Factors associated with oral health-related quality of life in homeless persons: a cross-sectional study.

This study aimed to evaluate the clinical and sociodemographic factors associated with the oral health-related quality of life (OHRQoL) of homeless persons. A cross-sectional study was conducted, with participants (n = 176) attending a Specialized Reference Center for the Homeless Population in Teresina, Brazil. Dental caries (DMFT index, WHO criteria), periodontal disease (CPI index), and the consequences of untreated caries (PUFA index) were measured by a single calibrated examiner (Kappa ≥0.83). Sociodemographic, oral health, and OHRQoL (OHIP-14) data were obtained through interviews. Data analysis included descriptive statistics and Poisson regression, with a significance level of 5%. Most of the participants were male (86.4%) and from the age group of 30 to 43 years (52.2%). Mean DMFT was 11 (SD ± 6.9) and mean total PUFA score was 1.2 (SD ± 2.2). Most of the participants (88.6%) had dental calculus and 8.5% and 1.7% of the sample had gingival bleeding and periodontal pocket > 3.5mm, respectively. The highest prevalence of negative impact in the OHRQoL was associated with females (1.4 (95%CI 1.1-1.7)), low educational level (2.0 (95%CI 1.3-3.0)), caries (1.6 (95%CI 1.1-2.6)), fistulas (1.9 (95%CI 1.3-3.1)), gingival bleeding (1.7 (95%CI 1.1- 2.7)), dental calculus (1.8 (95% CI 1.3-2.5)), periodontal pockets > 3 mm (1.5 (95%CI 1.1-2.0)), and need for extraction (2.3 (95%CI 1.1-5.0)). In conclusion, the negative impact on the OHRQoL of homeless persons was associated with low educational level, presence of decayed teeth, gingival bleeding, and dental calculus.

Análise de erros radiográficos em clínica de odontopediatria de uma instituição de ensino superior de Teresina - Piauí / Analysis of radiographic errors in the pediatric dentistry clinic of a higher education institution in Teresina, Piauí, Brazil

Objetivo: Avaliar a prevalência de erros radiográficos em radiografias periapicais de uma clínica de Odontopediatria em uma instituição de ensino superior de Teresina-Piauí. Métodos: Tratou-se de estudo transversal retrospectivo. Foram coletados dados sociodemográficos e radiográficos (localização e presença de erros de técnica radiográfica, processamento e armazenamento). As radiografias foram analisadas por um único examinador calibrado (kappa > 0,80). Foi realizada análise descritiva dos dados, teste Qui-Quadrado, razão de prevalência não-ajustadas (RPnãoajust) e intervalos de confiança (IC 95%). Considerou-se significativo valor de p < 0,05. Resultados: Das 208 radiografias analisadas, 187 (89,9%) possuíam algum tipo de erro. O erro mais prevalente foi de técnica radiográfica (n = 115; 55,3%). Entre esses, a radiografia tremida foi o mais frequente (n = 57; 28,4%). O erro de processamento mais frequente foi presença de digitais (n = 37; 17,8%). Todos os erros de armazenamento (n = 89; 100%) estavam relacionados a não identificação do paciente. O erro de técnica esteve associado com os pacientes de idade menor que 5 anos (RPnãoajus = 1,2 IC95% 1,1-1,3) comparando com idade entre 6 e 10 anos. Não houve associação entre tipo de erro radiográfico e a dentição avaliada nas radiografias (p > 0,05). Conclusão: A quantidade de erros detectados neste estudo foi alta e o mais frequente foi quanto à técnica radiográfica mal executada. Todos os erros de armazenamento observados foram devido a não identificação do paciente. Há uma maior frequência de erros de técnica radiográfica em pacientes com menos de 5 anos se comparados aos de 6 a 10 anos.

Aim: To evaluate the prevalence of radiographic errors in periapical radiographs of a pediatric dentistry clinic in a higher education institution in Teresina, Piauí, Brazil. Methods: This work is a retrospective cross-sectional study. Sociodemographic and radiographic data (location and presence of radiographic technique errors, processing, and storage) were collected. The radiographs were analyzed by a single calibrated examiner (kappa > 0.80). Descriptive analysis of the data, chi-square test, unadjusted prevalence ratio (PRnon-adjusted), and confidence intervals (95% CI) were performed. A p-value < 0.05 was considered significant. Results: Of the 208 radiographs analyzed in this study, 187 (89.9%) presented some type of error. The most prevalent error was the radiographic technique (n = 115; 55.3%). Among these, shaky radiography was the most frequent (n = 57; 28.4%). The most frequent processing error was the presence of fingerprints (n = 37; 17.8%). All storage errors (n = 89; 100%) were related to failure to identify the patient. The technical error was associated with patients younger than 5 years of age (PRnon-adjusted = 1.2; 95% CI 1.1-1.3) compared with 6 to 10 years of age. No association was observed between the type of radiographic error and the dentition assessed on the radiographs (p > 0.05). Conclusion: The number of errors detected in this study was high and the most frequent concerned the poorly performed radiographic technique. All storage errors observed in this study were due to the failure to identify the patients. Children under 5 years of age proved to be more prone to technical radiographic errors than those of 6 to 10 years of age.

Factors associated with oral health-related quality of life in homeless persons: a cross-sectional study

Abstract This study aimed to evaluate the clinical and sociodemographic factors associated with the oral health-related quality of life (OHRQoL) of homeless persons. A cross-sectional study was conducted, with participants (n = 176) attending a Specialized Reference Center for the Homeless Population in Teresina, Brazil. Dental caries (DMFT index, WHO criteria), periodontal disease (CPI index), and the consequences of untreated caries (PUFA index) were measured by a single calibrated examiner (Kappa ≥0.83). Sociodemographic, oral health, and OHRQoL (OHIP-14) data were obtained through interviews. Data analysis included descriptive statistics and Poisson regression, with a significance level of 5%. Most of the participants were male (86.4%) and from the age group of 30 to 43 years (52.2%). Mean DMFT was 11 (SD ± 6.9) and mean total PUFA score was 1.2 (SD ± 2.2). Most of the participants (88.6%) had dental calculus and 8.5% and 1.7% of the sample had gingival bleeding and periodontal pocket > 3.5mm, respectively. The highest prevalence of negative impact in the OHRQoL was associated with females (1.4 (95%CI 1.1-1.7)), low educational level (2.0 (95%CI 1.3-3.0)), caries (1.6 (95%CI 1.1-2.6)), fistulas (1.9 (95%CI 1.3-3.1)), gingival bleeding (1.7 (95%CI 1.1- 2.7)), dental calculus (1.8 (95% CI 1.3-2.5)), periodontal pockets > 3 mm (1.5 (95%CI 1.1-2.0)), and need for extraction (2.3 (95%CI 1.1-5.0)). In conclusion, the negative impact on the OHRQoL of homeless persons was associated with low educational level, presence of decayed teeth, gingival bleeding, and dental calculus.

Prevalence and associated factors to sleep bruxism in adolescents from Teresina, Piauí. / Prevalência e fatores associados ao bruxismo do sono em adolescentes de Teresina, Piauí.

INTRODUCTION: Sleep bruxism (SB) is defined as a repetitive jaw muscle activity whose epidemiology in adolescents has been little studied. This cross-sectional study aimed to determine the prevalence of sleep bruxism and associated factors in adolescents. METHODOLOGY: The sample consisted of 594 students aged 11 to 14 years old from Teresina, Piauí, Brazil. Self-administered questionnaire was answered by parents/caregivers and dental clinical examination was performed. Pearson's chi-squared test was used to assess the association between SB and independent variables. Poisson regression analysis with robust variance was applied, with results expressed in prevalence ratio (PR). RESULTS: The prevalence of SB in adolescents was 22.2%. Multivariate analysis showed a higher prevalence of SB in male gender adolescents (PR = 1.41; 95%CI 1.04 - 1.89), presenting snoring (PR = 1.39; 95%CI 1.02 - 1.89) and difficulty falling asleep (PR = 1.92; 95%CI 1.38 - 2.66). CONCLUSION: SB is a frequent condition in adolescents, and the factors associated with its prevalence were: male sex, snoring and difficulty falling asleep.

Factors associated with molar-incisor hypomineralisation in schoolchildren aged 8-10 years: a case-control study.

BACKGROUND: The aetiology of molar-incisor hypomineralisation (MIH) is multifactorial and may involve genetic and environmental factors. AIM: To verify the factors associated with MIH in schoolchildren from 8 to 10 years of age. DESIGN: This is a case-control study with a sample consisting of children aged 8 to 10 years, paired by gender and school type, in a ratio of 1:3. The case group included 186 children with MIH and the control included 558 children without MIH. Data were collected through a semi-structured questionnaire and clinical examination. Chi-square, linear-by-linear, Mann-Whitney, and logistic regression tests were conducted. A value of P < 0.05 was considered significant. RESULTS: The prevalence of mild MIH was 19.5%, moderate MIH 2.2% and severe MIH 3.2%. An association was observed between MIH with treatment need and a higher mean DMF-T and decayed and missing teeth (P < 0.05). According to the aetiological factors studied, mothers who presented a fever during pregnancy had a 2.54 times greater chance of having children with severe MIH than mothers who did not present a fever (P = 0.045). CONCLUSION: The presence of fever during pregnancy and the need for treatment were associated with MIH.

Prevalência e fatores associados ao bruxismo do sono em adolescentes de Teresina, Piauí / Prevalence and associated factors to sleep bruxism in adolescents from Teresina, Piauí

RESUMO: Introdução: Bruxismo do sono (BS) é uma atividade muscular repetitiva cuja epidemiologia em adolescentes tem sido pouco estudada. Este estudo observacional transversal objetivou determinar a prevalência e os fatores associados ao BS em adolescentes. Metodologia: A amostra foi constituída de 594 escolares na faixa etária de 11 a 14 anos de Teresina, Piauí, Brasil. Os instrumentos de coleta dos dados foram questionário direcionado aos pais/responsáveis e exame clínico dentário. Para se verificar associação entre BS e variáveis independentes, o teste qui-quadrado de Pearson foi aplicado, bem como análise de regressão de Poisson com variância robusta, com resultados expressos em razão de prevalência (RP). Resultados: A prevalência de BS foi de 22,2%. Na análise multivariada foi observada maior prevalência de BS em adolescentes do sexo masculino (RP = 1,41; intervalo de confiança de 95% - IC95% 1,04 - 1,89), com relato de ronco (RP = 1,39; IC95% 1,02 - 1,89) e dificuldades para dormir (RP = 1,92; IC95% 1,38 - 2,66). Conclusão: BS é uma condição frequente em adolescentes, e os fatores associados à sua prevalência foram: sexo masculino, ronco e dificuldades para dormir.

ABSTRACT: Introduction: Sleep bruxism (SB) is defined as a repetitive jaw muscle activity whose epidemiology in adolescents has been little studied. This cross-sectional study aimed to determine the prevalence of sleep bruxism and associated factors in adolescents. Methodology: The sample consisted of 594 students aged 11 to 14 years old from Teresina, Piauí, Brazil. Self-administered questionnaire was answered by parents/caregivers and dental clinical examination was performed. Pearson's chi-squared test was used to assess the association between SB and independent variables. Poisson regression analysis with robust variance was applied, with results expressed in prevalence ratio (PR). Results: The prevalence of SB in adolescents was 22.2%. Multivariate analysis showed a higher prevalence of SB in male gender adolescents (PR = 1.41; 95%CI 1.04 - 1.89), presenting snoring (PR = 1.39; 95%CI 1.02 - 1.89) and difficulty falling asleep (PR = 1.92; 95%CI 1.38 - 2.66). Conclusion: SB is a frequent condition in adolescents, and the factors associated with its prevalence were: male sex, snoring and difficulty falling asleep.

Hipomineralização molar-incisivo: prevalência, fatores associados e impacto na qualidade de vida relacionada à saúde bucal de escolares / Molar-incisor hypomineralization: prevalence, associated factors and impact on quality of life related to the oral health of school children

Hipomineralização molar-incisivo (HMI) corresponde ao defeito de desenvolvimento do esmalte que pode causar sensibilidade nos dentes e rápida progressão da cárie. Essas condições podem ocasionar dor e afetar a qualidade de vida. Problemas de saúde bucal impactam na qualidade de vida relacionada à saúde bucal (QVRSB). Desta forma, os objetivos deste estudo foram determinar a prevalência, fatores associados com HMI e seu impacto na QVRSB de escolares. Este foi um estudo transversal de base populacional. A amostra foi estratificada e aleatória, constituída por 1202 escolares de 8 a 10 anos de Teresina, Brasil. Os escolares foram avaliados para diagnóstico de HMI (EAPD), experiência de cárie (CPO-D), consequências clínicas de cárie não tratada (PUFA), necessidade de tratamento para o dente com HMI e má oclusão (DAI). O impacto da condição bucal na QVRSB foi avaliado por meio das versões brasileiras dos instrumentos Child Perceptions Questionnaire (B-CPQ8-10) e Parental-Caregiver Perceptions Questionnaire (B-P-CPQ) versão curta. Foi realizada análise descritiva dos dados, testes Qui-Quadrado e Mann-Whitney. Análise de Cluster foi realizada para dicotomizar a variável impacto negativo na QVRSB em alto e baixo impacto. A Regressão de Poisson com variância robusta foi realizada para análise multivariada com seus respectivos intervalos de confiança (IC 95%). Variáveis com p<0,20 foram utilizadas para modelo final e considerou-se p¿0,05 como significativo. A prevalência de HMI encontrada foi de 15,5%. Os molares inferiores foram os mais afetados pela severidade grave (60,6%). Na análise multivariada, observou-se que escolares com HMI fora associados a maior prevalência de sensibilidade dentinária (RP=1,25; IC95%:1,18-1,33) e experiência de cárie (RP=1,09; IC95%:1,03-1,15) que os escolares sem HMI. Com ele, também se demonstrou que crianças com HMI moderada estiveram associadas a maior prevalência de impacto negativo na QVRSB nos domínios sintomas orais (RP=1,20; IC95%:1,07-1,36) que crianças sem HMI. Pais de crianças com HMI grave e moderada estiveram associados a maior prevalência de relato do impacto negativo nos domínios limitação funcional (RP=1,16; IC95%:1,06-1,26) e bem-estar (RP=1,16; IC95%:1,01-1,34), respectivamente, que pais de crianças sem HMI. Assim, pode-se concluir que prevalência de HMI foi elevada. Crianças com HMI foram associados a maior prevalência de experiência de cárie dentária e sensibilidade dentinária. Crianças com HMI leve, moderada e severa foram associadas a maior prevalência de impacto negativo na QVRSB de acordo com seus pais e o autorrelato

Molar-incisor hypomineralization (MIH) corresponds to the development defect of the enamel that can cause teeth sensitivity in the teeth and rapid progression of caries. These conditions can cause pain and affect the quality of life. Oral health problems have an impact on oral health related quality of life (OHRQoL). Thus, the objectives of this study were to determine the prevalence, factors associated with MIH and their impact on the OHRQoL of schoolchildren. This was a cross-sectional population-based study. A sample was evaluated and randomized, consisting of 1202 achoolchildren from 8 to 10 years of Teresina, Brasil. The students were instructed to disgnose MIH (EAPD), caries experience (DMF-T), clinical consequences of untreadcaries (PUFA), need for treatment for the tooth with MIH and malocclusion...

Impact of molar-incisor hypomineralization on oral health-related quality of life in schoolchildren.

This study evaluated the impact of molar-incisor hypomineralization (MIH) on oral health-related quality of life (OHRQoL) according to the perceptions of schoolchildren and their parents/caregivers. This cross-sectional study consisted of a sample of 594 schoolchildren between 11 and 14 years of age and their parents/caregivers who answered the questionnaires CPQ11-14ISF:16 and P-CPQ, respectively. The main independent variable of this study was MIH of the schoolchildren. Experience of dental caries, malocclusion, and socioeconomic status were treated as confounding variables. Statistical analysis used descriptive analysis and Poisson regression with robust variance. The prevalence of MIH was 18.9%. The overall P-CPQ score ranged from 0 to 35 (average = 7.26 ± 6.84), and the overall CPQ11-14ISF:16 score ranged from 0 to 47 (average = 11.92 ± 7.98). Severe MIH was associated with a greater negative impact of the "functional limitation" domain (RR = 1.41; 95%CI = 1.01-1.97), according to parents'/caregivers' perceptions. Severe MIH was associated with a greater negative impact of the "oral symptom" domain (RR = 1.30; 95%CI = 1.06-1.60) and functional limitation domain (RR = 1.42; 95%CI = 1.08-1.86), according to the schoolchildren's perceptions. Schoolchildren with severe MIH had a greater negative impact on the oral symptom and functional limitation domains than those without MIH. According to parents'/caregivers' perceptions, schoolchildren with severe MIH had a greater negative impact on the functional limitation domain than those without MIH.

[Epidemiological surveillance of dental fluorosis in a city with a tropical climate with a fluoridated public drinking water supply]. / Vigilância epidemiológica da fluorose dentária em município de clima tropical com água de abastecimento público fluoretada.

The scope of this study was to evaluate the prevalence and severity of dental fluorosis among 11 to 14-year-old schoolchildren in Teresina, Piauí, Brazil, which is a tropical city with a fluoridated public drinking water supply. It involved a cross-sectional observational study on a sample of 571 students in public and private schools. Informed Consent forms were approved for the data collection and the exams were conducted at the schools. Data were recorded on a questionnaire answered by the parents, regarding the socioeconomic and demographic characteristics and oral hygiene habits of the sample. The dental exam was performed qualified dental sugeons. The Thylstrup-Fejerskov (TF) index was used. The prevalence of fluorosis was 77.9%, and only 12.5% of the affected children had TF ≥ grade 3 (with aesthetic damage). The premolars were the teeth most affected by fluorosis. Among the students with the highest severity of fluorosis, 98.6% belonged to the lowest social bracket (> B2), 91.5% were born and had always lived in Teresina, 94.4% consumed water from the fluoridated public supply, 76% used toothpaste for children and 64% of mothers reported that they swallowed toothpaste. The prevalence of fluorosis was high, though the severity was low in individuals exposed to fluoridation since birth.

Vigilância epidemiológica da fluorose dentária em município de clima tropical com água de abastecimento público fluoretada / Epidemiological surveillance of dental fluorosis in a city with a tropical climate with a fluoridated public drinking water supply

Resumo O objetivo deste estudo foi avaliar a prevalência e a severidade de fluorose dentária em escolares de 11 a 14 anos de idade em Teresina (PI) Brasil, município de clima tropical com água de abastecimento público fluoretada. Estudo do tipo observacional transversal no qual foram avaliadas 571 crianças distribuídas nas redes pública e particular de ensino. A coleta de dados foi realizada nas unidades escolares, após recolhimento do Termo de Consentimento Livre e Esclarecido (TCLE) e questionário respondido pelos pais referentes às condições socioeconômicas e demográficas e aos hábitos de higiene bucal. O exame dentário foi realizado por um cirurgião-dentista calibrado. O índice aplicado foi o Thylstrup e Fejerskov (TF). A prevalência de fluorose foi de 77,9%, e apenas 12,5% das crianças acometidas apresentaram TF ≥ 3, grau com comprometimento estético. Os pré-molares foram os dentes mais afetados pela fluorose. Dentre os escolares com maior severidade de fluorose, 98,6% dos pertenciam à classe social mais baixa (>B2), 91,5% nasceram e sempre moraram em Teresina, 94,4% consumiam água de abastecimento fluoretada, 76% usaram dentifrício infantil e 64% as mães relataram que engoliam dentifrício. A prevalência de fluorose foi elevada, mas com baixa severidade, em indivíduos expostos à fluoretação desde o nascimento.

Abstract The scope of this study was to evaluate the prevalence and severity of dental fluorosis among 11 to 14-year-old schoolchildren in Teresina, Piauí, Brazil, which is a tropical city with a fluoridated public drinking water supply. It involved a cross-sectional observational study on a sample of 571 students in public and private schools. Informed Consent forms were approved for the data collection and the exams were conducted at the schools. Data were recorded on a questionnaire answered by the parents, regarding the socioeconomic and demographic characteristics and oral hygiene habits of the sample. The dental exam was performed qualified dental sugeons. The Thylstrup-Fejerskov (TF) index was used. The prevalence of fluorosis was 77.9%, and only 12.5% of the affected children had TF ≥ grade 3 (with aesthetic damage). The premolars were the teeth most affected by fluorosis. Among the students with the highest severity of fluorosis, 98.6% belonged to the lowest social bracket (> B2), 91.5% were born and had always lived in Teresina, 94.4% consumed water from the fluoridated public supply, 76% used toothpaste for children and 64% of mothers reported that they swallowed toothpaste. The prevalence of fluorosis was high, though the severity was low in individuals exposed to fluoridation since birth.

Impact of molar-incisor hypomineralization on oral health-related quality of life in schoolchildren

Abstract This study evaluated the impact of molar-incisor hypomineralization (MIH) on oral health-related quality of life (OHRQoL) according to the perceptions of schoolchildren and their parents/caregivers. This cross-sectional study consisted of a sample of 594 schoolchildren between 11 and 14 years of age and their parents/caregivers who answered the questionnaires CPQ11-14ISF:16 and P-CPQ, respectively. The main independent variable of this study was MIH of the schoolchildren. Experience of dental caries, malocclusion, and socioeconomic status were treated as confounding variables. Statistical analysis used descriptive analysis and Poisson regression with robust variance. The prevalence of MIH was 18.9%. The overall P-CPQ score ranged from 0 to 35 (average = 7.26 ± 6.84), and the overall CPQ11-14ISF:16 score ranged from 0 to 47 (average = 11.92 ± 7.98). Severe MIH was associated with a greater negative impact of the "functional limitation" domain (RR = 1.41; 95%CI = 1.01-1.97), according to parents'/caregivers' perceptions. Severe MIH was associated with a greater negative impact of the "oral symptom" domain (RR = 1.30; 95%CI = 1.06-1.60) and functional limitation domain (RR = 1.42; 95%CI = 1.08-1.86), according to the schoolchildren's perceptions. Schoolchildren with severe MIH had a greater negative impact on the oral symptom and functional limitation domains than those without MIH. According to parents'/caregivers' perceptions, schoolchildren with severe MIH had a greater negative impact on the functional limitation domain than those without MIH.

Epidemiologic Study of Molar-incisor Hypomineralization in Schoolchildren in North-eastern Brazil.

PURPOSE: To determine the prevalence of molar-incisor hypomineralization (MIH) in children and possible factors associated with this disorder. METHODS: This was a cross-sectional observational study of 594 11- to 14-year-olds from Teresina, Piauí, Brazil. The diagnosis of MIH was made based on criteria set by the European Academy of Pediatric Dentistry. To investigate possible associated factors, mothers completed a questionnaire. A descriptive analysis of the data, chi-square, Mann-Whitney, and Fisher tests and Poisson regression (PR) were performed. RESULTS: The prevalence of MIH was 18.4 percent (95 percent confidence interval [CI] equals 15.20 to 21.50). The maxillary molars were the teeth most affected by MIH (36.1 percent). MIH patients showed a higher number of mean DMF-T (PR equals 2.18; 95 percent CI equals 1.46 to 2.85) than those not affected by the condition. There was an association between MIH and preterm birth (PR equals 1.76; 95 percent CI equals 1.22 to 2.12) and between MIH and respiratory distress at birth (PR equals 1.83; 95 percent CI equals 1.25 to 2.18). CONCLUSIONS: The prevalence of MIH in schoolchildren was 18.4 percent. Those with MIH had a greater mean DMF-T than those without MIH. Preterm birth and respiratory distress were associated with MIH.

Dental findings in children with West syndrome.

INTRODUCTION: West syndrome (WS) is a rare age-related syndrome of epilepsy. The oral manifestations of WS are still unknown. OBJECTIVE: To assess the oral health status and oral findings of a sample of WS children being treated at a specialized referral center. MATERIAL AND METHODS: The dental record forms of 528 children were searched at this center. Eight of the children had been diagnosed with WS. RESULTS: The ages of those with WS ranged from 6 months to 13 years, and 62% of them were male. All of them were taking antiepileptic medication. Twenty-five percent of them had tongue interposition between the dental arches and a deep palate. The mean DMFT was .25 and dmft was 1.12. CONCLUSION: Patients with WS seem to have low caries experience, can have a deep palate, and may have their tongue positioned between the arches or on the incisive papilla.

Natal and neonatal teeth: a review of 23 cases.

Natal teeth erupt in utero, whereas neonatal teeth present during the first month of life. The lower central incisors are the most frequently affected teeth. The etiology is unknown, and the choice of treatment depends on several factors. The purpose of this paper is to review 23 cases of children with natal or neonatal teeth who attended a dental care program in a university maternal and infant oral health clinic. There was no gender predilection. Most were natal teeth (83 percent) and presented a mild degree of mobility (64 percent). Only two patients had breast-feeding difficulties (nine percent). Tooth maintenance was the most common treatment of choice (64 percent), and only two patients presented Riga-Fede disease (nine percent).

Impact of dental fluorosis on the quality of life of children and adolescents / Impacto da fluorose dentária na qualidade de vida de crianças e adolescentes

Introduction: Dental fluorosis is a disturbance of high prevalence caused by the ingestion of fluoride ions present mainly in toothpaste. Preventive measures to avoid it are still controversial. Thus, knowing the impact that fluorosis can cause on the population's quality of life it is important for planning public health policies. Objective: To evaluate the impact of dental fluorosis on the quality of life of children and adolescents. Material and Method: We studied 300 subjects aged 8 to 12 years divided into 4 groups: children (8-10 years) and adolescents (10 to 12 years) with and without fluorosis. The diagnosis of fluorosis was performed according to the index Thylstrup and Fejerskov and quality of life was evaluated using Child Perceptions Questionnaire 8-10 and 11-14. The socio-demographic characteristics of the patients were also evaluated. For inclusion in the sample, selected patients should present eight permanent incisors with crowns fully erupted. Patients who had extensive restorations, fractured teeth, other dental enamel defects and who wore braces were excluded. Result: Fluorosis was present in 64.7% of the patients analyzed and in most cases (80.3%) was mild or very mild. In children, the average overall score of the questionnaire was 15.9 for the group without fluorosis and 18.3 for the group with fluorosis (p = 0.255). The teenagers' score in the group without fluorosis was 26.1, while the group with fluorosis was 22.7 (p = 0.104). Conclusion: Dental fluorosis caused impact on the quality of life of the population analyzed only in the functional domain. .

Introdução: A fluorose dentária é um distúrbio de alta prevalência decorrente da ingestão de íons fluoretos. Medidas preventivas para evitá-la ainda são controversas. Assim, conhecer o impacto que a fluorose pode causar na qualidade de vida de indivíduos é importante para o planejamento de políticas públicas de saúde. Objetivo: Avaliar o impacto da fluorose dentária sobre a qualidade de vida relacionada à saúde bucal (QVRSB) de crianças e adolescentes. Material e Método: Foram avaliados 300 indivíduos na faixa etária de 8 a12 anos. O diagnóstico de fluorose foi realizado segundo o índice Thylstrup e Fejerskov e a qualidade de vida foi avaliada utilizando os questionários de Percepção da Criança 8-10 e 11-14. Foram incluídos pacientes com oito incisivos permanentes com coroas totalmente irrompidase excluídos os que apresentavam restaurações extensas, dentes fraturados, outros defeitos do esmalte dentário e os que usavam aparelho ortodôntico fixo. Os dados foram analisados no programa SPSS(r) (versão 18; Chicago, IL) e realizaram-se os teste Qui-quadrado, Fisher e Mann-Whitney. Foram considerados significantes valores de p<0,05. Resultado: A prevalência de fluorose foi 64,7%, sendo os graus leve e muito leve responsáveis por 80,3% dos casos. Crianças e adolescentes não tiveram impacto na QVRSB no escore geral e domínios sintomas orais, bem-estar emocional e social (p>0,05). Entretanto, apresentaram impacto no domínio limitação funcional (p = 0,039 e 0,013) para crianças e adolescentes respectivamente). Conclusão: Foi observada associação entre fluorose e qualidade de vida apenas no domínio funcional. .

Prevalence and potential factors associated with probable sleep or awake bruxism and dentin hypersensitivity in undergraduate students / Prevalência e potenciais fatores associados ao provável bruxismo do sono e em vigília e hiperestesia dentinária cervical em universitários

Objective: To measure the prevalence of probable sleep or awake bruxism and cervical dentin hypersensitivity of undergraduate students and to determine the symptoms associated with these conditions. Methodology: This was a cross-sectional study. A diagnosis of probable bruxism was reached when students reported clenching or grinding of the teeth during sleep and/or wakefulness, and when they also presented some of the signs and symptoms of bruxism and masseter muscle pain on palpation. Cervical dentinal hypersensitivity was diagnosed by testing for sensitivity to pain in the cervical region of the teeth. Pain was triggered either by touch (using a #5 probe) or by an air jet spray. The sample consisted of 306 university students aged between 19 and 35 years old. The data were stored and analysed using SPSS software, version 15.0 for Windows. Result: The prevalence of probable bruxism was 34.3%, with no predominance regarding sex. Probable awake bruxism was more prevalent (61.9%), mostly occurring when the individual reported being in a state of mental concentration (63.1%). There was no association between probable sleep or awake bruxism and dentin hypersensitivity (p = 0.195). Individuals with probable sleep bruxism had increased odds of having muscular pain in the face upon waking (OR = 14.14, 95% CI 5.06-39.55), and those with probable awake bruxism had a increased odds of having facial muscle fatigue when chewing or talking for a long time (OR = 2.88, 95% CI 1.53-5.43) and muscular pain in the face upon waking (OR = 5.31, 95% CI 1.93-14.62). Conclusion: The prevalence of probable bruxism was 34.3% and that of HDC was 57.8%, with 22.2% of these subjects also showing probable bruxism. Individuals with probable bruxism tended to have a higher odds of facial pain when they awakened and when chewing or talking for long periods. There were no associations between probable sleep and awake bruxism and cervical dentin hypersensitivity. .

Objetivo: Mensurar a prevalência de provável bruxismo do sono e em vigília e de hiperestesia dentinária cervical de estudantes universitários e verificar os sintomas a eles associados. Metodologia: Este é um estudo transversal, cujo diagnóstico de provável bruxismo foi realizado pelo relato dos estudantes em ranger e/ou apertar os dentes durante o sono e em vigília combinado com o diagnóstico clínico de desgaste dentário e dor da musculatura do masseter à palpação. O diagnóstico de hipersensibilidade dentinária cervical foi realizado por testes de sensibilidade ao toque com sonda exploradora e a jato de ar da seringa tríplice. A amostra consistiu de 306 universitários entre 19 a 35 anos. Os dados foram armazenados e analisados no programa SPSS v.15.0 for Windows. Resultado: A prevalência de provável bruxismo foi de 34,3%, não havendo predominância entre os gêneros. O provável bruxismo em vigília foi o mais predominante (61,9%), ocorrendo principalmente quando o indivíduo estava em estado de concentração (63,1%). Não houve uma associação entre provável bruxismo do sono e em vigília e hiperestesia dentinária (p=0,195). Os indivíduos com provável bruxismo do sono possuíram maior chance de acordar com dor nos músculos da face (OR=14,14, IC95% 5,06-39,55) e com provável bruxismo em vigília maior chance de cansaço muscular facial ao mastigar ou falar por muito tempo (OR=2,88, IC95% 1,53-5,43) e dor nos músculos da face ao acordar (OR=5,31, IC95% 1,93-14,62). CONCLUSÃO: A prevalência de provável bruxismo foi 34,3% e de HDC 57,8%, com 22,2% destes também apresentando provável bruxismo, mas sem associação estatística. Indivíduos com provável bruxismo tendem a ter maior ...

Fatores de risco relacionados à condição de saúde periodontal em universitários / Risk factors related to periodontal health status in undergraduate students

Introdução: A doença periodontal pode ter seu início na infância e na adolescência, e progredir lentamente ao longo da vida. Em universitários, a forma mais comum e prevalente da doença é a gengivite. Objetivo: Mensurar a condição de saúde periodontal de uma amostra de universitários e verificar existência da associação com variáveis sociodemográficas e os fatores de risco envolvidos. Material e Método: A amostra consistiu de 306 universitários voluntários, com idade entre 19 e 35 anos, sendo usados como indicadores de saúde bucal os índices: Índice Periodontal Comunitário (CPI) e Índice de Dentes Cariados, Perdidos e Obturados (CPO-D). Para processamento e análise dos dados, foi usado o programa SPSS versão 18.0. A classificação da condição periodontal foi dicotomizada em CPI < 3 e CPI ≥ 3.. Realizou-se regressão logística bivariada e multivariada para analisar a associação entre a condição periodontal e as variáveis independentes. Resultado: A amostra consistiu de 51,3% de mulheres e 48,7% de homens, tendo a maioria renda menor do que 6 salários mínimos. Observou-se que 14,4% da amostra era livre de cárie. A pior condição periodontal foi encontrada no sextante 6 e 20,9% da amostra apresentou bolsas rasas em ao menos um sextante. Houve associação entre a condição periodontal e as variáveis: gênero, renda, nível de higiene bucal e uso do fio dental (p < 0,05); entretanto, não houve associação entre aquela e o CPO-D da amostra (p = 0,48). Conclusão: A amostra apresentou leve condição de doença periodontal, com ausência de bolsas periodontais profundas. Indivíduos do gênero feminino, de renda acima de 4 salários, com bom nível de higiene bucal e que usam o fio dental tiveram melhor condição de saúde periodontal.

Introduction: Periodontal disease may have its onset during childhood and adolescence and slowly progress throughout life. In undergraduate students, the most common and prevalent form the disease is gingivitis. Objective: To assess the periodontal health status of a sample of undergraduate studentsand assess a possible association between the disease and socio-demographic variables, as well as the disease's risk factors. Material and Method: The sample consisted of 306 undergraduate students volunteers aged between 19 and 35 years. The oral health indices used were the CPI and DMFT. Data processing and statistical analysis was performed using SPSS® version 18.0 for Windows. The classification of periodontal status was dichotomized in CPI<3 and CPI≥ 3.. Bivariate and multivariate logistic regression analyses were carried out to evaluate the association between periodontal status and the independent variables. Result: The sample consisted of 51.3% female and 48.7% male, mostly with income less than 6 Brazilian minimum salaries. 14.4% of the sample was caries free. The worst periodontal status was in sextant #6 and 20.9% had shallow periodontal pockets in one sextant at least. There was an association between periodontal health status and gender, income, level of oral hygiene and flossing (p <0.05), but not between that and DMFT sample (p = 0.48). Conclusion: The sample showed mild periodontal disease condition, with no deep pockets. Female subjects, who earn more than 4 minimum salaries, with a good level of oral hygiene and who use dental floss had better periodontal health.

Odontoma complexo extenso causando assimetria facial: relato de caso / Large complex odontoma with facial asymmetry: a case report

Odontoma é um tumor de malformação, em que esmalte e dentina e, às vezes, o cemento estão presentes. É o tumor odontogênico mais comum, representando 67% de todos os tumores odontogênicos. Ocorre em crianças, adolescentes e adultos jovens. Clinicamente, são frequentemente associados a lesões assintomáticas e a alterações na erupção da dentição decídua ou permanente. O objetivo deste trabalho é relatar um caso de odontoma complexo na região posterior de maxila que atingiu grande extensão, tendo como consequência assimetria facial. Paciente de iniciais JLD, gênero masculino, 25 anos de idade, procurou atendimento no serviço de cirurgia e traumatologia buco-maxilo-facial do Hospital Getúlio Vargas em Teresina - PI, apresentando queixa de assimetria facial no lado esquerdo. Ao exame clínico observou-se uma massa gengival hiperplasiada de consistência endurecida, com coloração normal. A radiografia panorâmica mostrou uma área mista radiolúcida - radiopaca, de forma oval, provocando reabsorções de raízes dos 2º e 3º molares esquerdos superiores. Na tomografia computadorizada, observou-se lesão mista de contorno parcialmente delimitado. A exérese da lesão foi realizada por meio da biópsia excisional. Os cortes histológicos revelaram fragmentos de neoplasia benigna odontogênica, confirmando o diagnóstico como Odontoma complexo. A obtenção do resultado cirúrgico satisfatório com o mínimo de complicações é o objetivo.

The odontoma is a tumor of malformation in which enamel, dentin, and sometimes cementum are present. It is the most common odontogenic tumor, accounting for 67% of all odontogenic tumors. It occurs in children, adolescents and young adults. Clinically, these lesions are often asymptomatic and associated with changes in the eruption of the deciduous or permanent teeth. The objective of this study was to report a case of a complex odontoma of substantial proportions in the posterior maxilla with the resulting facial asymmetry. JLD, a 25-year-old male sought treatment in the Department of Traumatology and Maxillofacial Surgery at Getulio Vargas Hospital in Teresina-PI, complaining of facial asymmetry on the left side. The clinical examination revealed a hardened gingival hyperplastic mass with a normal color. The panoramic radiograph showed an oval mixed radiolucent/radiopaque area, causing resorption of roots of the second and third upper left molars. Computed tomography revealed a mixed lesion with partially defined contours. The removal of the tumor was performed by excision biopsy. The histological sections revealed fragments of a benign odontogenic neoplasia, confirming the diagnosis of complex odontoma. The goal is to obtain a satisfactory surgical result with a minimum of complications.

Civil liability of dentists based on reports filed to the Regional Council of Dentistry

Civil liability is the obligation to repair the damage that one causes someone else. Dentists must respect legal precepts and comply with the Consumer Protection and Defense Code. In order to prevent legal action, it is important to communicate with the patients and/or their caregiver. Aim: The goal of this study was to assess the number of dentists living in the city of Teresina-PI and in some other capitals of the northeastern Brazil as well as the number of reports filed against dentists to the Regional Council of Dentistry (CRO) between 2002 and 2009. Methods: This was a cross-sectional descriptive study conducted in the city of Teresina, located in northeastern Brazil, with an estimated population of 802,537 inhabitants. In 2009, 1,938 dentists were registered at the CRO - Piauí, 1,239 of whom belonged to the city of Teresina. The number of reports filed against dentists is presented, using a comparative description of the data by dental specialty and states in northeastern Brazil. Results: Data collection showed that 70 complaints were registered. The majority were against orthodontists (N=16), regarding advertising (N=15) and regarding administrative, ethical or service violation (N=15, 11 of whom were dentists who worked in a nonregistered practice). Conclusions: The number of reports filed against dentists has decreased in Piauí, unlike other states. However, professionals must be aware about communication with the patient and archiving of dental charts and treatment-related documents or exams.