Differences in responses to the Oral Health Impact Profile (OHIP14) used as a questionnaire or in an interview.

The objective of this study was to compare the completion rates and performance of the Brazilian version of the Oral Health Impact Profile (OHIP14) when applied as an interview or in its original self-reported form. A convenience sample of 74 adult patients was selected in a Dental Clinic (University of Araras, Brazil). One examiner administered the instrument in both formats to participants with an interval of 2 weeks between each administration. Data about dental health condition and socioeconomic status were collected and associated with total OHIP14 scores in both formats using linear regression analyses. No differences were found in the total scores and in each subscale of the OHIP14 according to the form of administration. Higher values of completion were found in the interview format. More severe impacts were recorded in the interview format than in the questionnaire format. Higher values of total OHIP-14 scores in both formats were related to the presence of dental caries. Total OHIP14 scores were not influenced by the method of administration. However, the use of the OHIP14 in the questionnaire format may result in lower completion rates and loss of data.

Differences in responses to the Oral Health Impact Profile (OHIP14) used as a questionnaire or in an interview

The objective of this study was to compare the completion rates and performance of the Brazilian version of the Oral Health Impact Profile (OHIP14) when applied as an interview or in its original self-reported form. A convenience sample of 74 adult patients was selected in a Dental Clinic (University of Araras, Brazil). One examiner administered the instrument in both formats to participants with an interval of 2 weeks between each administration. Data about dental health condition and socioeconomic status were collected and associated with total OHIP14 scores in both formats using linear regression analyses. No differences were found in the total scores and in each subscale of the OHIP14 according to the form of administration. Higher values of completion were found in the interview format. More severe impacts were recorded in the interview format than in the questionnaire format. Higher values of total OHIP-14 scores in both formats were related to the presence of dental caries. Total OHIP14 scores were not influenced by the method of administration. However, the use of the OHIP14 in the questionnaire format may result in lower completion rates and loss of data.

Tratamento pulpar indireto em molar decíduo com resina composta: importância do diagnóstico e acompanhamento de três anos / Indirect pulp treatment of primary molar with composite resin: diagnosis importance and three years follow-up

O tratamento pulpar indireto é uma alternativa conservadora viável para manutenção da integridade pulpar. Entre os materiais indicados para essa técnica destacam-se o hidróxido de cálcio, por sua ação bacteriostática e bactericida e o cimento de ionômero de vidro, por sua ação antimicrobiana, adesão à estrutura dentária e liberação de flúor. O sistema adesivo é mais uma alternativa para proteção do complexo dentino-pulpar, pois proporciona um bom selamento marginal na interface dente-restauração. O objetivo deste estudo foi avaliar clínica e radiograficamente o tratamento pulpar indireto em molar decíduo com sistema adesivo e resina composta, após observação da indicação clínica. Após três anos de acompanhamento observou-se sucesso clínico eradiográfico o que faz com que essa técnica seja indicada como uma alternativa conservadora de tratamento para lesões de cárie profundas.

Indirect pulp treatment is a viable conservative alternative for keeping the integrity of the pulp. Among the indicated materials for this technique, calcium hydroxide presents bacteriostatic and bactericide action, glass ionomer presents antimicrobial capacity, adhesion dental structure and fluorid release. The adhesive system is another alternative to protect the dentin-pulp complex therefore it provides good marginal seal at the interface tooth-restoration. The aim of this study was to evaluate clinic and radiographic indirect pulp treatment in deciduous teeth with adhesive system and composite resin. After three years of surviving, the results shows clinic and radiographic success, what makes this technique indicated for a conservative alternative treatment.

Manchas extrínsecas negras do esmalte / Tooth black stains

Este trabalho tem por objetivo fazer revisão da literatura e relatar um caso clínico de manchas negras, possivelmente causadas pelos Bacilos produtores de pigmentos negros. Acredita-se que a presença da bactéria Prevotella melaninogênica seja fundamental para que haja este tipo de mancha no esmalte dentário, estando em maior quantidade na microflora das crianças portadoras desta pigmentação. Estas manchas extrínsecas estão sendo associadas ao índice de cárie, higiene oral e com a etiologia da doença periodontal. O caso clínico apresentado é o de uma criança com pigmentação preta no esmalte, principalmente nas faces linguais dos dentes anteriores inferiores, acometendo também de forma mais branda outros dentes da cavidade bucal. O tratamento se deu através da educação e motivação da mãe e da criança quanto a higienização e conseqüente profilaxia com jato de bicabornato.