ABSTRACT
ABSTRACT Objective: This cross-sectional study aimed to assess clinical dental status in military firefighters of Rio de Janeiro State and compare data with Brazilian National and Regional oral health surveys. Material and Methods: A sample of 926 military firefighters was examined using the visible biofilm index, the DMFT index and the Community Periodontal Index (CPI). Clinical exams were performed by 15 trained dentists. The Kruskal-Wallis test and Mann-Whitney test with Bonferroni correction were used. Results: Higher biofilm accumulation was associated with increased age. The mean DMFT index for the whole sample of this study was 12.74 (±7.03), and the 'filled' component was the most prevalent (69.9%), whereas the 'decayed' and 'missing' components were, respectively, 8.4% and 21.7%. There was a higher prevalence of periodontal diseases with increasing age, ranging from 57.1% in firefighters of 34 years or less to 70.5% in the ones between 35 and 44 years old and 75.4% in participants at age 45 years or older. Clinical dental status of the military firefighters who belonged to the age group 35-44 was better than the one observed for the Brazilian population at the same age range. However, pathological conditions that can be solved with health promotion strategies associated with dental procedures of low complexity still persist. Conclusion: These results suggest that the availability of dental health care services itself does not represent the most effective approach to the oral health problems found in the studied population.
Subject(s)
Humans , Male , Female , Adult , Brazil/epidemiology , Dental Health Surveys/methods , Oral Health , Health Care Surveys/methods , Firefighters , Dental Caries/diagnosis , Clinical Diagnosis/diagnosis , Periodontal Index , Dental Plaque Index , Cross-Sectional Studies/methods , Data Interpretation, Statistical , Statistics, Nonparametric , Dental Health Services , Dental Plaque , DentistsABSTRACT
Este estudo teve como objetivo determinar a condição de primeiro molar permanente em pacientes pediátricos de três ambulatórios de AIDS Pediátrica no município do Rio de Janeiro com diagnóstico definitivo para a infecção pelo HIV. De 178 crianças que fazem parte do Programa de Prevenção de Saúde Bucal a Crianças HIV+, integraram esta amostra 59 crianças, entre 5 e 14 anos de idade, de ambos os sexos, que tinham pelo menos um primeiro molar permanente erupcionado. Os primeiros molares permanentes foram classificados como: hígido, cariado, obturado e perdido. Para análise estatística foi usado o teste Qui-quadrado. A média de idade foi de 8,78 ± 2,29 anos, sendo 47,5 por cento meninos. Nove pacientes (15,3 por cento) perderam algum primeiro molar permanente e todos estes tinham nove anos de idade ou mais; 77,8 por cento destes perderam dois ou mais primeiros molares permanentes. Não houve diferença estatística significante (p = 0,37) entre meninos (21,43 por cento) e meninas (9,68 por cento). Foram perdidos 18 (8,57 por cento) dentes, sendo 13 (6,19 por cento) obturados e 65 (30,95 por cento) cariados, de um total de 210 primeiros molares permanentes, sendo a perda no arco inferior maior (66,7 por cento) do que no superior (p = 0,04). A morbidade do primeiro molar permanente foi elevada, o que demonstra a necessidade de um controle rigoroso dos fatores etiológicos da doença nestas crianças
Subject(s)
Humans , Male , Female , Child, Preschool , Child , Adolescent , Dental Caries/epidemiology , DMF Index , HIV Infections , Molar , Prevalence , Tooth Loss/epidemiologyABSTRACT
Amelogenesis imperfecta (AI) is a heterogeneous genetic disorder which affects the dental enamel. It can have an autosomal dominat, autosomal recessive or X-linked pattern. The authors describle a case of a family with hypomaturation X-linked AI and discuss the clinical and histopathological aspects of this disorder
