Avaliação das condições de saúde bucal de Portadores de Necessidades Especiais / Evaluation of oral health conditions of patients with Special Needs

Objetivo: O objetivo deste trabalho foi avaliar as condições de saúde bucal de Portadores de Necessidades Especiais (PNE) de uma Escola Especial da cidade de Patos-PB, bem como identificar as dificuldades apontadas por seus responsáveis para a manutenção da saúde bucal dos mesmos. Metodologia: A população-alvo deste estudo foi composta por 74 alunos, de ambos os sexos, regularmente matriculados, que preencheram os critérios de inclusão previamente estabelecidos e por seus responsáveis. O estudo foi conduzido em duas etapas: a primeira consistiu na aplicação de um formulário aos responsáveis pelos PNE, e a segunda, na realização de um exame clínico intrabucal, realizado por um examinador e anotador previamente calibrados, em que se avaliaram as condições de saúde bucal dos alunos por meio do Índice de Cárie Dentária (CPO-D), do Índice de Higiene Oral Simplificado (IHOS) e da presença de Trauma Dentário. Resultado: Observou-se que 75,4% dos alunos já haviam recebido algum tipo de tratamento odontológico; destes, 50,9% afirmaram ter sido na Unidade Básica de Saúde. O CPO-D médio foi de 12,6 (±8,4), 52% apresentaram higiene oral deficiente e o trauma dental foi observado em 19,3% dos alunos analisados. Com relação ao parto, 51% das mães relataram ter tido uma gestação normal e 54,4% nunca haviam sido orientadas com relação aos cuidados com a saúde bucal do filho. Entre as dificuldades relatadas pelos responsáveis para manter a saúde bucal do PNE, 33,3% afirmaram ser encontrar um Dentista que o atenda e 33,3% apontaram o custo do tratamento. Conclusão: Os altos índices revelados pelo CPO-D, bem como a higiene oral deficiente, somados às dificuldades relatadas em se realizar o acompanhamento odontológico ...

Objective: The aim of this study was to evaluate the oral health of patients with Special Needs (SN), and identify the difficulties pointed out by their parents for maintaining the oral health. Methodology: The population for this study was made up of 74 students, of both sexes, enrolled who met the inclusion criteria previously established and their parents. This study was conducted in two stages: the first was the application of a form to parents of the students with SN and the second, the achievement of an intraoral clinical examination, by an examiner and recorder calibrated, which evaluated the oral health status of students through the Caries index (CPO-D), Simplified Oral Hygiene Index (IHOS) and presence of dental trauma. Result: It's noted that 75.4% had received some form of dental treatment, of these, 50.9% said they had been in the Basic Health Unit. The caries index was 12.6 (±8,4), 52% had poor hygiene oral and the dental trauma was observed in 19.3% of analyzed students. With respect to delivery, 51% of mothers reported having had a normal pregnancy and 54.4% were never oriented in relation to the oral health care of the child. Among the difficulties reported by the parents for maintaining the oral health of the SN, 33.3% claimed to be finding a dentist that meets, and 33.3% pointed the cost of treatment. Conclusion: The high rates revealed by CPO-D, as well as poor oral higiene, added to the reported difficulty in performing the dental care of these individuals, show the need to implement more public policy that give more attention to these patients. .

Human herpesvirus-8 infection and oral shedding in Amerindian and non-Amerindian populations in the Brazilian Amazon region.

BACKGROUND: Human herpesvirus type 8 (HHV-8) is hyperendemic in Amerindian populations, but its modes of transmission are unknown. METHODS: Antibodies against either HHV-8 lytic antigen or HHV-8 latency-associated nuclear antigen (LANA) were detected, by immunofluorescence assays, in 339 Amerindians and 181 non-Amerindians from the Brazilian Amazon. Serological markers of oro-fecal (hepatitis A), parenteral (hepatitis B and C), and sexual (herpes simplex virus type 2 and syphilis) transmission were measured by specific ELISAs. Salivary HHV-8 DNA was detected by use of a nested polymerase chain reaction assay and was sequenced. RESULTS: Antibodies against either lytic antigen or LANA were detected in 79.1% of Amerindians and in 6.1% of non-Amerindians (adjusted seroprevalence ratio [SR], 12.63 [95% confidence interval {CI}, 7.1-22.4]; P<.0001). HHV-8 seroprevalence increased with age among Amerindians (P(Trend) < .001) and already had high prevalence in childhood but was not sex specific in either population. The 2 populations did not differ in seroprevalence of oro-fecal or parenteral markers, but seroprevalence of markers of sexual transmission was lower among Amerindians. HHV-8 DNA in saliva was detected in 47 (23.7%) of 198 HHV-8 seropositive Amerindians. Detection of HHV-8 DNA decreased with age (P(Trend) < .04) and was more common in men (SR, 2.14 [95% CI, 1.3-3.5]; P=.003). A total of 36 (76.6%) of the 47 saliva HHV-8 DNA samples were sequenced, and all clustered as subtype E. CONCLUSION: The data support the hypothesis of early acquisition and horizontal transmission, via saliva, of HHV-8 subtype E in Amerindian populations.

Uso de oleato de etanolamina para hemangiomas da cavidade bucal: um estudo de cinco anos / Use of ethanolamine oleate for hemangioma in the oral cavity: a study of five years

Introdução: O hemangioma é uma lesão vascular, podendo representar uma neoplasia benigna dos vasos sanguíneos, um hamartoma ou uma malformação vascular (Neville et al. 1, 1998, Marcucci 2, 2005). O hemangioma representa 8% das lesões da cavidade oral do ambulatório da Universidade Cidade de São Paulo. (Prado et al. 3, 2010). Métodos: foram avaliados 178 prontuários da Clínica de Odontologia da Universidade Cidade de São Paulo no período de 2005 a 2010. Na análise avaliou-se o gênero acometido, a faixa etária, a localização e tamanho da lesão, e a quantidade de aplicações de oleato de etanolamina para regressão total da lesão Resultados: O gênero masculino foi o mais acometido com 54% dos casos, a 6ª e a 7ª décadas foram as mais prevalentes com uma média de 62 anos, o lábio inferior foi a região anatômica mais acometida e em 38% dos casos apenas uma aplicação foi necessária para a regressão total da lesão

Introduction: The hemangioma is a vascular lesion, which may represent a benign tumor of blood vessels, a hamartoma or a vascular malformation (Neville et al. 1, 1998, Marcucci 2, 2005) . Hemangioma accounts for 8% of lesions of the oral cavity (Prado et al. 3, 2010). Methods: We evaluated 178 medical records of clinical dentistry at the University City of São Paulo in the period 2005 to 2010. The analysis assessed the affected gender, age, location and size of the lesion, and the number of applications of ethanolamine oleate to total regression of the lesion Results: Male gender was the most affected with 54% of cases, the 6th and 7th decade were most prevalent with a mean of 62 years, the lower lip was the anatomic region most affected, an application was necessary in 38% of cases for regression of the lesion