Emergency Dental Care of Children and Adolescents in Basic Health Unit and Emergency Care Unit

Objective: To evaluate the factors related to the dental emergency care of children and adolescents in Basic Health Units (UBS) and Emergency Care Units (UPA) affiliated with the public dental network of Curitiba, Brazil. Material and Methods: Crosssectional study that evaluated 1,012 emergency cases in individuals aged up to 17 years old and with a permanent record in the Unified Health System of Curitiba. Demographic data of individuals and of services were taken from electronic medical records. Statistical analysis was performed using the chi-square test and chi-square test for linear trend (α = 0.05), estimating the prevalence ratio (PR) (95%CI). Results: Of the total of emergency cases, 68.2% and 31.8% were of children and adolescents, respectively. UBS accounted for 89.7% of the cases while UPA represented 10.3%, and 12.2% of the treatments were characterized as first access to the system. Adolescents used UPAs for emergency care more often than children (PR = 1.84; 95%CI: 1.28-2.64). Among children, those with more than 1 year since the last appointment used UPAs for emergency care more often (PR = 1.86; 95%CI: 1.09-3.17). Adolescents for whom emergency care was characterized as first access to the system used UPAs more often (PR = 2.16; 95%CI: 1.04-4.46). The proximity between the UBS of origin and the UPA was associated with greater UPA utilization by both groups. Conclusion: UBSs accounted for most of the dental emergency treatments. Children and adolescents with a poorer connection with UBSs and those who lived near an UPA had a higher prevalence of UPA utilization for emergency care.

Translation and Cross-Cultural Adaptation of the Oral Health Literacy Assessment-Spanish to Brazilian Portuguese

Objective: To translate the Spanish version of the instrument to measure oral health literacy - Oral Health Literacy Assessment-Spanish (OHLA-S) - into Portuguese (Brazilian) and perform their cross-cultural adaptation. Material and Methods: OHLAS evaluates the level of oral health literacy from questions measuring pronunciation and comprehension skills of 30 dental terms concerning the etiology, anatomy, prevention and treatment of oral conditions. A committee of experts was created to evaluate all the steps of the process, right from the original version, through to the final one. The steps were: initial translation into Portuguese language by two Spanish teachers, backtranslation into Spanish by two native Spanish speaking, review by the committee, and pre-test. For the pre-test of cross-cultural adaptation, the alternative "did not understand" was added to each item of the tool. The instrument was applied to a sample of 20 adults. Results: In the initial translation, some differences were observed between the translated versions, and after the committee had reviewed these versions, a few words were replaced by other synonyms to enable better understanding of the instrument by the population. When the back-translation was compared with the original version, the results were very satisfactory and there was no need to make any further change or replacement. In the pre-test, the version of the tool Oral Health Literacy Assessment-Brazilian (OHLA-B) was very well understood by the studied population and there was no need for other cultural adaptations. Conclusion: OHLA-B proved to be easily understood by Brazilian adults and could be an important tool for measuring levels of oral health literacy.