Knowledge changes after applying evidence-based dentistry educational interventions to dental students: A systematic review.

PURPOSE: To critically evaluate the evidence on knowledge changes observed after the application of evidence-based dentistry (EBD) educational interventions to dental students. METHODS: We included studies that assessed EBD knowledge after applying educational interventions to undergraduates. Studies that evaluated post-graduate students or professionals, that exclusively described educational interventions, programs, or the application of curriculum revisions were excluded. Electronic databases (PubMed, Embase, Scopus, and Web of Science), unpublished gray literature, and manual searches were performed. Data concerning "perceived" and "actual knowledge" was extracted. The quality of the studies was appraised according to the Mixed Methods Appraisal Tool. RESULTS: The 21 selected studies enrolled students at different stages, and the intervention formats were diverse. The educational interventions could be categorized into three modalities, that is, regular, EBD-focused disciplines or courses, and other educational interventions including one or more of the EBD principles, methods, and/or practices. Despite the format, knowledge was generally improved after the implementation of educational interventions. Overall, perceived and actual levels of knowledge increased considering EBD general concepts, principles, and/or practices, and concerning the "acquire" and "appraise" skills. Among the selected studies, two were randomized controlled trials, while most were non-randomized or descriptive studies. CONCLUSIONS: EBD-related educational interventions seem to improve dental students' perceived and actual knowledge, according to literature with a high risk of bias. Therefore, more complete, methodologically rigorous, and longer-term studies are still recommended to confirm and expand the current knowledge.

Auriculotherapy in a patient with Arnold Chiari malformation type II: Case report.

AIMS: Auriculotherapy is a therapeutic method of traditional Chinese Medicine in which a stimulus is exerted on the ear and activates energy channels throughout the body, helping to control anxiety, stress, pain, inflammation, illnesses chronic, and possibly can be used in patient with Arnold Chiari Malformation type II who have painful symptoms that are difficult to resolve. Thus, the aim of this article is to present a case in a patient with Chiari Malformation II where auriculotherapy and effect of laser therapy were performed, to relieve symptoms of agitation, anxiety and healing of self-mutilation injuries. CASE REPORT: Data from medical records were used to collect medical and dental history, complaints and treatments performed. Eight sessions of auriculotherapy and one of laser therapy were carried out in order to heal the lesions. The patient presented lower levels of anxiety, agitation and ceased the habit of self-mutilation and, consequently, the pain. CONCLUSIONS: The use of auriculotherapy led to a considerable improvement in the patient's painful condition and reduced anxiety, also benefiting the interaction with her family members and laser therapy promoted wound healing.

Qualidade de Vida e Saúde Bucal em Crianças submetidas à Terapia Antineoplásica / Quality of Life and Oral Health in Children undergoing Antineoplastic Therapy / Calidad de Vida y salud Oral de los Niños sometidos a Terapia Antineoplásica

Introdução: O câncer é uma doença grave cujo protocolo de tratamento pode produzir severos efeitos colaterais de ordem psicossocial e física. Os principais efeitos do tratamento antineoplásico podem acometer a cavidade oral, especialmente em crianças, comprometendo a sua qualidade de vida e a do núcleo familiar. Objetivo: Identificar e descrever as lesões bucais relacionadas aos efeitos colaterais produzidos pelo tratamento antineoplásico e avaliar seu impacto sobre a qualidade de vida da criança e da sua família. Método: Estudo qualitativo e transversal, com a participação de 117 crianças pré-escolares atendidas em hospital de referência (Paraíba), por meio do questionário B-ECOHIS, de exames clínicos odontológicos e de prontuários médicos. O tratamento estatístico fundamentou-se na análise descritiva e regressão de Poisson com variância robusta no método (p<0,05). Resultados: As manifestações mais observadas foram mucosite e xerostomia (66,7% e 54,7%, respectivamente). Relativo ao impacto na qualidade de vida da criança, o domínio de maior média foi limitação funcional 3,0 (±1,8) e, na família, função familiar 1,0 (±1,0). Conclusão: O impacto na qualidade de vida das crianças se revelou fraco e, no núcleo familiar, não foi significativo

Introduction: Cancer is a burdensome disease whose treatment protocol can produce severe psychosocial and physical side effects. The main effects of antineoplastic treatment may affect the oral cavity, especially in children, compromising theirs and their family quality-of-life. Objective: To identify and describe side effects-related antineoplastic treatment and to assess its impact on the children's and their families' quality-of-life. Method: Qualitative and cross-sectional study, with the participation of 117 children, preschoolers, consulted at a referral hospital in the State of Paraíba, through the B-Ecohis questionnaire, dental clinical exams and medical records. The statistical treatment was based on descriptive analysis and Poisson Regression with robust variance in the Stepwise method (p<0.05). Results: The most common manifestations were mucositis and xerostomia (66.7% and 54.7% respectively). The impact on the children's quality-of-life affected mostly the domain of functional limitation with mean of 3.0 (±1.8) and 1.0 (±1.0) for the family function in the family. Conclusion: The impact on the quality-of life in children was weak and not significant in the family

Introducción: El cáncer es una enfermedad grave cuyo protocolo de tratamiento puede producir efectos secundarios psicosociales y físicos graves. Entre los principales efectos del tratamiento antineoplásico, algunos afectan la cavidad bucal, especialmente en los niños, comprometiendo su calidad de vida y el núcleo familiar. Objetivo: Identificar los efectos secundarios producidos por el tratamiento antineoplásico y evaluar su impacto en la calidad de vida del niño y su familia. Método: Estudio cualitativo y transversal, con la participación de 117 niños, preescolares, atendidos en un hospital de referencia (Paraíba), mediante el cuestionario B-Ecohis, exámenes clínicos dentales y registros médicos. El tratamiento estadístico se basó en análisis descriptivo y Regresión de Poisson con varianza robusta en el método Stepwise (p<0,05). Resultados: Las manifestaciones más observadas fueron mucositis y xerostomía (66,7% y 54,7% respectivamente). En cuanto al impacto en la calidad de vida del niño, el dominio con mayor promedio fue la limitación funcional 3,0 (±1,8) y la función familiar 1,0 (±1,0) en la familia. Conclusión: El impacto en la calidad de vida de los niños fue débil y en la familia no significativo