece o cálculo e as bolsas rasas e a necessidade de prótese é maior no idoso apesar de ser significante nos adultos de 35 a 44 anos. O câncer bucal tem maior incidência no sexo masculino com um sinergismo nos fumantes etilistas. Durante a busca na base de dados observou-se que o número de pesquisas é menor entre os adultos.

Objectives: To review epidemiological studies on oral diseases, specifically caries, periodontal disease and oral cancer, in the age group between 35 and 44 years. Methods: The strategy used to identify the articles was to search the PubMed database using the following key words: dental health surveys, epidemiology, caries, periodotitis, cancer, always with Boolean operator, and without limitation of language. The exclusion criteria were as follows: articles published over 10 years ago, articles that did not deal with adults from 35 to 44 years old and articles that did not cover the issue proposed. Results: On dental caries 7.071 articles were found, from which 6.992 articles were excluded, leaving 79. In the criteria complete articles, of the 19 articles selected, 8 were coherent with the objectives of the study. On periodontal disease, 1.554 articles were found and 872 articles were excluded. After evaluating the complete articles, 6 articles were selected. With regard to the subject oral cancer, 573 articles were found and 3 articles suited the study. Conclusion: It may be considered that caries disease increases with age and that dental loss prevails in DMFT in adults. In adults the prevalence of calculus and shallow pockets prevails and the need for dentures is higher in elderly people although it is significant in adults between the ages of 35 and 44 years. There is a higher incidence of oral cancer in men with a synergism in alcoholic smokers. During the search in the database, it was observed that the number of researches is lower among adults.

A avaliação da satisfação dos usuários de AASI na região amazônica / Evaluation of user satisfaction of hearing aids (HA) in the amazon

Introdução: A principal função da audição humana é possibilitar a comunicação oral. Neste sentido, a deficiência auditiva prejudica gravemente as habilidades comunicativas e as relações sociais dos indivíduos. Dessa forma, o projeto "USP em Rondônia" da FOB/USP realiza expedições itinerantes ao município de Monte Negro/RO possibilitando a promoção da saúde auditiva. Objetivo: Avaliar o nível de satisfação dos usuários de aparelho de amplificação sonora individual (AASI). Método: Foi realizado um estudo prospectivo com 18 indivíduos com deficiência auditiva, adaptados com AASI na Clínica de Saúde Bucal e Fonoaudiológica de Monte Negro/RO. Para a avaliação foi utilizado o questionário de auto-avaliação IOI-HA (International Outcome Inventory for Hearing Aids). Resultados: Em relação aos sete domínios avaliados, verificou-se que a média referente ao uso foi de 4,2; do benefício foi de 3,9; da limitação de atividade residual foi de 3,7; da satisfação foi de 4,4; da restrição de participação de atividade residual foi de 3,8; do impacto nos outros foi de 4,3 e 3,9 para a qualidade de vida. Com relação aos fatores 1 e 2, foi aplicado o teste estatístico t-Student não encontrando diferença estatisticamente significante. No entanto, a análise das pontuações referentes aos fatores 1 e 2 mostraram bons resultados quanto a interação do indivíduo com o seu AASI e com seu ambiente, respectivamente. Conclusão: Com este estudo pode-se atestar o alto grau de satisfação do uso do AASI apresentado pela maioria da amostra coletada, em todos os domínios analisados.

Introduction: The main function of human hearing is enabling oral communication. In this sense, hearing loss impairs severely communication skills and social relationships of individuals. Therefore, the project "USP in Rondônia" of FOB/USP conducts expeditions travelling to the municipality from Monte Negro/RO allowing the promotion of hearing health. Objective: To assess the level of satisfaction user with hearing aids (HA). Method: Was accomplished a prospective study of 18 individuals with hearing loss fitted with hearing aids in the Clinic of Oral and Fono Audiological Health from Monte Negro/RO. For the evaluation, we used the questionnaire for self-assessment IOI-HA (International Outcome Inventory for Hearing Aids). Results: Concerning the seven domains assessed, it was verified that the average referring to the use was 4.2, the benefit was 3.9, the limiting of residual activity was 3.7; the satisfaction was 4.4, the restriction of participation of residual activity was 3.8, the impact on others was 4.3 and 3.9 for the quality of life. Respecting the factors one and two, it was applied the statistical test t-Student founding no statistically significant difference. However, the analysis of the score relative to factors one and two showed good results as the individual's interaction with his hearing aid and with their environment, respectively. Conclusion: With this study, we can demonstrate the high grade of satisfaction from the use of hearing aids presented by the majority of the sample collected in all domains analyzed.

Alterações auditivas em trabalhadores de indústrias madeireiras do interior de Rondônia / Hearing alterations in wood industry workers from the country side of Rondônia, Brazil

O ruído ocupacional é considerado um risco físico bastante freqüente em quase todos os segmentos industriais e, desse modo, merece atenção especial por parte dos profissionais da saúde e segurança do trabalho. O presente estudo investigou a presença de queixas e alterações audiométricas em trabalhadores de indústrias madeireiras do interior de Rondônia. Participaram do estudo 16 trabalhadores de três indústrias, os quais foram submetidos a uma entrevista sobre a audição, bem como ao exame audiológico por meio da audiometria tonal liminar e da imitanciometria. Todos os participantes eram do gênero masculino,sendo que a maioria apresentava idade inferior a 25 anos e referiu não haver concluído o Ensino Fundamental. Queixas auditivas e uso de protetor auricular foram referidos pela metade da amostra. Os traçados audiométricos revelaram alteração na metade da amostra.

Occupational noise is considered a physical risk that is frequent in almost all industrial segments. That is why occupational safety and health professionals give it special attention. The present study investigated the presence of audiometric alterations in wood industry workers from the countryside of Rondônia, Brazil. Sixteen workers of three industries took part in the study. They were interviewed on their hearing capacities and went through audiologic examination by means of preliminary tonal audiometry and acustic impedance tests. All the participants were male, most of them under 25 years old. They reported not having finished elementary school. Half of the sample presented auditory complaints and mentioned use of hearing protectors. Audiometric tracings disclosed alterations in half of the sample.