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1.
Cad. saúde colet., (Rio J.) ; 29(4): 551-560, out.-dez. 2021. tab
Artigo em Inglês | LILACS-Express | LILACS | ID: biblio-1360324

RESUMO

Abstract Background Although a trend towards dental caries reduction has been observed, further investigations on its pattern and development are still needed. Objective To investigate the influence of clinical, social and environmental variables on dental caries prevalence in adolescents from a Brazilian municipality supplied with fluoridated water in 2018. Method This study was conducted with a non-probabilistic sample of 277 adolescents aged 12 years of public schools in Nova Friburgo, state of Rio de Janeiro, Brazil. Clinical examinations were carried out by calibrated examiners to assess caries, periodontal disease, and fluorosis according to criteria of the World Health Organization (WHO). Semi-structured questionnaires were applied to record socio-environmental information. Results Individuals living in regions supplied with fluoridated water below the minimum required levels (OR=3.60, p=0.0006), with low income (OR=1.90, p=0.0444), presence of gingivitis (OR=3.36; p=0.0016), and whose reason for visiting the dentist was dental treatment (OR=2.41; p=0.0203) were more likely to have dental caries. A significant reduction (p<0.0001) in dental caries indexes was observed between 2012 and 2018. Conclusion Fluoridation of public water supply at unsuitable levels, as well as other social and clinical variables can influence the caries pattern in adolescents.


Resumo Introdução A tendência de redução da cárie dentária tem sido constatada, apesar de maiores investigações sobre seu padrão e desenvolvimento serem ainda necessárias. Objetivo investigar a influência de variáveis clínicas, sociais e ambientais sobre a cárie em adolescentes de um município brasileiro com água fluoretada, no ano de 2018. Método Empregou-se uma amostra não probabilística de 277 adolescentes de 12 anos, de escolas públicas de Nova Friburgo, Rio de Janeiro, Brasil. Exames clínicos foram realizados por examinadores calibrados, para avaliação de cárie, doença periodontal e fluorose, sob critérios da Organização Mundial da Saúde (OMS). Questionários semiestruturados foram aplicados para coletar informações socioambientais. Resultados Indivíduos residentes em regiões com flúor na água em subdoses (OR=3,60, p=0,0006), e aqueles com baixa renda (OR =1,90, p=0,0444), com presença de gengivite (OR = 3,36; p = 0,0016) e cuja razão para a visita ao dentista foi para tratamento dentário (OR=2,41; 0,0203), apresentaram mais chances de terem cárie. Uma redução significativa (p<0,0001) nos índices de cárie foi observada entre 2012 (primeiro levantamento epidemiológico) e 2018. Conclusão A fluoretação das águas de abastecimento público, quando em níveis não adequados, assim como outras variáveis sociais e clínicas, podem influenciar o padrão de cárie nos adolescentes.

2.
Dent Traumatol ; 37(6): 735-748, 2021 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-34156753

RESUMO

BACKGROUND/AIM: Measures of oral health-related quality of life (OHRQoL) are useful in clinical trials to evaluate treatment outcomes. To detect the treatment impact of traumatic dental injuries (TDI) on OHRQoL is extremely relevant. The aim of this study was to assess whether there is scientific evidence of the impact of TDI treatment on OHRQoL of children, adolescents, and their families. MATERIAL AND METHODS: A systematic review and meta-analysis were conducted selecting articles from PubMed, Web of Science, Scopus, Cochrane Library, and Virtual Health Library until May 22nd, 2020. The gray literature, clinical trial registers, and a manual search were performed. Two independent reviewers selected the studies, extracted the data, and assessed the ROBINS-I risk of bias. A meta-analysis was performed using RevMan 5.4 program. The certainty of the evidence was evaluated using the GRADE system. RESULTS: In the electronic search, 413 abstracts and one registered study were found. After removing the duplicates and eligibility application, six studies were included. Individually, the studies presented low to moderate risk of bias and they found that TDI treatment reduces the negative impact on OHRQoL. In the meta-analysis, TDI treatment improved OHRQoL for 8- to 10-year-old children (p = .03; CI 5.19 [0.62, 9.75]) (detected by CPQ 8-10 questionnaire). In the perception of parents, the children, and adolescents who had suffered TDI also had their OHRQoL improved (p = .04; CI 14.77 [0.95, 28.60]) (detected by PPQ and P-CPQ questionnaire) but both evaluations had very low certainty of evidence. CONCLUSION: Treatment of traumatic dental injuries reduces the impact on the OHRQoL of children and adolescents. However, more studies are necessary to detect the TDI treatment influence on OHRQoL of preschoolers and in the family as well to estimate the effects due to outcomes that had a very low certainty of evidence (#CRD42018091210).


Assuntos
Cárie Dentária , Traumatismos Dentários , Adolescente , Criança , Humanos , Saúde Bucal , Pais , Qualidade de Vida , Inquéritos e Questionários , Traumatismos Dentários/terapia
3.
Dent Traumatol ; 37(4): 568-575, 2021 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-33774925

RESUMO

BACKGROUND/AIM: A traumatic dental injury (TDI) may have physical and psychosocial consequences for children and their families, and it may impact their oral health-related quality of life (OHRQoL). The aim of this study was to assess the OHRQoL of children affected by TDI and their families after enrollment in the Dental Trauma Care Program (DTCP). METHODS: This longitudinal clinical study involved a consecutive sample of 2- to 6-year-old children registered in the DTCP over a period of six years. Parents/caregivers were interviewed and the OHRQoL questionnaire was completed. The Brazilian version of the Early Childhood Oral Health Impact Scale (ECOHIS) was used before and after treatment. The Andreasen criteria were used to classify TDIs. The patients were treated (minimal intervention/invasive intervention) according to TDI severity (uncomplicated/complicated). Based on the Kolmogorov-Smirnov test, the Wilcoxon non-parametric test was used to compare the ECOHIS total scale/subscales/domains before and after enrollment in the DTCP. The longitudinal changes were calculated using effect size measured by the Standardized Response Means (SRM). TDI severity and treatments were also evaluated. RESULTS: The total ECOHIS mean scores were 7.4 ± 9.2 and 0.8 ± 2.5, before and after TDI treatment (p < .001), respectively. ECOHIS scores dropped by 6.6 points after treatment, demonstrating a positive reduction in the impact on OHRQoL, as reflected by the satisfactory responsiveness of ECOHIS (0.9). The changes following treatment, independent of TDI severity and type of treatment, were significant (p < .001) in children and the family section. CONCLUSIONS: The impact of TDI on OHRQoL reduced after the enrollment of patients and their families in the DTCP.


Assuntos
Cárie Dentária , Serviços Médicos de Emergência , Brasil , Criança , Pré-Escolar , Humanos , Saúde Bucal , Pais , Qualidade de Vida , Inquéritos e Questionários
4.
Oral Dis ; 27(4): 911-918, 2021 May.
Artigo em Inglês | MEDLINE | ID: mdl-32790925

RESUMO

OBJECTIVE: This cross-sectional study aimed to evaluate the prevalence and factors potentially associated with the development of actinic cheilitis (AC) in Brazilian rural workers. SUBJECTS AND METHODS: A professional performed all physical examinations and evaluations using semi-structured questionnaires in 240 rural workers. RESULTS: Eighty-three participants were diagnosed with AC (34.6%). It was more prevalent among workers older than 45 years (3.29-10.96 95% IC; OR = 3.30; p = .0018), Caucasians (phototypes I and II) (4.78-16.12 95% IC; OR = 10.81; p < .0001), illiterate individuals (2.16-21.59 95% IC; OR = 10.43; p = .0037), those with 6 or fewer years of formal schooling (2.03-7.89 95% IC; OR = 4.63; p = .0013), those regularly using pesticides (1.58-6.64 95% IC; OR = 2.79; p = .0260) and those who used the private health service in their last appointment (1.17-3.54 95% IC; OR = 2.72; p = .0083). CONCLUSION: There was a substantial prevalence of AC among rural workers with advanced age, white skin, and illiteracy, those with lower levels of education, those who regularly use pesticides, and those who utilised private health services in their last appointment. Thus, healthcare strategies that include rural workers are required for the control and prevention of AC in both public and private health services.


Assuntos
Queilite , Brasil/epidemiologia , Queilite/epidemiologia , Estudos Transversais , Humanos , Prevalência
5.
Artigo em Inglês | LILACS, BBO - Odontologia | ID: biblio-1287494

RESUMO

ABSTRACT Objective: To evaluate the association of oral health indicators and social variables on the frequency of visit to the dentist by persons with intellectual disability (ID). Material and Methods: The study comprised a sample consisting of 149 participants with ID, aged from 11 to 29 years, from non-governmental institutions. Semi-structured interviews were held to collect sociodemographic and psychosocial information with their parents/guardians, followed by oral health evaluations in accordance with World Health Organization criteria. Crude analyses and multiple analysis were conducted to test whether oral health indicators and social data were predictors of the visit to dental care services. Results: In the multiple logistic regression model, individuals with lower DMF-t (OR=3.13; 95% CI=1.40-6.97) and those with less crowded housing (OR=2.33; 95% CI=1.06-5.12) presented less frequency of visits to oral health services. Conclusion: DMFT and crowded housing are associated to the frequency of persons with intellectual disability to dental care as well as this outcome measure affects the oral health of persons with ID. Therefore, identifying limiting factors to dental care of persons with intellectual disability is needed so that this group can receive adequate attention.


Assuntos
Humanos , Masculino , Feminino , Criança , Adolescente , Adulto , Saúde Bucal/educação , Indicadores Básicos de Saúde , Assistência Odontológica para Pessoas com Deficiências , Pessoas com Deficiência Mental , Serviços de Saúde Mental , Brasil/epidemiologia , Modelos Logísticos , Demografia , Índice CPO , Estudos Transversais/métodos , Inquéritos e Questionários , Interpretação Estatística de Dados , Diagnóstico Bucal , Estudo Observacional , Dados Preliminares
6.
Arq. odontol ; 57: 260-265, jan.-dez. 2021. tab
Artigo em Inglês | LILACS, BBO - Odontologia | ID: biblio-1352621

RESUMO

Aim:To evaluate the impact of the recording of teeth whose clinical conditions rarely vary (anterior teeth and third molars) in inter-examiner agreement measurements. Methods:Clinical data from 56 schoolchildren, 12 years of age, previously collected by two examiners, according to the "Oral Health Surveys: basic methods" codes and criteria, were analyzed in the present study. The effects from including/excluding such teeth upon reproducibility were measured by general percentage agreement (GPA) and Kappa statistics (к) performances. Results: The exclusion of anterior teeth associated with the inclusion of third molars produced a decrease in GPA that was simultaneous to an increase in the weighted Kappa (nominal data) and simple (dichotomous data) values. The incorrect inclusion of third molars (GPA = 100%; к = + 1) in the reproducibility measurement artificially increased the inter-examiner Kappa values. Conclusion: The inclusion/exclusion of anterior teeth and third molars, seeking a more reliable agreement among examiners, can have a positive or negative impact on the measured reproducibility values. A clear warning about the impact of including third molars in the reproducibility measurement, in the 12 years old age group, should be performed in "Oral Health Surveys: basic methods" and similar manuals.


Objetivo: Avaliar o impacto do registro de dentes anteriores e terceiros molares, cujas condições clínicas pouco variam, sobre as mensurações de concordância inter-examinadores. Métodos: Dados clínicos de 56 escolares de 12 anos de idade, previamente coletados por 2 examinadores, segundo os códigos e critérios expressos no "Levantamentos em Saúde Bucal: métodos básicos" foram analisados neste estudo. Os efeitos da inclusão/exclusão destes dentes sobre a concordância inter-examinadores foram mensurados calculando-se a porcentagem geral de concordância (GPA) e estatística Kappa (к). Resultados:A inclusão de terceiros molares aumentou a GPA para dados dicotomizados ou não. A exclusão de dentes anteriores diminuiu a GPA para dados dicotomizados ou não. Quando associada à inclusão de terceiros molares, sob perfeita concordância (к = +1), os valores de Kappa foram artificialmente aumentados tanto para dados dicotomizados quanto não-dicotomizados. Conclusão: A inclusão/exclusão de dentes anteriores e/ou de terceiros molares, no sentido de se evidenciar melhor as discordâncias entre examinadores, podem impactar positiva ou negativamente sobre a fidedignidade da reprodutibilidade mensurada. Uma advertência clara sobre o impacto da inclusão dos dentes terceiros molares no cálculo da reprodutibilidade, para a faixa etária de 12 anos, deveria estar presente no "Levantamentos em Saúde Bucal: métodos básicos" e manuais semelhantes.


Assuntos
Humanos , Criança , Índice CPO , Cárie Dentária , Incisivo , Dente Serotino , Saúde Bucal , Reprodutibilidade dos Testes , Assistência Odontológica para Crianças
7.
Braz Oral Res ; 34: e070, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32696906

RESUMO

The aim of this study was to evaluate the influence of the Brazilian School Health Program (SHP) on dental clinical disorders such as caries, gingivitis, and dental trauma as well as on the oral-health-related quality of life (OHRQoL) of adolescents in Nova Friburgo, RJ, Brazil. The study consisted of a non-probabilistic (convenience) sample comprising 319 12-year-old adolescents, both participants and non-participants of the SHP, for at least two years. Socio-demographic and OHRQoL questionnaires (CPQ11-14, the Child Perceptions Questionnaire) were applied as well as clinical examinations for caries, periodontal disease, and dental trauma following the World Health Organization (WHO) criteria by calibrated researchers. Mann-Whitney, chi-square tests, and multiple logistic regression models were used for the data analysis. Statistically significant differences were observed between the groups covered and not covered by the SHP for gingivitis (p = 0.0373) and OHRQoL on the social welfare subscale (p = 0.0265) and total scale (p = 0.0449) of CPQ11-14. Multivariate analysis showed that female adolescents were 1.74 times more likely to present a lower OHRQoL (OR = 1.74, 95%IC = 1.10-2.77, p = 0.0183) than males. In addition, non-SHP subjects were 1.56 times more likely to have poor OHRQoL (OR = 1.56, 95%IC = 0.94-2.59, p = 0.0873) than program participants. In conclusion, SHP positively influenced the OHRQoL of adolescents. However, follow-up studies are needed to verify the continued effectiveness of this Brazilian SHP in improving the oral health levels and quality of life of adolescents.


Assuntos
Cárie Dentária , Qualidade de Vida , Brasil , Criança , Estudos Transversais , Feminino , Humanos , Masculino , Saúde Bucal , Inquéritos e Questionários
8.
Int J Dent Hyg ; 18(3): 228-237, 2020 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-32348613

RESUMO

OBJECTIVE: To evaluate the effects of oral health promotion programmes (OHPP) on adolescents' oral health-related quality of life (OHRQoL). METHODS: An electronic search was performed in five databases (MEDLINE via PubMed, Scopus, Virtual Health Library, Web of Science, Cochrane, Grey Literature databases), and specific indexers were used in the manual search. Clinical/community trials, cross-sectional or cohort studies, published in any language, were included. Studies meeting the inclusion criteria were analysed for quality and bias risk. RESULTS: From a total of 2343 abstracts, 4 articles were selected for quality evaluation including 2 studies classified with low, 1 with moderate and 1 with high methodological quality. The qualitative synthesis showed some methodological biases and heterogeneous interventions. Effective OHPP improve OHRQoL. The association of educational and dental care strategies generated greater positive effects on OHRQoL than those related only to treatment or isolated educational practices. CONCLUSION: Although studies showed positive effects of OHPP on adolescents' OHRQoL, both their shortage and low methodological quality indicates the need for developing other well-designed studies to investigate the present question. Record number in PROSPERO database (CRD42018084434).


Assuntos
Saúde Bucal , Qualidade de Vida , Adolescente , Estudos Transversais , Promoção da Saúde , Humanos
10.
Braz. oral res. (Online) ; 34: e070, 2020. tab
Artigo em Inglês | LILACS, BBO - Odontologia | ID: biblio-1132667

RESUMO

Abstract The aim of this study was to evaluate the influence of the Brazilian School Health Program (SHP) on dental clinical disorders such as caries, gingivitis, and dental trauma as well as on the oral-health-related quality of life (OHRQoL) of adolescents in Nova Friburgo, RJ, Brazil. The study consisted of a non-probabilistic (convenience) sample comprising 319 12-year-old adolescents, both participants and non-participants of the SHP, for at least two years. Socio-demographic and OHRQoL questionnaires (CPQ11-14, the Child Perceptions Questionnaire) were applied as well as clinical examinations for caries, periodontal disease, and dental trauma following the World Health Organization (WHO) criteria by calibrated researchers. Mann-Whitney, chi-square tests, and multiple logistic regression models were used for the data analysis. Statistically significant differences were observed between the groups covered and not covered by the SHP for gingivitis (p = 0.0373) and OHRQoL on the social welfare subscale (p = 0.0265) and total scale (p = 0.0449) of CPQ11-14. Multivariate analysis showed that female adolescents were 1.74 times more likely to present a lower OHRQoL (OR = 1.74, 95%IC = 1.10-2.77, p = 0.0183) than males. In addition, non-SHP subjects were 1.56 times more likely to have poor OHRQoL (OR = 1.56, 95%IC = 0.94-2.59, p = 0.0873) than program participants. In conclusion, SHP positively influenced the OHRQoL of adolescents. However, follow-up studies are needed to verify the continued effectiveness of this Brazilian SHP in improving the oral health levels and quality of life of adolescents.


Assuntos
Humanos , Masculino , Feminino , Criança , Qualidade de Vida , Cárie Dentária , Brasil , Saúde Bucal , Estudos Transversais , Inquéritos e Questionários
11.
Rev. dor ; 18(1): 59-64, Jan.-Mar. 2017. tab
Artigo em Inglês | LILACS-Express | LILACS | ID: biblio-845173

RESUMO

ABSTRACT BACKGROUND AND OBJECTIVES: This study aimed at identifying the prevalence of suspected temporomandibular disorders in employees and students of a Brazilian university and at evaluating the influence of socio-demographic and clinical variables on this disorder. METHODS: This study had a non-probabilistic sample of 575 volunteers who were evaluated by a questionnaire proposed by the American Academy of Orofacial Pain. RESULTS: Suspected temporomandibular disorder was present in 60.87% of the population. By means of multiple logistic regression analysis, just clinical variables were associated to the presence of suspected temporomandibular disorder, such as: headache, neck pain or teethache (OR=47.60), stiff, tight or regularly tired jaws (OR=13.37), mouth opening difficulty (OR=13.55) and pain around the ears, temples or cheeks (OR=4.61). CONCLUSION: The questionnaire was effective as a pre-screening tool to identify symptoms, and results support the importance of clinical symptoms for the identification and follow up of patients with such disorders.


RESUMO JUSTIFICATIVA E OBJETIVOS: O objetivo deste estudo foi identificar a prevalência de suspeita de disfunção temporomandibular em funcionários e estudantes em uma universidade no Brasil e analisar a influência das variáveis sócio-demográficas e clínicas sobre essa disfunção. MÉTODOS: Este estudo teve uma amostra não probabilística compreendendo 575 voluntários que foram avaliadas por um questionário, proposto pela Academia Americana de Dor Orofacial. RESULTADOS: A suspeita de disfunção temporomandibular estava presente em 60,87% da população. Por meio da análise de regressão logística múltipla, apenas variáveis clínicas foram associadas com a presença de suspeita de disfunção temporomandibular, como: apresentar cefaleia, dores no pescoço ou nos dentes (OR=47,60), maxilares rígidos, apertados ou cansados com regularidade (OR=13,37), dificuldade na abertura da boca (OR=13,55) e dor ao redor das orelhas, têmporas ou bochecha (OR=4,61). CONCLUSÃO: O questionário foi eficaz como um instrumento de pré-triagem no levantamento dos sintomas; e os resultados suportam o ponto forte dos sintomas clínicos na identificação e acompanhamento de indivíduos com tais lesões.

12.
Rev. bras. educ. méd ; 41(1): 22-29, jan.-mar. 2017. tab, graf
Artigo em Português | LILACS-Express | LILACS | ID: biblio-843587

RESUMO

RESUMO O presente estudo pedagógico objetivou investigar o processo de formação em Odontologia com base na visão dos gestores, docentes e discentes de um curso de Odontologia em uma instituição de ensino superior (IES) – Faculdade de Odontologia do Instituto de Saúde de Nova Friburgo da Universidade Federal Fluminense (FO/ISNF/UFF). A amostra não probabilística foi composta por 98 sujeitos (8 gestores, 28 docentes e 62 alunos), que foram entrevistados ou responderam a questionários semiestruturados. A análise dos resultados foi realizada por meio da técnica do Discurso do Sujeito Coletivo (DSC) e representações sociais. Os resultados apontaram que 49,0% e 76,5% do corpo docente e discente da IES não têm conhecimento sobre as Diretrizes Curriculares Nacionais (DCN). As sugestões de melhoria incluíram a oferta de cursos de formação continuada em docência, inclusive a respeito das DCN, melhorias na infraestrutura do campus universitário e uma relação professor/aluno mais compatível. O estudo permitiu verificar algumas deficiências nas práticas e posturas, percebidas pelos sujeitos entrevistados. Entretanto, parece haver uma relevante preocupação de alguns sobre um alinhamento do Projeto Político Pedagógico (PPP) com as DCN.


ABSTRACT This pedagogical study aimed to investigate the training process in dentistry, from the perspective of managers, teachers and students of a dentistry course at a Higher Education Institution (HEI) – the Fluminense Federal University (CNF-UFF) Dental School – Nova Friburgo Campus. A non-probabilistic sample was comprised of 98 subjects (8 managers, 28 teachers and 62 students) who completed questionnaires. The analysis was performed using the Collective Subject Discourse technique (DCS) and social representations. The results showed that 49% and 76.5% of the professors and students of HEI, respectively, do not know about the NCGs (National Curricular Guidelines). The suggestions for improvement included the provision of teacher training courses, including subjects for discussions such as NCGs, improvements in campus infrastructure and a more compatible student-teacher ratio. Therefore, the study showed some shortcomings in the practices and attitudes perceived by managers, teachers and students. However, some people seem to be duly concerned about the alignment of the Pedagogical Political Project (PPP) with the NCGs.

13.
Spec Care Dentist ; 36(6): 307-314, 2016 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-27545115

RESUMO

AIMS: To evaluate the perception of parents about the impact of oral problems in their children, and of demographic, socioeconomic and psychosocial factors on the oral health-related quality of life (OHRQoL) of Brazilian adolescents and young adults with intellectual disability (ID), in 2014. METHODS: The sample consisted of 119 individuals. Data collection was performed in stages: calibration and pilot study; Application of questionnaires; Exam of caries, periodontal and need for dental prostheses, in accordance with the World Health Organization criteria. The data were subjected to both bivariate and multivariate analyses to test the association of independent variables with the dependent variable (QoL). RESULTS: Worse QoL was associated with the presence of periodontal pocket (p = 0.03; OR = 2.50; 95% CI 1.06 to 5.90), treatment need (p = 0.01; OR = 5.00; 95% CI 1.37 to 18.31), and need for dental prostheses (p = 0.03; OR = 2.89; 95% CI 1.13 to 7.37). CONCLUSION: It was concluded that clinical determinants had the greatest influence on OHRQoL of individuals with ID.


Assuntos
Assistência Odontológica para Pessoas com Deficiências , Deficiência Intelectual , Saúde Bucal , Pais/psicologia , Qualidade de Vida , Adolescente , Brasil/epidemiologia , Estudos Transversais , Demografia , Feminino , Humanos , Masculino , Fatores Socioeconômicos , Adulto Jovem
14.
Rev Bras Epidemiol ; 19(2): 272-9, 2016.
Artigo em Inglês | MEDLINE | ID: mdl-27532751

RESUMO

OBJECTIVE: To identify desirable characteristics, including different sample sizes and dental caries prevalences, in virtual samples that allow, at the same time, higher values of general agreement percentage (GPA) and Kappa coefficient (κ), under a low confidence interval (CI), in reproducibility studies. METHOD: A total of 384 statistical simulations of inter-examiner calibration, varying sample size (12, 15, 20, 60, 200 and 500 individuals), caries prevalence (30, 50, 60 and 90%) and percentages of positive (PA) and negative (NA) agreement (30, 50, 60 and 90%) were undertaken. GPA and κ were used to measure reproducibility and define deviation between them. RESULTS: The sample of 60 individuals, under caries prevalence of 50%, PA and NA of 90%, presented a GPA and Kappa values of 90 and 80%, respectively, a relative small confidence interval (95%CI 0.65 - 0.95) and a GPA/Kappa deviation of 10.00. CONCLUSION: A virtual sample of 60 individuals, under caries prevalence of 50%, seems feasible to produce a satisfactory interexaminer agreement at epidemiological conditions. However, epidemiological studies to corroborate or refute this assertion are necessary.


Assuntos
Cárie Dentária/epidemiologia , Inquéritos de Saúde Bucal/estatística & dados numéricos , Intervalos de Confiança , Estudos Epidemiológicos , Humanos , Variações Dependentes do Observador , Prevalência , Reprodutibilidade dos Testes , Tamanho da Amostra
15.
Rev. bras. epidemiol ; 19(2): 272-279, Apr.-Jun. 2016. tab
Artigo em Inglês | LILACS | ID: lil-789558

RESUMO

Abstract: Objective: To identify desirable characteristics, including different sample sizes and dental caries prevalences, in virtual samples that allow, at the same time, higher values of general agreement percentage (GPA) and Kappa coefficient (κ), under a low confidence interval (CI), in reproducibility studies. Method: A total of 384 statistical simulations of inter-examiner calibration, varying sample size (12, 15, 20, 60, 200 and 500 individuals), caries prevalence (30, 50, 60 and 90%) and percentages of positive (PA) and negative (NA) agreement (30, 50, 60 and 90%) were undertaken. GPA and κ were used to measure reproducibility and define deviation between them. Results: The sample of 60 individuals, under caries prevalence of 50%, PA and NA of 90%, presented a GPA and Kappa values of 90 and 80%, respectively, a relative small confidence interval (95%CI 0.65 - 0.95) and a GPA/Kappa deviation of 10.00. Conclusion: A virtual sample of 60 individuals, under caries prevalence of 50%, seems feasible to produce a satisfactory interexaminer agreement at epidemiological conditions. However, epidemiological studies to corroborate or refute this assertion are necessary.


Resumo: Objetivo: Identificar características desejáveis, considerando diferentes tamanhos de amostra e prevalências de cárie em amostras virtuais que possibilitem, simultaneamente, altos valores de porcentagem geral de concordância (PGC) e do coeficiente Kappa (κ), sob baixo intervalo de confiança (IC), em estudos de reprodutibilidade. Método: Ao total, 384 simulações estatísticas de calibração interexaminador, variando o tamanho da amostra (12, 15, 20, 60, 200 e 500 indivíduos), a prevalência de cárie (30, 50, 60 e 90%) e as taxas de concordâncias positiva (CP) e negativa (CN) (30, 50, 60 e 90%) foram realizadas. Os valores de PGC e κ foram utilizados para mensurar a reprodutibilidade e o desvio entre as respectivas medidas PGC/Kappa. Resultados: A amostra de 60 indivíduos, com prevalência de cárie de 50% e taxas de concordância positiva e negativa de 90%, apresentou um valor de PGC = 90%, Kappa = 80%, um intervalo de confiança (IC95% 0,65 - 0,95) relativamente pequeno e um desvio PGC/Kappa de 10,00. Conclusão: A amostra virtual de 60 indivíduos parece ser viável, em condições epidemiológicas, para produzir uma concordância interexaminadores satisfatória. Contudo, estudos epidemiológicos para corroborar ou refutar esta conclusão são necessários.


Assuntos
Humanos , Cárie Dentária/epidemiologia , Inquéritos de Saúde Bucal/estatística & dados numéricos , Intervalos de Confiança , Estudos Epidemiológicos , Variações Dependentes do Observador , Prevalência , Reprodutibilidade dos Testes , Tamanho da Amostra
16.
RGO (Porto Alegre) ; 63(4): 507-511, Oct.-Dec. 2015. graf
Artigo em Inglês | LILACS-Express | LILACS | ID: lil-770563

RESUMO

Pentasomy of the x chromosome is a rare syndrome of unknown incidence and there are few reports in the scientific literature, especially in terms of dental care for patients with this syndrome. The aim of this study was to report the dental care given to an adolescent with pentasomy of the X chromosome. The patient presented a cleft palate, impacted teeth, malocclusion, high caries activity, gingivitis and multiple tooth loss due to caries. Despite the difficulties of carrying out the dental work due to involuntary movements and the initial lack of collaboration from the patient the overall dental care was completed on an outpatient basis. The therapeutic success of the treatment was strongly supported by the significant cooperation and relationship that grew up along the period of the treatment, as well as the desire to have the treatment done by both the patient and her parents.


A pentassomia do cromossomo x é uma síndrome rara, de incidência desconhecida e com poucos relatos na literatura científica, especialmente no que diz respeito à atenção odontológica para pacientes portadores da mesma. O objetivo deste estudo foi relatar um caso de atenção odontológica a uma jovem com pentassomia do cromossomo x, que apresentava fenda palatina, dentes inclusos, má-oclusão, alta atividade de cárie, gengivite e múltiplas perdas dentárias devido à cárie. Apesar das dificuldades de se realizar o tratamento dentário devido aos movimentos involuntários e a não colaboração inicial da paciente, houve total viabilidade da atenção odontológica em âmbito ambulatorial, observando-se significativa cooperação, formação de vínculo e adesão ao tratamento pela mesma e seus responsáveis, o que gerou sucesso terapêutico.

17.
UNOPAR Cient., Ciênc. biol. saude ; 17(2)maio 2015. tab, ilus
Artigo em Português | LILACS-Express | LILACS | ID: lil-759594

RESUMO

Recursos materiais e não materiais têm sido investigados para o entendimento do processo saúde-doença. Entretanto, o papel do suporte social na proteção/desenvolvimento de doenças bucais, como a cárie dentária, ainda parece obscuro. O objetivo deste estudo foi avaliar a influência dos recursos socioeconômicos e psicossociais na experiência de cárie em adolescentes residentes em duas regiões de Nova Friburgo, Lumiar e Olaria. A amostra não probabilística compreendeu 45 adolescentes de Lumiar e 75 de Olaria de 12 anos de idade de escolas públicas deambas regiões. Os resultados foram avaliados através de análise descritiva e mostraram uma baixa prevalência de cárie (CPO-D 1,13), para os adolescentes de Lumiar, e CPO-D= 3,27 para grupo de polarização da doença. Em Olaria, observou-se um valor médio de CPO-D dosadolescentes de 1,84. O grupo de polarização da cárie nos residentes do bairro de Olaria apresentou CPO-D= 4,21. Houve tendência à maiorescolaridade estar relacionada aos responsáveis dos adolescentes livres de cáries. Concluiu-se que a escolaridade dos responsáveis parece ser um possível fator relacionado à experiência de cárie e que o capital social pode ter influenciado a experiência de cárie.


Material and non-material resources have been investigated to understand the health-disease process. However, the role of social support in the protection/development of oral diseases such as dental caries still seems unclear. This study evaluated the effect of socio-economic and psychosocial resources on caries experience in adolescents in two regions of Nova Friburgo, Lumiar and Olaria. The non-probabilistic sample comprised of 45 and 75 12 year old students of public schools, living in Lumiar and Olaria, respectively. The evaluation involved an examination of dental caries on the adolescents, according to WHO criteria, besides a semi-structured interview with each tutor of the adolescents, in home environments, in order to record information about the different material and non-material resources. The descriptive results showed a low prevalence of caries (D3 MFT 1.13) and a polarization group- SIC Index (Significant Caries Index) - with a D3 MFT mean of 3.27 for the adolescents living in Lumiar. The D3 MFT mean was 1.84 and SIC Index was 4.21 in the adolescent group in Olaria. Thus,education of the tutor seemed to lead to protection against the disease and social capital may have influenced the caries experience by behavingnegatively as a detrimental factor to oral health in adolescents.

18.
Braz. j. oral sci ; 14(1): 78-83, Jan-Mar/2015. tab
Artigo em Inglês | LILACS | ID: lil-745781

RESUMO

To evaluate the performance of dental caries detection when adjunct methods are associated and their applicability in epidemiological survey of dental caries, at D3 cavitated carious lesions at dentin layer and D1+D3 non cavitated and cavitated carious lesions at enamel/dentin layer diagnostic thresholds. METHODS: A total of 2189 posterior teeth from 165 12-year-old schoolchildren underwent visual examination without CL1 and with artificial lighting CL2, radiographic bitewing BW, fiber-optic transillumination/FOTI FT, DIAGNOdentTM DD and associations of these methods. Reproducibility was calculated by Kappa statistics and validity was calculated by sensitivity, specificity and accuracy tests. ANOVA Scott-Knott test was performed in order to compare the average values of DMF-S obtained by the diagnostic methods. RESULTS: The CL2FTDDBW D3 and CL2BW D1+D3 exams presented the highest values for accuracy at epidemiological setting. The DMF-S index obtained for those exams was statistically different at D3 and D1+D3 thresholds. CONCLUSIONS: The association of adjunct methods increased the validity of dental caries examination in an epidemiological setting. However, the potential of CL2BW traditional caries detection methods or visual exam performed under a more refined diagnostic criteria must be considered in dental caries epidemiological surveys...


Assuntos
Humanos , Masculino , Feminino , Criança , Cárie Dentária/diagnóstico , Cárie Dentária/epidemiologia , Técnicas e Procedimentos Diagnósticos , Inquéritos Epidemiológicos
19.
Artigo em Português | LILACS-Express | LILACS | ID: lil-720045

RESUMO

A fluoretação da água, apoiada pela Política Nacional de Saúde Bucal, tem sido um desafio no Brasil, devido a algumas insuficiências atuais na gestão pública para a implantação e controle desta medida. Este estudo objetivou vigiar, de forma periódica e sistemática, os níveis de fluoretos na água para consumo humano, em Nova Friburgo - RJ- Brasil (NF), por um período de 12 meses, como medida de heterocontrole, realizada por uma universidade pública. As amostras de água foram coletadas mensalmente, em duplicata, em 26 localidades em todo o município e em datas estabelecidas por sorteio. O método para medir a concentração de fluoretos nas amostras de água foi o eletrométrico, utilizando-se um potenciômetro digital com eletrodo específico para o íon flúor. A concentração de fluoretos nas amostras foi analisada de acordo com padrões fornecidos pelo Cecol/USP (2011). Os dados mostraram grande variação na concentração de fluoretos nas amostras, variando entre um mínimo de 0,00 ppmF e um máximo de 0,98 ppmF, com algumas dentro do intervalo de 0,65 e 0,94 ppmF, considerado o de melhor benefício para prevenir a cárie dentária. A concentração de fluoretos na água de abastecimento público do município foi considerada abaixo dos níveis mínimos exigidos, na maioria das amostras avaliadas, mesmo naquelas pertencentes às Estações de Tratamento de Água (ETA), cuja medida de fluoretação fora previamente implantada. Desta forma, a fluoretação da água e seu respectivo heterocontrole deveriam ser estabelecidos de forma contínua em NF, já que são medidas públicas relevantes para a promoção de saúde bucal.


Water fluoridation, supported by the Brazilian Oral Health Policy, has been a challenge as a public measure to protect Oral Health, due to some current insufficiencies in public management for the implantation of this measure in most Brazilian cities. The present study aimed to monitor, the levels of fluoride in drinking water in Nova Friburgo - RJ-Brazil (NF), on a regular and a systematic manner for a 12 months period, as an external control measurement performed by a public university. Water samples were collected, in duplicate, from 26 localities throughout the city, on a monthly basis, on randomly established dates. The fluoride concentration in the water samples was measured by using an ion-specific electrode coupled to a potentiometer, according to standards supplied by Cecol/USP (2011). Data showed a large variation of fluoride concentration in water samples, ranging from minimum 0.00 ppmF and maximum 0.98 ppmF, with few samples into the interval between 0.65 and 0.94 ppmF, which had the best benefit to prevent dental caries. Fluoride concentration in public water in this city can be considered under the minimum required levels in most of the evaluated samples, even in those from the Water Treatment System (WTS), which has water fluoridation. Thus, water fluoridation and its external control should be established on a regular basis in Nova Friburgo-RJ, Brazil because they are relevant public measures to promote oral health.

20.
Braz. j. oral sci ; 13(2): 133-139, Apr-Jun/2014. tab
Artigo em Inglês | LILACS | ID: lil-715600

RESUMO

AIM: To identify the prevalence of dental caries in inland Brazilian adolescents, and to analyze the influence of socio-demographic and clinical variables, and access to dental service on caries experience. METHODS: This study had a non-probabilistic sample comprising 504 adolescents aged 12 years, attending public schools in the city of Nova Friburgo, mountain region of Rio de Janeiro, Brazil. The World Health Organization (WHO, 1997) criterion was used by previously calibrated examiners to report dental caries. Variables were obtained by means of a semi-structured questionnaire applied to the adolescents' parents. RESULTS: The D3MFT mean was 1.90 and the Significant Caries (SIC) Index was 4.54, mainly represented by the carious component. Multiple logistic regression analysis revealed that parents with over 8 years of schooling (OR=0.579), absence of pain (OR=0.396) and not visiting the dentist (OR=0.270) might suggest protective factors against the disease; the possible risk factors were male gender (OR=1.982) and pain, extraction and others were reasons for consultation (OR=2.435). CONCLUSIONS: Although the prevalence of caries was slightly below the national mean, polarization of the disease was clearly observed. Education and no access to the dentist led to protection against the disease. These results may contribute to planning of oral health actions directed towards this target population for the control of caries...


Assuntos
Humanos , Masculino , Feminino , Adolescente , Cárie Dentária/epidemiologia , Serviços de Saúde Bucal , Acesso aos Serviços de Saúde , Inquéritos Epidemiológicos , Saúde Bucal , Fatores de Risco , Classe Social
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