Accuracy of Remote Examination for Detecting Potentially Malignant Oral Lesions: A Systematic Review and Meta-Analysis.

Objective: We aimed to investigate the accuracy of remote examination by photographs compared to in-person clinical examination for detecting potentially malignant oral lesions (PMOLs). Methods: The Reporting Guide and Guidelines for Writing Systematic Reviews (Preferred Reporting Items for Systematic Reviews and Meta-Analysis [PRISMA]) guided the reporting of findings. The search was conducted by two independent reviewers in six databases with no language restriction until November 2022. The Population, Test-Index, Reference Standard, Outcome and Study Design (PIROS) strategy guided the eligibility criteria, and studies with adult patients (P) examined remotely (I) and in-person (R) to verify the detection of PMOLs (O) were considered. The methodological quality was assessed by QUADAS-2, and the certainty of the evidence was measured by the Grading of Recommendations, Assessment, Development, and Evaluation (GRADE). Results: A total of 769 files were identified. After removing duplicates and reading titles and abstracts, 16 were read in full, from which 6 articles then comprised the qualitative synthesis. The oral clinical examination was the reference standard in four studies. Five studies presented high risk of bias in at least one assessment domain. A high probability of detection of PMOL by remote examination (97.37%) was observed for the three studies included in the meta-analysis, which presented high heterogeneity among them. The certainty of evidence for the outcome was considered very low. Conclusions: Remote tools for detecting PMOLs may be feasible and assertive, but new studies are required to incorporate them into clinical practice. Clinical Relevance: Remote examination for the detection of PMOLs has the potential to favoring the early diagnosis of malignant lesions.

A hospital-based oral health education program impacts in pediatric cancer patients-A pilot study.

OBJECTIVES: To assess the impact of an oral health education and preventive program (OHEPP) for pediatric cancer patients. METHODS: This was a single-arm study with 27 children and adolescents undergoing antineoplastic treatments. Patients were followed up for 10 weeks, and their oral health conditions were evaluated using the Modified Gingival Index (MGI), Visible Plaque Index (VPI), and the modified Oral Assessment Guide (OAG). Audiovisual resources, storytelling, and ludic instruments were used to provide oral health education to patients and parents/caregivers. RESULTS: The patients' mean age was 9.41 (±4.49) years, and acute lymphoblastic leukemia was the most prevalent diagnosis (22.2%). Mean MGI and VPI values were 0.82 (±0.59) and 54.11% (±19.92%) at baseline and 0.33 (±0.29) and 19.83% (± 11.47%) after 10 weeks, respectively (p < .05). The mean OAG score was 9.51 (±2.54) and 36 cases (19.8%) of severe oral mucositis (SOM) were documented. Patients with higher MGI were more likely to develop SOM. CONCLUSION: The OHEPP had a positive impact on pediatric patients undergoing cancer therapy by improving their periodontal health, reducing biofilm accumulation, and preventing the development of OM lesions.

Differences in volume, density, electrolyte concentration, and total proteins in the fluid of the paranasal sinuses of freshwater and saltwater drowning victims: a systematic review and meta-analysis.

This study summarized the available evidence on the differences in volume, density, electrolyte concentration, and total proteins in paranasal sinus fluid between freshwater and saltwater drowning victims. A systematic search was conducted in electronic databases and gray literature, resulting in the inclusion of five studies with 234 drowning victims (92 saltwater incidents and 142 freshwater incidents). Meta-analyses using the inverse-of-variance method and a random-effects model were performed, reporting effect sizes as standardized mean differences (SMD) with 95% confidence intervals (CI). The findings showed a significantly higher sinus density in saltwater drowning cases compared to freshwater drowning cases (SMD 0.91, 95% CI 0.50 to 1.32). However, no significant differences were observed in sinus fluid volume. Saltwater drowning victims exhibited higher electrolyte concentrations (sodium: SMD 3.77, 95% CI 3.07 to 4.48; potassium: SMD 0.78, 95% CI 0.07 to 1.49; chloride: SMD 3.48, 95% CI 2.65 to 4.31; magnesium: SMD 4.01, 95% CI 3.00 to 5.03) and lower total protein concentrations (SMD - 1.20, 95% CI - 1.82 to - 0.58) in sinus fluid compared to freshwater drowning victims. This meta-analysis highlights the importance of analyzing the characteristics and composition of sinus fluid in forensic investigations of drowning cases. While no differences were found in sinus fluid volume, saltwater drowning victims exhibited higher sinus density, elevated electrolyte concentrations, and lower total protein concentrations compared to freshwater drowning victims.

Tempo de viabilidade da saliva humana em meio externo para fins de extração e purificação do DNA: uma revisão de escopo / Viability time of human saliva in the external environment for DNA extraction and purification: a scoping review

Introdução: A análise do DNA salivar é uma dos métodos de identificação humana relacionados à Odontologia Legal. A coleta do material genético salivar consiste num processo simples e pouco invasivo, por possuir grande potencial discriminatório tem sido amplamente aplicado em investigações criminais. Objetivo: Por meio de uma revisão de escopo, objetivou-se mapear o tempo de viabilidade da saliva humana em meio externo para fins de extração e purificação de DNA. Material e Métodos: A revisão foi conduzida seguindo o protocolo JBI e registrada (doi: 10.17605/OSF.IO/PN9ET). A estratégia de busca foi adaptada para as bases: Pubmed, Web of Science, Scopus, LILACS, Cochrane e Google Scholar, sem restrições sobre período de publicação ou idioma. Foram excluídos estudos que exploraram apenas as metodologias e materiais relacionados a extração de DNA , também aqueles que estudaram DNA de outros componentes que não a saliva. Resultados: Identificou-se 283 estudos. Após triagem inicial, 15 referências foram lidas na íntegra, sendo 6 incluídas na revisão, em função da confirmação da elegibilidade. Bitucas de cigarro, próteses dentárias, pastilhas de compressão dentária, cavidade oral e cartões de FTA foram os substratos descritos como fonte de saliva coletada. A viabilidade do DNA foi verificada em tempos que variaram de 1 dia à 11 anos. Conclusão: O protocolo de coleta e armazenamento das amostras é um fator que pode influenciar a quantidade e qualidade do material examinado, todavia, observou-se DNA viável em análise realizada uma década após a coleta da saliva e esse foi o tempo máximo de acompanhamento relatado nos estudos

Introduction: Salivary DNA analysis is one of the human identification methods related to forensic dentistry. Collection of salivary genetic material consists of a simple and poorly invasive process because it has great discriminatory potential has been widely applied in criminal investigations. Objective: Through a scope review, the feasibility time of human saliva was mapped in the external environment for DNA extraction and purification purposes. Material and Methods: The review was conducted following the JBI protocol and registered (doi: 10.17605/OSF.IO/PN9ET). The search strategy was adapted for the databases: Pubmed, Web of Science, Scopus, LILACS, Cochrane and Google Scholar, with no restrictions on period of publication or language. Studies that explored only methodologies and materials related to DNA extraction were excluded, as well as those that studied DNA from components other than saliva. Results: 283 studies were identified. After initial screening, 15 references were read in full, 6 of which were included in the review. Cigarette butts, dentures, dental compression tablets, oral cavity and FTA cards were the substrates described as a source of collected saliva. DNA viability was verified in times ranging from 1 day to 11 years. Conclusion: The sample collection and storage protocol is a factor that can influence the quantity and quality of the material examined, however, viable DNA was observed in an analysis performed a decade after saliva collection and this was the maximum reported follow-up time in the studies

Percepção de estudantes de Odontologia de uma Universidade do Estado da Paraíba sobre os impactos da pandemia de COVID-19 / Perception of dental students at an university in the state of Paraíba about the impacts of COVID-19 pandemic

Introdução: Durante a pandemia de SARS - COVID 19 os cursos de graduação em Odontologia aderiram ao método remoto de ensino, com o objetivo de diminuir o número de contaminações e mortes. Objetivo: Esse estudo objetivou avaliar a percepção dos impactos socioeconômicos, educacionais e psicológicos da pandemia, bem como a percepção da importância de aspectos de gestão para o enfrentamento da pandemia. Material e método: Esta é uma pesquisa qualitativa e quantitativa, efetuada em uma universidade pública do Nordeste brasileiro, baseada em questionário semiestruturado e com a amostra de 144 estudantes distribuídos nos 10 períodos do curso de Odontologia. Resultados: A maioria dos participantes se encontrava em alguma situação de isolamento ou autoisolamento durante a pandemia. Foi constatado que a experiência do ensino remoto não foi favorável para os discentes. Os estudantes consideram que a instituição participou parcialmente na elaboração de protocolos de biossegurança e instruções para retomada das atividades. Os estudantes relataram presença de: ansiedade, estresse, dificuldade de concentração, insegurança e exaustão emocional. Os alunos consideraram os conhecimentos de gestão e liderança como fundamentais para o enfrentamento dos desafios da pandemia. Conclusão: A presente pesquisa demonstrou que, em decorrência da pandemia por COVID-19, a maioria dos participantes teve prejuízo financeiro, bem como, um relevante prejuízo na formação acadêmica. Em relação aos quadros psicoemocionais, houve uma frequência variável relatada de diversas patologias destaque para ansiedade, estresse, insônia e baixa concentração. Por fim, a importância das competências de gestão para o enfrentamento da pandemia foi percebida pela maioria dos estudantes de Odontologia como indispensável

Introduction: During SARS - COVID 19 pandemic, undergraduate courses in Dentistry adhered to remote method of classes, with the aim of reducing the number of contaminations and deaths. Objective: This study aimed to assess the perception of socioeconomic, educational and psychological impacts of pandemic, as well as perception of the importance of management aspects for coping with the pandemic. Material and method: This is a qualitative and quantitative research, carried out at a public university of Brazilian Northeast, based on a semi-structured questionnaire and with a sample of 144 students distributed in the 10 periods of the Dentistry course. Results: Most participants were in some situation of isolation or self-isolation during the pandemic. It was found that the experience of remote teaching was not favorable for students. Students consider that university partially participated in the development of biosafety protocols and instructions for resuming activities. Students reported the presence of: anxiety, stress, difficulty concentrating, insecurity and emotional exhaustion. Students considered management and leadership knowledge as fundamental to face challenges of the pandemic period. Conclusion: The present research demonstrated that, as a result of the COVID-19 pandemic: most participants had financial losses, as well as a relevant loss in their academic training. Regarding psycho-emotional conditions, there was a variable frequency related to several pathologies, with emphasis on anxiety, stress, insomnia and low concentration. Finally, the importance of management skills for dealing with the pandemic was perceived by most of dental students as essential

The role of paranasal sinus fluid in determining drowning as the cause of death: A systematic review and meta-analysis.

Drowning is a significant global cause of unintentional injury fatalities, and accurate forensic diagnosis of drowning remains a challenge due to the nonspecific nature of post-mortem findings obtained through classical autopsy methods. Our manuscript addresses this issue by focusing on the emerging use of paranasal sinus fluid as a valuable tool in determining the cause of death, specifically in distinguishing drowning from non-drowning cases. The study provided a comprehensive summary of available evidence from observational studies that compared findings in the paranasal sinuses between drowning and non-drowning victims, analyzing parameters such as the presence of fluid, fluid volume, and density. The study encompassed a total of 14 selected studies involving 1044 subjects and utilized rigorous risk of bias assessment and data synthesis techniques. The meta-analysis demonstrated a strong association between the presence of fluid in the paranasal sinuses and drowning (OR = 17.1; 95% CI 7.2 to 40.5; p < 0.001). In addition, drowning victims had a significantly greater volume of fluid (SMD = 0.8; 95% CI 0.5 to 1.2; p < 0.001) and lower fluid density (SMD = -1.4; 95% -2.5 to -0.4; p = 0.008) compared to non-drowning cases. The results support the utility of paranasal sinus fluid analysis as a valuable diagnostic method in cases where drowning is suspected but cannot be definitively confirmed through traditional approaches.

Oral health surveys of Traditional Peoples and Communities in Brazil: a scoping review protocol.

OBJECTIVE: The objective of this review protocol is to map the available evidence regarding all the oral health surveys of Traditional Peoples and Communities (TPCs) in Brazil. METHODS AND ANALYSIS: The review question of the protocol is: 'What evidence is available on the oral health surveys of Traditional Peoples and Communities in Brazil?'. Observational studies that report oral health surveys of TPC in Brazil will be included. The protocol considered the Problem, Concept and Context strategy to guide data collection, as established by the Joanna Briggs Institute. The search strategy will consider Medical Subject Headings terms, synonyms and relevant free terms about epidemiological surveys in oral health and TPC in Brazil, with no limits to data, language, subject or search type, in the databases Medical Literature Analysis and Retrieval System Online (MEDLINE/PubMed), Literatura Latino-americana e do Caribe em Ciências da Saúde (LILACS), Scopus, Web of Science and Embase. Bibliographic searches will be updated until June 2023. The selection will be carried out by two independent, blinded reviewers, following the eligibility criteria, based on the title and abstract identified in the initial search. Potentially eligible studies will be fully read to confirm eligibility and collect relevant information. The categorisation of the studies will consider the author and year of publication, the traditional group studied, the study design, geographic location, age group, sample size, data collection method and the main oral health problem evaluated and its outcome. The data obtained and extracted will be presented in table format and text and presented using the visualisation of similarities method. ETHICS AND DISSEMINATION: The present study does not need ethical approval. The protocol title was registered in the Open Science Framework (DOI 10.17605/OSF.IO/BQ5J3). A final article will be prepared presenting the results of the scoping review, and will be submitted for publication in a peer-reviewed journal. The findings of this review will be presented at national conferences and scientific meetings.

Temporal Analysis of Malaria Cases in the Brazilian Yanomami Pediatric Population: A Retrospective Ecologic Study From 2003 to 2022.

This retrospective ecological study investigated malaria incidence among Brazilian Yanomami children and adolescents from 2003 to 2022. Of the 145,573 recorded cases, 75.9% occurred in the Yanomami pediatric population. Moreover, an increase in the proportion of cases among the 10-19 age group has been observed, potentially associated with the recruitment of Indigenous adolescents to mining areas in recent years.

Is facial geometric morphometrics a useful method for age estimation in children and adolescents? Limited evidence and lack of studies leave us with an uncertain answer.

Facial geometric morphometrics is a non-invasive method that has recently shown potential applications, including age estimation, diagnosis of facial abnormalities, monitoring facial development, and evaluating treatment outcomes. A systematic review identified two studies that demonstrated the use of facial geometric morphometrics for age estimation in children and adolescents, showing promising results in terms of accuracy and error. This finding could be particularly relevant in forensic investigations. However, a research agenda should be established to prioritize the assessment of the diagnostic accuracy of facial morphometric geometrics in estimating age among children and adolescents.

Conhecimento e interesse em Odontologia Legal dos graduandos em Odontologia da Universidade Federal da Paraíba / Conocimiento e interés en Odontología Forense de estudiantes de graduación en Odontología de la Universidad Federal de Paraíba / Knowledge and interest in Forensic Dentistry among undergraduate dental students at the Universidade Federal da Paraíba

O estudo objetivou identificar o conhecimento e interesse em Odontologia Legal dos estudantes de Odontologia da Universidade Federal da Paraíba (UFPB) e comparar os resultados entre os graduandos que não haviam cursado as disciplinas de Odontologia Legal e Ética e Legislação e aqueles que já tivessem cursado. Trata-se de uma pesquisa de campo com abordagem indutiva e técnica de documentação direta e extensiva com procedimentos estatísticos descritivos do tipo correlacional. Foram analisadas as respostas aos questionários online acerca do conhecimento e do interesse na Odontologia Legal pelos estudantes que não cursaram as disciplinas de Ética e Legislação Odontológica e Odontologia Legal (G1; n=45) daqueles que cursaram tais disciplinas (G2; n=29). Os dados foram analisados descritivamente e pelo teste qui-quadrado (α=5%). Observou-se que dos estudantes do G1, 44,4% (n= 20) apontaram a Odontologia Legal como meio de identificação humana e investigação e o G2 teve 48,27% (n=14) relacionando ser "Voltada para identificação criminal". Na autoavaliação dos estudantes acerca do conhecimento, o G1 teve 44,4% (n=20) avaliando em "Muito Baixo" e o G2 apresentou "Muito Baixo", "Baixo" e "Médio" com mesma porcentagem 24,1% (n=7), havendo diferença estatisticamente significante (p=0,002). Quanto ao interesse na carreira profissional, 37,8% dos estudantes do G1 positivaram e do G2, 48,3%. Nas questões objetivas os índices de acerto não passaram de 51% no G1 e 56% no G2 e a área mais apontada como relacionada à Odontologia Legal foi "Identificação Humana" (97,7% e 100%) em ambos os grupos. Em relação ao interesse na área após aplicação do questionário, ambos os grupos apontaram "Muito Alto" em maior porcentagem. Constatou-se conhecimento mediano dos estudantes e grande interesse em Odontologia Legal, independentemente do grupo de estudantes. Verificou-se também que menos de 50% tem interesse em seguir carreira na área da Odontologia Legal (AU).

El objetivo del estudio fue identificar el conocimiento y el interés de los estudiantes de odontología de la Universidad Federal de Paraíba (UFPB) y comparar los resultados entre los estudiantes que no habían cursado las asignaturas de Odontología Forense y Ética y Legislación con los que ya habían cursado. Es una investigación de campo con enfoque inductivo y técnica de documentación directa y extensiva con procedimientos estadísticos descriptivos del tipo correlacional. Se evaluaron cuestionarios online sobre conocimientos e interés en Odontología Forense, de estudiantes que no cursaron Ética y Legislación en Odontología ni Odontología Forense (G1; n = 45), y de los que cursaron dichas asignaturas (G2; n = 29). Los datos se analizaron de forma descriptiva y mediante prueba de Chi-cuadrado (α =5%). De los estudiantes de G1, 44,4% (n = 20) señalóa la Odontología Forense como medio de identificación e investigación humana, y de los de G2, 48,27% (n = 14) la consideró"orientada a la identificación criminal". En la autoevaluación acerca de su grado de conocimiento, 44,4% (n=20) de G1 lo catalogó como "Muy bajo", al tiempo que, G2 presentó "Muy bajo", "Bajo" y "Medio", con el mismo porcentaje, 24,1% (n = 7), constatándose diferencia estadísticamente significativa (p = 0,002). Sobre el interés por la carrera profesional, 37,8% de G1 y 48,3% de G2 respondieron positivamente. En relación a las preguntas estructuradas, 51% de G1 y 56% de G2 fueron correctas, mencionando a la "Identificación Humana" como el área más Conhecimento e interesse em Odontologia Legal dos graduandos em Odontologia da Universidade Federal da Paraíba relacionada con la Odontología Forense(97,7% y 100%, respectivamente). Con respecto al interés por el área, el mayor porcentaje de ambos grupos, señaló "Muy Alto". Se verificó un grado "Medio" de conocimiento y "Alto" de interés, en ambos grupos. En contrapartida, menos del 50% pretende especializarse en Odontología Forense (AU).

This study aimed to identify the knowledge and interest in Forensic Dentistry among undergraduate dental students at the Universidade Federal da Paraíba (UFPB). Furthermore, we aimed to compare the results between undergraduate students who had not studied Forensic Dentistry and Ethics and Legislation and those who had. This study comprises field research with an inductive approach and a direct and extensive documentation technique with descriptive statistical procedures of the correlational type. We analyzed the responses to the online questionnaires regarding knowledge and interest in Forensic Dentistry by students who did not take Dental Ethics and Legislation and Forensic Dentistry (G1; n=45) and those who did (G2; n=29). Data analysis was descriptive and by chi-square test (α=5%). We observed that 44.4% (n=20) of G1 students pointed to Forensic Dentistry as a human identification and investigation method. Meanwhile, 48.27% (n=14) of G2 students said it was "Focused on criminal identification". In the students' self-evaluation regarding knowledge, 44.4% (n=20) of G1 students rated their knowledge as "Very Low". Whereas, G2 students rated "Very Low", "Low", and "Medium" at the same percentage of 24.1% (n=7). Statistical difference was significant (p=0.002). Regarding the interest in a professional career, 37.8% of the G1 students were positive, while 48.3% were positive in G2. In the objective questions, the success indexes did not exceed 51% in G1 and 56% in G2. Moreover, the area most indicated in both groups (97.7% and 100%) as related to Forensic Dentistry was "Human Identification". After applying the questionnaire, both groups indicated the interest in the area as "Very High" in a higher percentage. Students showed average knowledge and great interest in Forensic Dentistry, regardless of the student group. Furthermore, we found that less than 50% are interested in pursuing a career in Forensic Dentistry (AU).

Tooth wear prevalence in individuals with Down syndrome: a systematic review.

OBJECTIVES: This systematic review investigated the prevalence of tooth wear between patients with and without Down syndrome. METHODS: Six databases (Embase, LILACS, Livivo, PubMed, Scopus and Web of Science) and grey literature (Google Scholar, OpenGrey and ProQuest) were searched until March 7, 2022. Observational studies were included to assess the differences in tooth wear prevalence and/or severity in Down syndrome and non-syndromic controls. Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) recommendations were followed. Three reviewers independently screened studies, extracted data, assessed the methodological quality (Joanna Briggs Institute) and graded the certainty of evidence through the Grading of Recommendations, Assessment, Development, Evaluation (GRADE) approach. Results were summarized through meta-analyses using a random-effects model. The protocol was registered at PROSPERO (CRD42021266997). RESULTS: Of the 1382 records identified, six cross-sectional studies were included. Individuals with Down syndrome had a higher prevalence and were more likely to have tooth wear than individuals without Down syndrome (44% × 15%; OR = 4.43; 95% CI 3.17-6.18; p < 0.00001; I2 = 8%). Also, the severity of tooth wear was higher in the Down syndrome group (n = 275) compared with the controls (n = 294). The certainty of evidence analysis was very low. CONCLUSIONS: Based on very low certainty of the evidence, patients with Down syndrome had a higher prevalence and likelihood and severity of tooth wear when compared to those without Down syndrome. CLINICAL RELEVANCE: Screening early tooth wear lesions should be carefully done in the Down syndrome population since its occurrence is remarkable compared to the general population.

Does the presence of oral health teams influence the incidence of ventilator-associated pneumonia and mortality of patients in intensive care units? Systematic review.

AIMS: To verify whether oral health teams influence the oral health status, ventilator-associated pneumonia incidence and mortality rate of patients in Intensive Care Units (ICU). MATERIALS AND METHODS: Bibliographic searches were performed in PubMed, Scopus, Web of Science, Lilacs, Embase, Livivo, Open Grey, Academic Google, and Cochrane databases. The assessment of the methodological quality and risk of bias of the included studies and a random-effects meta-analysis to summarize relative risk data for ventilator-associated pneumonia (VAP) and mortality were performed. An analysis of the certainty of the evidence was performed for the main outcomes analyzed. RESULTS: Records of 518 studies were analyzed by reading titles and abstracts. Five studies were included according to eligibility criteria. The meta-analysis showed that ICU patients undergoing dental care by an oral health team had a lower incidence of VAP (OR = 0.33; 95% CI: 014-0.76) but did not lower mortality rates (OR = 0.46 95% CI: 0.16-1.32). The certainty of the evidence was considered very low. CONCLUSION: Dental care provided by oral health teams in a hospital environment did not influence oral health status or mortality, although it contributed to a reduction in VAP of patients admitted to the ICU.

The role of women in Forensic Odontology / O papel da mulher na Odontologia Forense

This literature review aims to name the influential female pioneers who broke the conservative barriers in place for their gender and set the standards for those who followed in their paths as either dentists or forensic odontologists, with the purpose of increasing the visibility of their identities, feats, and positions of authority, hence, diminishing the states of exclusion that may be still practiced towards the recognition of their contributions to dentistry. It is our expectation that contemporary female forensic dentists can, by accessing this reading, acknowledge and promote the female performance in the forensic field, from its beginning to the present time, and be reassured of the representation and the excellence of women in it. We anticipate that all these professionals' names will not be mentioned due to lack of information from sound resources or unawareness. We also hope to witness similar literature reviews in the future

Esta revisão de literatura tem como objetivo nomear as influentes pioneiras que romperam as barreiras conservadoras de gênero e estabeleceram os padrões para aquelas que seguiram seus caminhos como dentistas forenses ou odontolegistas, com o objetivo de aumentar a visibilidade de suas identidades, feitos e posições de autoridade, diminuindo, assim, os estados de exclusão que ainda podem ser praticados para o reconhecimento de suas contribuições para a Odontologia. É nossa expectativa que as odontolegistas contemporâneas possam, ao acessar essa leitura, reconhecer e promover a atuação feminina no campo forense, desde o seu início até os dias atuais e ter a certeza da representação e da excelência da mulher nela. É possível que outros nomes não foram mencionados por falta de informação segura ou desconhecimento. Também esperamos testemunhar revisões de literatura semelhantes no futuro

Perception of Pediatric Oncological Patients and Their Parents/Guardians about a Hospital Oral Health Program: A Qualitative Study

BACKGROUND: The oral healthcare offered to pediatric cancer patients at the hospital level must include educational and preventive strategies based on dialogical and welcoming professional attitudes. Therefore, the current study aimed to evaluate the perception of pediatric cancer patients and their parents/guardians about an educational and preventive oral healthcare program implemented in a reference hospital for cancer treatment. METHODS: A qualitative follow-up investigation was conducted in which we evaluated the perception of pediatric cancer patients and their parents/guardians regarding an educational and preventive oral health program (OHEPP). The participants were 27 children and adolescents undergoing cancer treatment and their parents/guardians, and the assessment was carried out at 15 and 30 days after beginning the program through semi-structured interviews. The program used audiovisual resources, storytelling and playful instruments for the oral health education of patients and parents/guardians. The interviews were then transcribed and the Discourse of the Collective Speech (DCS) technique was performed for data analysis. RESULTS: Patients and parents/guardians reported improvement in oral hygiene habits and conditions. Patients reported greater enthusiasm for oral care and highlighted the recreational aspect of the program. Parents/guardians reported being more clear about oral changes and paying attention to the appearance of comorbidities resulting from anticancer treatment. CONCLUSIONS: This study suggests that implementation of the oral health program favored communication between health professionals, patients and their parents/guardians, expanding knowledge and generating behavior change in oral healthcare.

Impact of the curricular component management and professional guidance on the level of knowledge about administration of dentistry students at UFPB / Impacto do componente curricular gestão e orientação profissional no nível de conhecimento sobre administração de estudantes de Odontologia na UFPB

Obtaining basic management skills and including management and leadership as essential components of the curriculum is a critical part of dental students' education. This research evaluated the understanding of management concepts of dental students at the Federal University of Paraíba (UFPB), before and after participating in a Management and Professional Guidance course. This quantitative study assessed the level of knowledge of management skills and competencies of dental students through a validated questionnaire. The data were analyzed using descriptive and inferential statistics, adopting a significance level of 5%. The sample consisted of 47 students, 18 from the 1st semester, 18 from the 7th semester and 11 from the 10th semester of the course. All students considered knowledge about management extremely important for the dentist. The level of knowledge about management skills and leadership is low among students, with no statistically significant difference between student year of training. Specifically, concerning students midway through their dental training, there was a significant increase in knowledge for all management skills after attending the Management and Professional Guidance course (p <0.05). As for Leadership Skills, there was a statistically significant difference (p <0.05) for "Legal Notions", "Self-Management" and "Management Relationship". We conclude that knowledge about management and leadership is low among undergraduate dental students at UFPB and that the "Management and Professional Guidance" course promoted a significant increase in the level of this knowledge, contributing to better professional training for students (AU).

Obter habilidades básicas de gerenciamento e incluir gerenciamento e liderança como componentes essenciais do currículo é uma parte essencial da educação dos estudantes de Odontologia. Esta pesquisa avaliou o nível de compreensão de tópicos de gestão de alunos de Odontologia da Universidade Federal da Paraíba(UFPB), antes e após a participação em um treinamento em Gestão e Orientação Profissional. Este estudo quantitativo avaliou o nível de conhecimento das habilidades e competências de gestão de estudantes de Odontologia por meio da aplicação de um questionário validado. Os dados foram analisados por meio de estatísticas descritiva e inferencial, adotando-se nível de significância de 5%. A amostra foi constituída por 47 alunos, sendo 18 do 1º semestre, 18 do 7º semestre e 11 do 10º semestre do curso. Todos consideraram o conhecimento sobre gestão extremamente importante para o cirurgião-dentista. O nível de conhecimento sobre habilidades de gestão e liderança é baixo entre os alunos, sem diferença estatisticamente significativa entre os seus anos de formação. Especificamente, em relação aos alunos na metade da formação odontológica, houve um aumento significativo do conhecimento para todas as habilidades de gestão após cursarem Gestão e Orientação Profissional (p<0,05). Quanto às Competências de Liderança, houve diferença estatisticamente significativa (p<0,05) para "Noções Jurídicas", "Autogestão" e "Relação Gerencial". Conclui-se que o conhecimento sobre gestão e liderança é baixo entre os alunos de graduação em Odontologia da UFPB e que a disciplina "Gestão e Orientação Profissional" promoveu um aumento significativo no nível desse conhecimento, contribuindo para uma melhor formação profissional dos alunos (AU).

Comparison of Self-Etching Adhesives and Etch-and-Rinse Adhesives on the Failure Rate of Posterior Composite Resin Restorations: A Systematic Review and Meta-Analysis.

The aim of this study was to perform a systematic review with meta-analysis on the comparison of self-etching adhesives and etch-and-rinse adhesives with respect to the failure rate of posterior composite resin restorations. The study protocol was registered in PROSPERO (CRD42017078015), following PRISMA recommendations and PICO search strategy. Literature search was performed in the following databases: MEDLINE, ISI Web of Science, LILACS, SCOPUS, and Cochrane Library through July 2021. Six studies from five randomized clinical trials were included in the qualitative synthesis. The funnel plot detected important bias (all studies out of the funnel area). The meta-analysis showed a positive summary Cohen H effect size of 0.406 (95% CI: 0.100; 0.713, p = 0.009), favoring etch-and-rinse adhesives. The total number of failures (including restorations that required replacement and those that did not require replacement) were attributed to either marginal adaptation (five studies) or marginal staining (one study). A very low certainty of the evidence was obtained through GRADE analysis. In conclusion, current available evidence indicates that etch-and rinse adhesives performed better (with a low effect size) than self-etching adhesives in terms of failure rates in posterior composite restorations.