ABSTRACT
BACKGROUND/AIMS: Strategies for the prevention of traumatic dental injuries (TDI) should consider the risk factors involved for each population studied. The aim of this study was to perform a critical review regarding the risk factors for TDI in the Brazilian population. MATERIALS AND METHODS: A systematic literature search was performed in the MEDLINE, Scopus, Web of Science, Lilacs, and BBO databases using MeSH terms, synonyms, and keywords, with no language or date restrictions. In the first step, all relevant studies identified, regardless of the type of statistical analysis performed, were grouped according to their geographic location. In a second step, the studies using Andreasen's criteria to classify the injuries and multivariate analysis to identify the risk factors for TDI in Brazilian subjects were included for data extraction. RESULTS: The search strategy initially identified 3373 articles. However, only 108 articles assessed TDI with predisposing factors and were included in the first step. From those, 28 were deemed eligible for inclusion in the second step. No consensus related to the relationship between gender and TDI in the primary dentition was achieved. Nonetheless, males were found to be more prone to trauma in the permanent dentition. Overjet, inadequate lip sealing and anterior open bite increased the risk for TDI, both in primary and permanent dentitions. Social environment was related to trauma only in primary dentition. For permanent dentition, dental caries, obesity, binge drinking, and drug use were identified as considerable risk factors for TDI. CONCLUSION: The risk factors for TDI in the Brazilian population are similar to those found worldwide. However, some differences can be observed, such as gender and socioeconomic indicators as predisposing factors.
Subject(s)
Tooth Injuries/epidemiology , Tooth Injuries/etiology , Brazil/epidemiology , Humans , Risk FactorsABSTRACT
PURPOSE: The purpose of this study was to evaluate the relationship between socio-demographic characteristics of caregivers and the oral health of their children infected with human immunodeficiency virus (HIV+) compared to a group of HIV-children and their caregivers. METHODS: One hundred forty HIV+ and 140 healthy two- to five-year-old children and their caregivers who sought care at hospitals in Rio de Janeiro, Brazil, participated. Caregivers were interviewed for sociodemographic characteristics, and knowledge and attitudes regarding oral health. The decayed, missing and filled primary teeth (dmft) index was obtained for the children. Chi-square and Mann-Whitney tests were used (five percent significance level). Content analysis method was used for qualitative evaluation. RESULTS: Most interviewees were mothers (83.6 percent), did no work outside the home (69.3 percent), had low educational status (47.1 percent), and were born in the South/Southeast regions of Brazil (83.6 percent). The mean dmft was 3.48±3.14 for the HIV+ group and 1.02±1.00 for the healthy children. Oral care was reported as important by 54.1 percent of the caregivers. Those who didn't consider oral care important had never received information about oral health (P<0.01). Caregivers born in the North/Northeast regions took their children to the dentist less frequently than mothers born in other areas (P=0.02). Low educational status influenced the attitudes about oral health (P<0.01), irregular dental visits for the children (P<0.01), and the dmft index (P<0.01). CONCLUSION: Caregivers' low educational status and birthplace influenced the importance given to HIV+ children's oral health as well as the oral health knowledge and practices for both HIV+ and healthy children.
Subject(s)
Caregivers/psychology , HIV Infections/complications , Health Knowledge, Attitudes, Practice , Health Status , Oral Health , Adult , Brazil , Caregivers/education , Caregivers/statistics & numerical data , Case-Control Studies , Chi-Square Distribution , Child, Preschool , Demography/statistics & numerical data , Educational Status , Female , Humans , Interviews as Topic , Male , Middle Aged , Mothers , Oral Health/statistics & numerical data , Socioeconomic Factors , Statistics, Nonparametric , Surveys and Questionnaires , Tooth, DeciduousABSTRACT
BACKGROUND/AIM: The association between trauma and caries is still controversial in the literature. The aim of this study was to evaluate the possible association between caries and dental trauma through a systematic review with meta-analysis. DESIGN: A systematic literature search was performed in PubMed, Lilacs, BBO, Scopus, Web of Science, Cochrane Library, and Open Grey databases. The MeSH terms used were 'Tooth injuries', 'Tooth fractures', 'Tooth avulsion', 'Tooth movement'; 'Dental caries'; 'DMF index'; and 'Tooth demineralization'. MeSH synonyms, related terms, and free terms were included. The inclusion criteria comprised clinical investigations of subjects with and without caries that had suffered dental trauma. Quality assessment and bias control were carried out. Meta-analysis was performed using the comprehensive meta-analysis software (version 3.2). Heterogeneity was assessed using the I2 index, and the odds ratio was also calculated (P < 0.05). RESULTS: From 1290 abstracts, seven met the inclusion criteria. All studies had high methodological quality and five were included in the meta-analysis. The results demonstrated a positive association (P < 0.001) between dental trauma and dental caries in permanent teeth [OR: 1.490, 95%, CI: 1.209-1.835]. However, for children with primary teeth, the results showed a negative association (P = 0.006) between dental trauma and caries [OR: 0.706, 95%, CI: 0.550-0.906]. CONCLUSIONS: The results demonstrated positive and negative association between the presence of caries and dental trauma in permanent and primary teeth, respectively.
Subject(s)
Dental Caries/complications , Tooth Injuries/etiology , Humans , Risk FactorsABSTRACT
OBJECTIVES: The aim of this systematic review and meta-analysis was to assess the differences in clinical performance in direct and indirect resin composite restorations in permanent posterior teeth. SOURCES: PubMed, the Cochrane Library, Web of Science, Scopus, LILACS, BBO, ClinicalTrials.gov and SiGLE were searched without restrictions. STUDY SELECTION: We included randomized clinical trials (RCTs) that compared the clinical performance of direct and indirect resin composite restorations in Class I and Class II cavities in permanent teeth, with at least two years of follow-up. The risk of bias tool suggested by Cochrane Collaboration was used for quality assessment. DATA: After duplicate removal, 912 studies were identified. Twenty fulfilled the inclusion criteria after the abstract screening. Two articles were added after a hand search of the reference list of included studies. After examination, nine RCTs were included in the qualitative analysis and five were considered to have a 'low' risk of bias. The overall risk difference in longevity between direct and indirect resin composite restorations in permanent posterior teeth (p>0.05) at five-year follow-up was 1.494 [0.893-2.500], and regardless of the type of tooth restored, that of molar and premolars was 0.716 [0.177-2.888] at three-year follow-up. CONCLUSIONS: Based on the findings, there was no difference in longevity of direct and indirect resin composite restorations regardless of the type of material and the restored tooth. CLINICAL SIGNIFICANCE: Contemporary dentistry is based on minimally invasive restorations. Any indication of a less conservative technique must have unquestionable advantages. In vitro and in vivo studies reveal contradictory evidence of the clinical performance of direct and indirect resin composite restorations in posterior teeth. Thus this study clarified this doubt.
Subject(s)
Dentition, Permanent , Composite Resins , Dental Caries , Dental Restoration, Permanent , Humans , MolarABSTRACT
O presente estudo epidemiológico visa apresentar a prevalência dos principais problemas de saúde bucal (cárie dentária, periodontopatias, má oclusäo e fluorose), em escolares do primeiro grau, com a finalidade de acompanhar o processo de fluoraçäo do sal no consumo humano, a implantaçäo de um programa de reorientaçäo da prática odontológica e do Internato Rural, no Município de Cabo Frio, Estado do Rio de Janeiro. As atividades envolvendo a programaçäo, coordenaçäo, supervisäo, execuçäo e avaliaçäo do Programa ficaram a cargo da Faculdade de Odontologia da Universidade do Estado do Rio de Janeiro, com apoio da Secretaria Municipal de Saúde e Promoçäo Social, através do Serviço Odontológico. Contando, também, com a colaboraçäo da Faculdade de Odontologia da Universidade do Rio de Janeiro, da Faculdade de Odontologia de Bauru, da Faculdade de Odontologia da Universidade de Goiás e do Ministério da Saúde, através da Fundaçäo Nacional de Saúde
Subject(s)
Humans , Male , Female , Dental Caries , Halogenation , Sodium Chloride , Malocclusion , Periodontal DiseasesABSTRACT
Trabalho realizado pelo Grupo de Trabalho Saúde Bucal em Sistemas Locais de Saúde, da rede Cedros, com o objetivo de oferecer subsídios aos responsáveis pela conduçäo das açöes de saúde bucal nos municípios. Faz uma caracterizaçäo do Sistema Unico de Saúde (SUS), destacando o papel dos Sistemas Locais de Saúde (SILOS) (MLFF)
Subject(s)
Dental Health Services/organization & administration , Local Health Systems/organization & administration , Brazil , Dental Caries/prevention & control , Cities , Dental Staff , Halogenation , Information ServicesABSTRACT
Apresentou os resultados preliminares do projeto AIPS nos 6 municípios que integram o convênio: Manguinhos (RJ), Goiânia (GO), Recife (PE), Curitiba (PR), Campinas (SP) e Sobral (CE). Foram 11 os pontos expostos pelo consultor, com temas que vão desde o fortalecimento dos serviços de saúde e da universidade na perspectiva da promoção da saúde até a geração de renda (fixa ou temporária) para membros da equipe do projeto ou da comunidade. Os arquivos estão disponíveis para leitura, audição e/ou download nos ícones ao lado.
