Impacto da pandemia provocada pelo SARS-CoV-2 na saúde mental de estudantes de Odontologia: uma revisão integrativa / Impacto de la pandemia causada por SARS-CoV-2 en la salud mental de los estudiantes de la odontología: una revisión integrativa / Impact of the pandemic caused by SARS-CoV-2 on the mental health of dental students: an integrative review

A saúde mental dos estudantes de Odontologia foi impactada pela pandemia provocada pelo coronavírus SARS-CoV-2 (COVID-19). O objetivo do estudo foi realizar uma revisão integrativa sobre o impacto da pandemia na saúde mental de estudantes de Odontologia. Foram consultadas as bases de dados PubMed Medline e SciELO, nas quais foram selecionados artigos nos idiomas em português, inglês e espanhol. A estratégia de busca foi composta pela combinação das palavras-chave COVID-19, pandemia, estudantes de Odontologia, educação odontológica e saúde mental. As coletas foram realizadas no mês de agosto de 2021 tendo como critérios de inclusão os artigos de qualquer delineamento que descrevessem o impacto da pandemia de COVID-19 e fatores associados coma saúde mental de estudantes de Odontologia. O critério de exclusão foi de artigos que não tinham como participantes do estudo os estudantes de Odontologia. Os dados foram analisados e apresentados em formato de quadro com as variáveis de interesse como: autor, ano, país, título do artigo, objetivo, delineamento, resultados principais e conclusões. Os estudos demonstram impactos negativos da COVID-19 na saúde mental dos estudantes de Odontologia. A percepção de saúde mental geral foi o principal fator associado aos diagnósticos de depressão, ansiedade e estresse. Ademais, a maioria dos estudantes afirmou que as plataformas de aprendizagem onlineeram insuficientes para o aprendizado das competências clínicas. Conclui-se que a pandemia de COVID-19 impactou negativamente a saúde mental de estudantes de Odontologia, evidenciando a necessidade de políticas públicas e estratégias de apoio psicológico envolvendo serviços de aconselhamento institucional (AU).

La salud mental de los estudiantes fue impactada por la pandemia provocada por el coronavirus SARS-Cov-2(COVID-19). El objetivo del estudio fue realizar una revisión integrativa sobre el impacto de la pandemia en la salud mental de los estudiantes. Fueron consultadas las bases de datos PubMed Medline y SciELO, de los cuales se seleccionaron artículos en los idiomas portugués, inglés y español. La estrategia de búsqueda fue compuesta por la combinación de las palabras-clave COVID-19, pandemia, estudiantes deodontología, educación dental y salud mental. Las adquisiciones de los datos fueran realizadas en el mes de agosto de 2021 teniendo como criterios de inclusión, publicaciones de cualquier delineamento que describiesen el impacto de la pandemia de COVID-19y factores asociados con la salud mental de estudiantes de odontologia. Se excluyeron los artículos que no tenían como participantes del estudio alos estudiantes de odontología. Los datos fueron analizados y presentados en formato de cuadro com las variables deinterés como: autor, año, título del artículo, objetivo, delineamento, resultados principales y conclusiones. Los estudios han demostrado impactos negativos de la COVID-19 en la salud mental de los estudiantes de odontología. La percepción de saludmental general fue el principal factor asociado a los diagnósticos de depresión, ansiedad y estrés. Además, la mayoría de los estudiantes manifestó que utilizar plataformas de aprendizaje virtuales fueroninsuficientes para desarrollar competencias clínicas. Cabe concluir que la necesidad de política pública y estrategias de apoyos psicológicos deberían incluir servicios de asesoramiento institucional (AU).

The mental health of dental students was impacted by the pandemic caused by SARS-CoV-2 (COVID-19). The aim of the present study was to perform an integrative review addressing the impact of the pandemic on the mental health of dental students. The PubMed (Medline) and SciELO databases were searched for relevant articles published in Portuguese, English and Spanish. The search strategy was composed of combinations of the following keywords: COVID-19, pandemic, dental students, dental education and mental health. Data collection was conducted in August 2021. The inclusion criteria were articles with any study design that described the impact of the COVID-19 pandemic and factors associated with the mental health of dental students. Studies without dental students as participants were excluded. The data were analyzed and presented in a table with the variables of interest: authors, year of publication, country, objective, study design, main results and conclusions. The articlesdemonstrated the negative impact of COVID-19 on the mental health of dental students. The perception of general mental health was the main factor associated with diagnoses of depression, anxiety and stress. The majority of students reported that online platforms were insufficient for learning clinical skills. In conclusion, the COVID-19 pandemic exerted a negative impact on the mental health of dental students, underscoring the need for public policies and psychological support strategies involving institutional counseling services (AU).

Proporções de procedimentos odontológicos realizados no município de canoas: um histórico de 10 anos / Rate of procedure performed by dental services municipality of Canoas: a history 10 years

RESUMO Os objetivos do presente estudo foram: realizar uma série histórica dos procedimentos realizados pelos serviços odontológicos na Atenção Primária em Saúde (APS) no município de Canoas e verificar a redução da proporção de procedimentos de exodontia. Os dados foram coletados do Departamento de Informática do SUS (DATASUS) e foram agrupados em blocos de procedimentos odontológicos: exodontias, restauradores, preventivos, periodontais, endodônticos/urgências e outros procedimentos. Verificou-se que houve redução da proporção de exodontias e quando foram calculadas as médias do período de 10 anos, utilizando os critérios específicos da APS e do IDSUS, as proporções de exodontias foram 4,46% e 4,83%. Neste contexto, conclui-se que a série histórica evidencia a redução das proporções de exodontias no município e as médias das proporções das exodontias no período avaliado foram maiores quando comparadas com a meta estabelecida pelo Plano Anual de Saúde (2,8)

ABSTRACT The objectives of the present study were to perform a historical series of procedures performed by dental services in Primary Health Care (PHC) in the city of Canoas and to verify the reduction in the rate of extraction procedures. The data were collected from the SUS Informatics Department (DATASUS) and were grouped into blocks of dental procedures: extraction, restorative, preventive, periodontal, endodontic / urgency and other procedures. It was found that there was a reduction in the rate of extraction and when the averages of the 10-year period were calculated using the specific criteria of PHC and IDSUS, the rates of extraction were 4.46 and 4.83. In this context, it can be concluded that the historical series shows the reduction of extraction rates in the municipality, however, the average rates of extraction rates in the evaluated period were high when compared to the target established by the Annual Health Plan (2.8)

Undergraduate dental students' perceptions of an internship at a Brazilian Family Health Strategy center: a cross-sectional study / Percepção dos estudantes de odontologia sobre o estágio na Unidade de Estratégia de Saúde da Família: um estudo transversal

We conducteda cross-sectional study to evaluate the perceptions of undergraduatedentalstudents(UDS)of an internship in primary dental care within a Family Health StrategyTeam(FHS-T) and associated factors.Data were collected via a self-report questionnaire. Poisson regression models wereused in multivariate analysis (p<0.05).Of 175 UDSincluded, 150 (85.7%) classifiedtheFHS-Tinternship as important to their dentaleducation. Being enrolled in the Community Dental Health (CDH)III course (vs CDH I) increased by 9%(prevalence ratio [PR] 1.09; 95% confidence interval [CI], 0.99-1.21) the likelihood of students classifying the internshipas important to their dental education. Considering the start of the FHS-Tinternship in the 7thsemesteradequate (vs inadequate) increasedthis likelihood by15%(PR 1.15; 95% CI, 1.05-1.25). Classifying user embracementand home visitsas important (vs unimportant) activities also increasedthis likelihood by 8% (PR 1.08; 95% CI, 0.99-1.17) and 21%(PR 1.21; 95% CI, 1.09-1.33), respectively.Our results suggest that the early insertion of UDSin the FHS-Tand their involvement in'user embracement'and'home visits'activitiescan significantly contribute todelivering interprofessional dental education (AU).

Este estudo transversal foi conduzido para avaliar a percepção dos estudantes de odontologia (EO) sobre o estágio na atenção primária na equipe de estratégia saúde da família (E-ESF) e fatores associados. Os dados foram coletados via questionário autoaplicado. A regressão de Poisson foi utilizada na análise multivariada (p<0,05). Dos 175 EO incluídos no estudo, 150 (85,7%) classificaram o estágio na E-ESF como importante para sua formação em odontologia. Estar matriculado na disciplina de Saúde Comunitária em Odontologia (SCO) III aumentou em 9% (razão de prevalência [RP] 1,09; intervalo de confiança [IC] 95%, 0,99-1,21) a probabilidade dos estudantes classificarem o estágio como importante para formação odontológica. Considerar o início do estágio na E-ESF no 7º semestre como adequado (vs inadequado) aumentou em 15% (RP 1,15; IC, 1,05-1,25) a probabilidade de classificar o estágio como importante. Classificar as atividades de acolhimento e visita domiciliar como importante (vs não importante) também aumentou esta probabilidade em 8% (RP 1,08; IC, 0,99-1,17) e em 21% (RP 1,21; IC, 1,09-1,33), respectivamente. Nossos resultados, sugerem que a inserção precoce dos EO na E-ESF e o seu envolvimento com atividades de "acolhimento" e "visita domiciliar" podem contribuir significativamente para formação odontológica interprofissional (AU).

Functional recovery time after facial fractures: characteristics and associated factors in a sample of patients from southern Brazil.

Understanding the cause, severity, and elapsed time for the restoration of the functions of maxillofacial injuries can contribute to the establishment of clinical priorities aiming at effective treatment and further prevention of facial trauma. The objective of this study was to understand the factors associated with the restoration of mastication, ocular, and nasal functions in the face of trauma victims, estimating their recovery time after surgical treatment. We analyzed 114 medical records of patients treated at the Hospital Montenegro, who attended follow-up consultations for up to 180 days. For analysis of the recovery time, we performed survival analysis, followed by COX analysis. We observed that half of the patients recovered their functions within 20 days. The average time for recovery from trauma in the zygomatic-orbital-malar-nasal complex was 11 days, and in the maxillary-mandibular complex, 21 days (HR: 1.5 [0.99 2.3], p = 0.055). Although functional reestablishment has reached high rates after the surgical approach, it is necessary to analyze the failing cases, as well as the economic impacts and the prevention strategies associated with facial trauma, to improve the service to the population.

Functional recovery time after facial fractures: characteristics and associated factors in a sample of patients from southern Brazil.

Understanding the cause, severity, and elapsed time for the restoration of the functions of maxillofacial injuries can contribute to the establishment of clinical priorities aiming at effective treatment and further prevention of facial trauma. The objective of this study was to understand the factors associated with the restoration of mastication, ocular, and nasal functions in the face of trauma victims, estimating their recovery time after surgical treatment. We analyzed 114 medical records of patients treated at the Hospital Montenegro, who attended follow-up consultations for up to 180 days. For analysis of the recovery time, we performed survival analysis, followed by COX analysis. We observed that half of the patients recovered their functions within 20 days. The average time for recovery from trauma in the zygomatic-orbital-malar-nasal complex was 11 days, and in the maxillary-mandibular complex, 21 days (HR: 1.5 [0.99 2.3], p = 0.055). Although functional reestablishment has reached high rates after the surgical approach, it is necessary to analyze the failing cases, as well as the economic impacts and the prevention strategies associated with facial trauma, to improve the service to the population.

Functional recovery time after facial fractures: characteristics and associated factors in a sample of patients from southern Brazil / Tempo de recuperação funcional após fraturas faciais: perfil e fatores associados em amostra de pacientes do sul do Brasil

ABSTRACT Understanding the cause, severity, and elapsed time for the restoration of the functions of maxillofacial injuries can contribute to the establishment of clinical priorities aiming at effective treatment and further prevention of facial trauma. The objective of this study was to understand the factors associated with the restoration of mastication, ocular, and nasal functions in the face of trauma victims, estimating their recovery time after surgical treatment. We analyzed 114 medical records of patients treated at the Hospital Montenegro, who attended follow-up consultations for up to 180 days. For analysis of the recovery time, we performed survival analysis, followed by COX analysis. We observed that half of the patients recovered their functions within 20 days. The average time for recovery from trauma in the zygomatic-orbital-malar-nasal complex was 11 days, and in the maxillary-mandibular complex, 21 days (HR: 1.5 [0.99 2.3], p = 0.055). Although functional reestablishment has reached high rates after the surgical approach, it is necessary to analyze the failing cases, as well as the economic impacts and the prevention strategies associated with facial trauma, to improve the service to the population.

RESUMO O entendimento da causa, da gravidade e do tempo decorrido para o restabelecimento das funções de lesões maxilofaciais pode contribuir para o estabelecimento de prioridades clínicas objetivando o efetivo tratamento e prevenção dos traumatismos de face. Assim, o objetivo deste estudo foi compreender quais os fatores associados ao restabelecimento das funções mastigatórias, oculares e nasais em vítimas de trauma de face, estimando o tempo para recuperação das funções, após o tratamento cirúrgico. Foram analisados 114 prontuários de pacientes atendidos no Hospital de Montenegro que compareceram às consultas de acompanhamento por até 180 dias. Para a análise do tempo para a recuperação, foi realizada a análise de sobrevida, seguida da análise de COX. Observou-se que metade dos pacientes recuperaram as funções em até 20 dias, sendo que o tempo médio para recuperação dos traumas no complexo zigomático-orbitário-malar-nasal foi de 11 dias e do complexo maxilo - mandibular de 21 dias (HR: 1,5 (0,99 - 2,3) p=0,055). Embora o restabelecimento das funções tenha atingido taxas elevadas após abordagem cirúrgicas, faz-se necessária a análise dos casos de insucessos bem como os impactos econômicos e as estratégias de prevenção associados aos traumas de face a fim de qualificar o serviço prestado à população.

Relação entre o estrogênio e as disfunções temporomandibulares: uma revisão de literatura / Relationship between estrogen and temporomandibular disorders: a review of literature

Objetivo: realizar uma revisão da literatura a fim de traçar um panorama atual sobre o papel do estrogênio nas disfunções temporomandibulares. Metodologia: foram realizadas buscas nas plataformas digitais Pub- Med, SciELO e Google Acadêmico, durante os meses de setembro de 2018 a maio de 2019, sem filtros para determinar período de tempo, sendo excluídos aqueles trabalhos em que não foi possível identificar relação com o tema. Resultados: na análise dos estudos encontrados, foi observada a relação entre o estrogênio e a prevalência de disfunções temporomandibulares em mulheres. O estrogênio atua central e perifericamente no sistema nervoso central, influenciando no processamento dos receptores pró e antinoceptivos da articulação temporomandibular. Considerações finais: a modulação estrogênica da dor é um mecanismo complexo. Diversos estudos associam o hormônio estrogênio às disfunções temporomandibulares. Embora não haja um consenso entre os autores do papel exato deste hormônio, há evidências comprovadas de que as mulheres possuem uma susceptibilidade a dores em geral, com prevalência tanto em frequência quanto em intensidade.(AU)

Objective: to carry out an integrative review of the literature in order to outline the role of estrogen in temporomandibular disorders. Methodology: the study searched studies in the digital platforms PubMed, SciELO and Google Acadêmico, from September 2018 to May 2019, without filters to determine the time period, excluding those works in which it was not possible to identify relation with the theme. Results: among the analysis of the studies found, the relationship between estrogen and the prevalence of temporomandibular disorders in women was observed. Estrogen acts centrally and peripherally in the central nervous system, influencing the processing of the pro and antinoceptive receptors of the temporomandibular joint. Final considerations: estrogenic modulation of pain is a complex mechanism. Several studies associate the estrogen hormone with temporomandibular disorders. Although there is no consensus among authors of the exact role of this hormone, there is proven evidence that women have a susceptibility to pain in general, with prevalence both in frequency and intensity.(AU)

Vigilância em saúde bucal na perspectiva do georreferenciamento: análise da distribuição de cárie dentária em escolares de uma Unidade de Saúde / Oral health surveillance from the perspective of geo-referencing: analysis of dental caries distribution in schoolchildren of a primary health unit

Objetivo: O estudo buscou realizar um mapeamento ge-orreferenciado dos usuários escolares de uma Unidade de Saúde de Porto Alegre em relação à cárie dentária. Materiais e métodos: A pesquisa foi desenvolvida em uma Unidade de Saúde do Grupo Hospitalar Conceição. A população do estudo foi composta por 103 alunos, entre 6 e 17 anos, de 2 escolas de ensino fundamental. Os dados sobre a ne-cessidade de tratamento restaurador, vinculados à cárie dentária, foram obtidos dos prontuários dos pacientes cadastrados no Coinma, examinados pela equipe de saúde através do PSE, nos anos de 2016 e 2017, totalizando 103 prontuários. Para o georreferenciamento, foi utilizada a ferramenta online Google Maps®, onde foram adicionados marcadores na cor vermelha para alunos com necessidade de tratamento e verde para alunos sem necessidade de tratamento. Resultados: Da população do estudo, 30% apresentava alguma necessidade de tratamento. Os meni-nos apresentavam mais necessidades quando comparados às meninas, com ênfase na faixa etária entre 8­9 anos. Quanto à análise geovisual, foi possível identificar um aumento na concentração dos casos de estudantes com necessidades de intervenção em saúde bucal na área ROSA, onde moravam 53 (51,4%) dos alunos, sendo que 19 (35,84%) deles apresentavam necessidades, seguidos pelas áreas AZUL, onde 25 (24,3%) dos alunos avaliados, 5 (20%) apresentavam necessidades; AMARELA, com 14 (13,6%) alunos avaliados, 2 (14%) apresentavam neces-sidades; VERDE, com 11 (10,7) alunos avaliados, 5 (45,5%) apresentavam necessidade de tratamento. Conclusão: O georreferenciamento é um instrumento importante para a análise da distribuição espacial da cárie dentária. O presente estudo pode contribuir para a elaboração de políticas de saúde voltadas para a vigilância em saúde de abrangência local.

Objective: The study aimed to perform a georeferenced mapping of school users of a health unit in Porto Alegre in relation to dental caries. Materials and methods: This study was carried out in a he-alth unit of the Hospitalar Conceição Group. The school consisted of 103 students, aged 6 to 17, from 2 elementary schools. Data on the accessibility of restorative treatment linked to the disease were included in the medical records of patients registered with Coinma and compared by the health team through the PES in 2016 and 2017, totaling 103 records. For the georeferencing, the Google Maps® online tool was used, where red markers were added for students who needed treatment and green for students with no need of treatment. Results: Of the study population, 30% had some need of treatment. The boys had more needs when compared to the girls, with emphasis on the group aged between 8-9 years. Concerning to the geo-visual analysis, it was possible to identify an increase in the concentration of students with oral health intervention needs in the PINK area, where 53 (51.4%) students lived, and 19 (35.84%) needed treatment. Besides, in the BLUE areas, out of 25 (24.3%) of students, 5 (20%) showed needs; In the YELLOW area, out of 14 (13.6%) students evaluated, 2 (14%) showed treatment needs; In the GREEN area, out of 11 (10.7) students evaluated, 5 (45.5%) presented a need for treatment. Conclusion: Georeferencing is an important tool for the analysis of the spatial distribution of dental caries. The present study may contribute to the elaboration of health policies focused on local health surveillance.

Formação humanizada em Odontologia: um olhar diferenciado para a subjetividade / Humanized education in Dentistry: a different look at subjectivity

O objetivo do presente estudo foi avaliar os aspectos da formação do profissional de Odontologia,considerandoaatenção à saúde de forma humanizada, centrada na promoção de saúde e com vistas ao mercado detrabalho. O estudofoi do tipo qualitativo,tendo como instrumento de coleta de dados uma entrevista semiestruturada realizadacom15 acadêmicos do nono semestredocurso de Odontologia da Universidade Luterana do Brasil (ULBRA) Campus Canoas (RS),onde foramabordadastemáticas como: promoção da saúde, integralidade da atenção, formação humanizada, dicotomização em Odontologia e expectativas do mercado detrabalho do cirurgião-dentista.Todas as entrevistas foram gravadas e posteriormente transcritas e sistematizadas para análisede conteúdopelo método de saturação. Como resultados,verificou-se que asações pedagógicas do cursoabordaramintensamente aspectos deatençãoà saúde de formahumanizada, integralidade da atenção e experiências acadêmicas em cenários distintos para a formação do trabalhador em saúde. Conclui-se que, de acordo com os relatos de discentesrelacionados à promoção de saúde, àintegralidade da atenção e diferentes cenários de aprendizagem,o cursode Odontologia da ULBRACanoasproporcionouformação acadêmica balizada pelos princípios da atenção à saúde,integrados aos princípios da humanização da saúde paraatuação do profissionallevando em consideraçãodiferentescenárioscomo:públicos e privados para o exercício da profissão (AU).

The aim of this study was to evaluate aspects of dentistry education, considering health care from a humanizing perspective centered on health promotion and a view to the job market. The study was qualitative, collecting data through a semi-structured interview applied to 15 ninth-semester dentistry students from the Lutheran University of Brazil (ULBRA) Canoas, RS, Brazil, including topics such as health promotion, comprehensive care, humanized training, dichotomization in dentistry and job market expectations. All interviews were recorded, transcribed and systematized for content analysis using the saturation method. It was found that the pedagogical components of the course directly addressed humanization in health care, comprehensiveness of care and academic experiences in different scenarios of health care training. According to the students' responses, it is concluded that due to the comprehensiveness of attention to health care promotion and different learning scenarios, the ULBRACanoas dentistry course provides education whose principles of health care are integrated with humanization in professional practice, taking into account both public and private practice (AU).

Impacts of Orthognathic Surgery on Patient Satisfaction, Overall Quality of Life, and Oral Health-Related Quality of Life: A Systematic Literature Review.

Several treatments have been suggested to correct dentofacial abnormalities, including orthognathic surgery. The aim of the present systematic review was to assess the impact of orthognathic surgery on patient satisfaction, overall quality of life, quality of life related to oral health-and to orthognathic surgery in particular-among adult patients. Two investigators independently reviewed the available literature in the databases PubMed/MEDLINE, LILACS, SciELO, EMBASE, Trip, and Google Scholar (gray literature) based on the keywords "orthognathic surgery" and "quality of life." An analysis of bias was performed based on the MINORS (methodological index for nonrandomized studies). A total of 245 relevant studies were retrieved from the databases, and 6 additional studies were located after a manual search of the references. Following selection based on titles, abstracts, and full-text analysis, 30 studies were included in the present systematic review. To evaluate quality of life before and after orthognathic surgery, 12 studies applied the surgery-related Orthognathic Quality of Life Questionnaire (OQLQ), 12 used the Oral Health Impact Profile (OHIP-14), and 4 used the Short Form Health Survey (SF-36). Orthognathic surgery results in improvements in quality of life both physically and psychosocially after surgery and is associated with high rates of patient satisfaction.

Use of Dental Care Among Pregnant Women in the Brazilian Unified Health System.

PURPOSE: To assess the prevalence of and factors associated with the use of public Unified Health System-based dental services by pregnant women and recent mothers. MATERIALS AND METHODS: In this cross-sectional study, face to face interviews were conducted to collect data on the outcome of interest (prevalence of use of dental care) and independent variables (sociodemographic, pregnancy, and prenatal care data). A total of 302 pregnant women seen at public dental services in the municipality of Canoas, southern Brazil, were interviewed. Statistical analysis was performed using the chi-squared test and hierarchical Poisson regression with robust variance (p < 0.05). RESULTS: The prevalence of use of dental care among pregnant women was 50% (n = 151). Pregnant women who initiated prenatal care in the first trimester showed a 34% higher likelihood of using dental care (prevalence ratio [PR] 1.34; 95% confidence interval [95%CI] 1.27-1.61); this likelihood was 12% higher among multiparous women (PR 1.12; 95%CI 1.03-1.23), and 40% higher among women who received guidance to seek dental care (PR 1.40; 95%CI 1.30-1.51). CONCLUSION: The present findings suggest that starting prenatal care in the first trimester, being multiparous, and receiving guidance to seek dental care significantly contributed to the use of public dental services during pregnancy in the population assessed. These factors should be considered when planning public health policies for this population.

Satisfaction of Primary Healthcare Dentists after the Completion of a Distance Learning Course in Pediatric Dentistry.

BACKGROUND: The aim of the present study was to assess the level of satisfaction of dentists working in primary healthcare (PHC) with a Distance learning (DL) course in pediatric dentistry offered by the TeleHealthRS center, and to the investigate possible associations between the variables indicative of their satisfaction and their performance on the questionnaires applied before and after the course. METHODS: The course was offered in 2015 by the Federal University of Rio Grande do Sul (UFRGS) together with the TeleHealthRS center in Brazil. Data were collected on the participants' personal and professional profile, their pre- and post-course knowledge about pediatric dentistry, and their satisfaction with the course. Student's t-test and the ANOVA test were used to assess the possible associations between the variables indicative of their satisfaction and their performance on the questionnaires applied before and after the course. RESULTS: Overall, the participants were satisfied with the course, however, no statistically significant association was found between the variables indicative of their satisfaction and the grades they earned on the pre- and post-course questionnaires. CONCLUSION: The available pediatric dentistry course received positive evaluations from the participants, constituting a possible strategy for the qualification of primary care dentists. Future studies are warranted to further investigate the expectations of DL course participants, aiming to enhance the quality of future editions of this learning modality for pediatric dentistry contents.

Aplicativos móveis para ensino e assistência odontológica: uma revisão integrativa / Mobile applications for dental education and assistance: an integrative review

Este estudo teve como objetivo identificar o estado da arte atual e as tendências de pesquisas que utilizam aplicativos móveis na Odontologia por meio de uma revisão integrativa. Realizaram-se buscas nas bases de dados SciELO, LILACS e PubMed, utilizando os termos "mobile application", "Dentistry" e "informatics", e no Google Acadêmico, para abarcar a literatura cinza, com os mesmos termos na língua portuguesa, sem período de tempo determinado. Os títulos e resumos de todos os artigos encontrados foram lidos por dois pesquisadores de forma independente. Foram incluídas pesquisas oriundas de dados primários e que estivessem relacionados apenas à saúde bucal, cujo meio de informação fosse smartphones, nas línguas inglesa, portuguesa e espanhola. Além disso, os artigos publicados em periódicos científicos foram analisados em relação aos itens atribuídos no checklist do STROBE Statement. Foram encontrados 911 estudos. Após a leitura de todos os títulos e resumos, foram excluídos 897, totalizando 14 estudos para leitura na íntegra. Nove artigos foram incluídos no estudo, classificados em estudos com foco profissional (6) e estudos com foco acadêmico (3). Os dados descritos nos estudos deixam claro a crescente adoção do uso dos aplicativos como recursos educacionais e assistenciais. A criação de aplicativos móveis direcionados à Odontologia é apropriada, tanto no ensino, como uma nova possibilidade de construir conhecimento, quanto para o uso profissional, já que é inegável a disseminação global do uso de dispositivos móveis (AU).

This study aimed to identify the current state of the art and trends of research using mobile applications in Dentistry through an integrative review. SciELO, LILACS and PubMed databases, using the terms "mobile application", "Dentistry" and "informatics", and in Google Scholar, to cover the gray literature, with the same terms in the Portuguese language, without time limitation were searched. The titles and abstracts of all articles found were read independently by two researchers. Studies based on primary data that were related only to oral health, whose medium of information was smartphones, in the English, Portuguese and Spanish languages were included. Also, articles published in scientific journals were analyzed in relation to the items assigned in the STROBE Statement checklist. There were 911 studies. After reading all the titles and abstracts, 897 were excluded, totaling 14 studies for reading in full. Nine articles were included in the study, classified in studies with a professional focus (6) and studies with an academic focus (3). The data described in the studies have shown the increasing adoption the applications use as educational and assistance resources. The creation of mobile applications directed to Dentistry is appropriate, both in teaching, as a new possibility to build knowledge, and for professional use, since the global dissemination of the use of mobile devices is undeniable (AU).

Cumprimento de metas dos Centros de Especialidades Odontológicas da Região Sul do Brasil / Achieving goals set in specialized dental centers of Southern Brazil / El cumplimento de las metas de tratamientos en las clínicas dentales especializadas en la Región Sur de Brasil

RESUMO Objetivo O objetivo do estudo foi verificar o cumprimento das metas ambulatoriais dos Centros de Especialidades Odontológicas (CEOs) localizados na Região Sul do Brasil e fatores associados aos processos de trabalho. Método O estudo foi do tipo exploratório transversal. Para a coleta de dados foram consultadas as bases de dados do DATA/SUS, CNES, SIOPS, IBGE e foi enviado um questionário semiestruturado aos gestores dos CEOs. Para verificar a associação de fatores com o cumprimento das metas dos CEOs foi utilizado o Teste de Kruskal Wallis. Resultados Foram analisados 936 meses de produção ambulatorial distribuídos em 78 CEOs, a taxa de respostas dos questionários foi de 68 % e verificou-se baixo cumprimento de metas e que as variáveis: estado do Paraná, os municípios com porte populacional de 0-50 mil/hab e o quarto quintil dos gastos totais em saúde e PIB per capita foram associados ao cumprimento de metas dos procedimentos de periodontia e o tipo de CEO apresentou associação com metas cumpridas de procedimentos básicos. Discussão As análises das variáveis que podem estar associadas à produção ambulatorial dos CEOs são fundamentais para verificar questões de acesso da população e aplicabilidade dos recursos públicos na área da saúde. Conclusões O estudo sinaliza para o baixo cumprimento de metas dos CEOs, entretanto aponta que podem haver fatores importantes associados a maior número de meses de metas cumpridas.(AU)

ABSTRACT Objective To evaluate the association of work factors with goals set in specialized dental centers (SDCs) of Southern Brazil. Methodology Cross-sectional exploratory study, in which the databases DATASUS, IBGE, SIOPS were used and complemented with an online questionnaire (FORMSUS). The questionnaire was answered by SDC managers. The Kruskal Wallis test was utilized to determine association of factors. Results Nine hundred and thirty six months, corresponding to 78 SDCs, were analyzed; the response rate of the questionnaires was 68%. It was found that the variables Paraná State, municipalities with population size of 0-50 thousand/inhabitants, and the fourth quartile of total health expenditure and Gross National Product per capita were factors associated with goals achievement of periodontal procedures. The type of SDCs showed association with goals achievement of basics procedures. Discussion Analyzes of the variables that may be associated with outpatient treatment in of SDCs are fundamental to verify issues regarding population access and applicability of public resources in the health area. Conclusion The study indicates low achievement goals by outpatient care delivery by specialized dental centers, which may indicate important factors associated with higher number months for achieving goals.(AU)

RESUMEN Objetivo El objetivo del estudio fue verificar: el cumplimento de las metas de tratamientos en las clínicas dentales especializadas (CDEs) en la Región Sur de Brasil y, los factores asociados a los procesos de trabajo. Método El estudio fue exploratorio transversal. Para la recolección de datos fueron consultadas las bases del datos provenientes de DATA/SUS, CNES, SIOSP, IBGE y fue enviado un cuestionario semiestructurado para los gestores de las CDEs. Para comprobar la asociación de los factores con el cumplimento de las metas de las CDEs se realizó el test de Kruskal Wallis. Resultados Fueron analizados 936 meses de tratamiento ambulatorio distribuidos en las 78 CDEs y la tasa de respuestas de los cuestionarios fue de 68%. Las variables: estado de Paraná, municipios con número de ciudadanos de 0-50 mil/hab, el cuarto quintil de los gastos totales en salud y PIB per cápita fueron asociados con el cumplimento de las metas de los procedimientos de periodoncia y, el tipo II de CDE presentó asociación con el cumplimento de las metas de los procedimientos básicos. Discusión El análisis de las variables que pueden estar asociadas al tratamiento ambulatorio en las CDEs es fundamental para comprobar tanto los problemas de acceso de los habitantes como la aplicabilidad de los recursos públicos en el área de la salud. Conclusiones El estudio indica un bajo cumplimento de las metas de tratamiento de las CDEs, entretanto apunta que pueden haber factores importantes asociados al mayor número de meses en las metas cumplidas.(AU)

Ensino em serviço na perspectiva da Clínica Ampliada: relato de experiência / Education-service at the Expanded Clinic perspective: an experience report

A Clínica Ampliada pode ser compreendida como a relação estabelecida entre os diferentes profissionais de saúde com os usuários no intuito de produzir saúde por meio do empoderamento dos sujeitos e criação de autonomia. Neste contexto, a formação profissional em Odontologia deve primar pelo desenvolvimento das habilidades técnicas aliadas a qualidades humanistas para atuação na perspectiva da Clínica Ampliada. Considerando a discussão do processo de formação do cirurgiãodentista integrado ao serviço de saúde pública e a perspectiva de atuação na Clínica Ampliada, este trabalho teve como objetivo relatar a experiência acadêmica do estágio supervisionado, realizado um uma unidade de saúde, no município de Porto Alegre/RS. No modelo de um relato de experiência descritivo, com metodologia relacionada ao processo reflexivo crítico do aluno, o estágio ocorreu num período de 30 dias, com carga horária de 15 horas semanais, em uma unidade de saúde pertencente ao Grupo Hospitalar Conceição. Incluiu atividades de acompanhamento ambulatorial e de promoção e prevenção de saúde, realizados na unidade de saúde e sua área de atuação. Da experiência vivida, foi possível observar que os profissionais da equipe de saúde tinham como proposta para o atendimento a resolutividade clínica e a perspectiva de um plano de tratamento conjunto, de acordo com a realidade social de cada usuário, baseando-se na comunicação horizontal entre comunidade e profissionais. Assim, compreender a saúde bucal dentro da perspectiva da Clínica Ampliada requer, cada vez mais, uma análise conjunta das questões biopsicossociais dos indivíduos (AU).

The expanded clinic can be understood as the relationship established between the different health professionals with the users in order to produce health through the empowerment of the subjects and creation of autonomy. In this context, professional training in dentistry should be based on the development of technical skills combined with humanistic qualities to act in the perspective of the Expanded Clinic. Considering the debate regarding the formation of dentists integrated into the public health service and considering the prospect of performance in the expanded clinic, the purpose of this study is to report the academic experience of a supervised internship, in a health unit, in Porto Alegre/RS. The internship took place over a thirty-day period, with a workload of 15 hours per week, at the one health unit of the Grupo Hospitalar Conceição, and it was structured on a descriptive experience report method, related to the student's critical reflective process. The internship included activities of outpatient follow-up and health promotion and prevention, performed at the health unit and its operating fields. From the experience it was possible to observe that the team's proposal for the service performance it the conclusion of the treatment and the perspective of a joint treatment plan, specific to the social reality of each patient, based on the horizontal communication between the community and the professionals. Finally, understanding oral health within the perspective of the extended clinic requires a joint analysis of the bio-psycho-social issues of the persons (AU).

[Analysis of outpatient care in Brazilian municipalities with and without specialized dental clinics, 2010]. / Análise da produção ambulatorial em municípios com e sem centros de especialidades odontológicas no Brasil em 2010.

The aim of this study was to describe the production of specialized outpatient dental services and associated factors in Brazilian municipalities (counties) with and without Specialized Dental Clinics (SDC). Data were collected from the following sources: Information Technology Department of the Unified National Health System, Human Development Atlas for Brazil, and Brazilian Institute of Geography and Statistics. Zero-inflated negative binomial regression was used to fit rates of endodontic procedures, primary care, periodontics, and surgery. After controlling for socio-demographic factors, municipalities with SDC showed higher rates for the above-mentioned procedures than those without, except for primary care. In the final model, including service structure variables, municipalities with type III SDC showed a rate of endodontic procedures that was 2.08 times higher (95%CI: 1.26; 3.44) than those without. Among the structural variables, municipalities with higher health expenditures and more dentists in the Unified National Health System showed consistently higher rates for all types of procedures. The SDC appear to have a positive effect on the local production of specialized procedures (especially endodontic), an effect not explained by structural variables.

Análise da produção ambulatorial em municípios com e sem centros de especialidades odontológicas no Brasil em 2010 / Analysis of outpatient care in Brazilian municipalities with and without specialized dental clinics, 2010 / Análisis de la producción ambulatoria en municipios con y sin centros de especialidades dentales en Brasil, 2010

O objetivo foi descrever a produção de serviços especializados em municípios brasileiros com e sem Centros de Especialidades Odontológicas (CEO) e estudar fatores associados. Para a coleta de dados, foram consultados: o Departamento de Informática do SUS, dados do Atlas de Desenvolvimento Humano do Brasil e do Instituto Brasileiro de Geografia e Estatística. Utilizou-se regressão binominal negativa inflada de zeros para modelar taxas de procedimentos de endodontia, atenção básica, periodontia e cirurgia. Após controle por fatores sociodemográficos, os municípios com CEO apresentaram taxas maiores do que os sem, exceto para taxas de atenção básica. No modelo final, com variáveis de estrutura dos serviços, os municípios com CEO do tipo III tiveram uma taxa de procedimentos de endodontia 2,08 (IC95%: 1,26; 3,44) vezes maior que sem CEO. Das variáveis de estrutura, mais gastos em saúde e maiores taxas de dentistas no SUS estavam consistentemente associados a maiores taxas de quaisquer procedimentos. Os CEO parecem ter um efeito positivo na produção municipal de procedimentos especializados, particularmente para a taxa de procedimentos de endodontia, e esse efeito não é explicado por variáveis de estrutura.

The aim of this study was to describe the production of specialized outpatient dental services and associated factors in Brazilian municipalities (counties) with and without Specialized Dental Clinics (SDC). Data were collected from the following sources: Information Technology Department of the Unified National Health System, Human Development Atlas for Brazil, and Brazilian Institute of Geography and Statistics. Zero-inflated negative binomial regression was used to fit rates of endodontic procedures, primary care, periodontics, and surgery. After controlling for socio-demographic factors, municipalities with SDC showed higher rates for the above-mentioned procedures than those without, except for primary care. In the final model, including service structure variables, municipalities with type III SDC showed a rate of endodontic procedures that was 2.08 times higher (95%CI: 1.26; 3.44) than those without. Among the structural variables, municipalities with higher health expenditures and more dentists in the Unified National Health System showed consistently higher rates for all types of procedures. The SDC appear to have a positive effect on the local production of specialized procedures (especially endodontic), an effect not explained by structural variables.

El objetivo fue describir la producción de los servicios especializados en los municipios brasileños con y sin Centros Especializados Dentales (CEDs) y estudiar los factores asociados. Los datos fueron recogidos a partir de los siguientes sistemas: Departamento de Informática del SUS, Atlas del Desarrollo Humano y el Instituto Brasileño de Geografía y Estadística. Fueron utilizadas regresiones binomiales negativas infladas con ceros para ajustar las tasas de los procedimientos de endodoncia, atención primaria, periodoncia y cirugía. Después de controlar los factores sociodemográficos, los municipios con CEDs presentan tasas más altas que los sin CEDs, excepto para la tasa de atención primaria. En el modelo final, incluyendo los factores de la estructura de servicio, municipios con CEDs tipo III mostraron una tasa de procedimientos de endodoncia 2,08 (IC95%: 1,26; 3,44) veces mayor. Entre estos factores, los municipios con mayor gasto en salud y mayores tasas de dentistas en el sistema público se asociaron con tasas más altas de todos los procedimientos. Se concluye que los centros parecen tener un efecto positivo en la producción ambulatoria, principalmente para endodoncia y este efecto no se explica por las variables de estructura.

An ethnomedicinal survey on phytotherapy with professionals and patients from Basic Care Units in the Brazilian Unified Health System.

ETHNOPHARMACOLOGICAL RELEVANCE: In this study, an ethnomedicinal survey was conducted in the city of Pelotas, Brazil, with professionals and patients in the Unified Health System (SUS). With the approval of the National Policy on Medicinal Plants and Herbal Medicines, and with the adoption of a National Policy on Integrative and Complementary Practices in the SUS in Brazil, there is growing concern regarding Brazilian medicinal plants and their proper use in medicine. The expansion of the therapeutic options offered to the users of the SUS includes access to medicinal plants and herbal drugs, as well as related services, such as phytotherapy. For improving health and for the social inclusion of phytotherapies, safety, efficacy, and quality are important strategies. MATERIALS AND METHODS: Interviews of both professionals and patients were conducted at five Basic Care Units, and a sample size of 393 was obtained. RESULTS: Of the patients attending the Basic Care Units, 91.6% had experienced the use of medicinal plants at least once to treat certain diseases. Of the professionals, 65% had used medicinal plants but only 10% prescribed phytotherapeutics to their patients. Generally, the users were homemakers (26%) of the female gender (71.5%) who were older than 60 years (26%) and had a family income between 1 and 2 Brazilian minimal salaries. The professionals were predominantly female (80%), and a high proportion (80%) believed in the positive effects of phytotherapy (80%), even though these professionals had not been taught phytotherapy as undergraduate students (75%) and had not discussed the topic with their teachers (85%). Patients (81.5%) and professionals (45%) reported that their knowledge of medicinal plants came from their parents or grandparents. From a total of 66 different herbs used by the subjects, mauve (24%) was the most commonly used, often to treat toothaches (24.2%). CONCLUSION: It is concluded that a high proportion of users and professionals made use of medicinal plants, and of the large number of plants mentioned in the questionnaire, mauve was the most commonly used, mainly for the treatment of toothaches. The major source of the transmission of knowledge concerning herbal medicine was parents or grandparents.

Three-year clinical performance of composite restorations placed by undergraduate dental students.

This retrospective study evaluated the clinical performance and the reasons for failure of anterior and posterior composite restorations placed by undergraduate dental students over a 3-year period. All cavities were restored using Prime & Bond 2.1 and TPH (Dentsply), according to the manufacturer's indications. One hundred and two patients who had received composite restorations by third and forth year undergraduate students were recalled and examined to analyze the quality of the restorations. The restorations were evaluated using the modified USPHS system. Two hundred and fifty-six composite restorations, 170 in anterior teeth and 86 in posterior teeth, were evaluated. Eighty-five percent of the restorations were considered satisfactory after 3 years. Class II and class IV restorations presented the highest prevalence of failure. Loss of the restoration and deficient marginal adaptation were the main causes of failure. No restoration failed due to secondary caries. Most restorations placed by dental students were considered satisfactory after long-term evaluation. Failure was more prevalent in larger restorations and was not associated with secondary caries.

Three-year clinical performance of composite restorations placed by undergraduate dental students

This retrospective study evaluated the clinical performance and the reasons for failure of anterior and posterior composite restorations placed by undergraduate dental students over a 3-year period. All cavities were restored using Prime & Bond 2.1 and TPH (Dentsply), according to the manufacturer's indications. One hundred and two patients who had received composite restorations by third and forth year undergraduate students were recalled and examined to analyze the quality of the restorations. The restorations were evaluated using the modified USPHS system. Two hundred and fifty-six composite restorations, 170 in anterior teeth and 86 in posterior teeth, were evaluated. Eighty-five percent of the restorations were considered satisfactory after 3 years. Class II and class IV restorations presented the highest prevalence of failure. Loss of the restoration and deficient marginal adaptation were the main causes of failure. No restoration failed due to secondary caries. Most restorations placed by dental students were considered satisfactory after long-term evaluation. Failure was more prevalent in larger restorations and was not associated with secondary caries.

Este estudo retrospectivo avaliou o comportamento clínico e as razões de falhas de restaurações de resina composta em dentes anteriores e posteriores, realizadas por alunos de graduação em odontologia, após 3 anos de acompanhamento. Cento e dois pacientes que tiveram restaurações de resina composta colocadas por alunos do terceiro ou quarto ano foram rechamados e examinados para analisar a qualidade das restaurações. Todas as cavidades foram restauradas utilizando Prime & Bond 2.1 e TPH (Dentsply), de acordo com as orientações do fabricante. As restaurações foram avaliadas utilizando o sistema USPHS modificado. Duzentas e cinquenta e seis restaurações de resina composta, 170 em dentes anteriores e 86 em posteriores foram avaliadas. Destas restaurações, 85 por cento foram consideradas satisfatórias após 3 anos. Cavidades de classe II e classe IV apresentaram maior prevalência de falhas. Perda de restaurações e adaptação marginal deficiente foram as maiores causas de falhas. Nenhuma restauração falhou em decorrência de cárie secundária. Em conclusão, restaurações de resina composta feitas por estudantes de odontologia foram na sua maioria consideradas satisfatórias após 3 anos. Falhas das restaurações foram mais prevalentes em restaurações maiores e não esteve associada com cárie secundária.