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1.
Braz Oral Res ; 33: e102, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-31939495

RESUMO

The objective of this study was to evaluate the association between social inequality indicators and oral health conditions in an adult population. This prospective cohort study assessed a probabilistic sampling of adults (aged 20-64 years) living in Piracicaba, São Paulo, Brazil. Oral examinations were performed in 2011 and 2015, conducted at home, and used the decay-missing-filled (DMFT) index of permanent teeth, the Community Periodontal Index (CPI), and the visible biofilm criterion. A questionnaire was administered to determine demographic and socioeconomic aspects and dental services used, and collect oral health-related quality of life (OHRQoL) data. Social inequality indicators were evaluated according to social class (high, middle or low) and type of dental service used (public, health insurance or private), and compared with oral health conditions (visible biofilm, DMFT and incidence of tooth loss, periodontal pockets and bleeding, and OHRQoL), evaluated between 2011 and 2015. Analysis using chi-squared or Fisher tests (p < 0.05) and Cochran's Q test was conducted separately for each category analyzed between 2011 and 2015 (p < 0.05). A total of 143 adults who participated in an earlier study were examined after four years of follow-up. Although the occurrence of oral disease did not decrease over the study period (4 years), there was a reduction in inequality among lower social classes in regard to presence of tooth decay and oral health impact on self-perceived quality of life between 2011 and 2015 (p < 0.05). These results suggest that the Brazilian National Oral Health Policy has achieved its principles, especially that of greater equity.


Assuntos
Disparidades em Assistência à Saúde/estatística & dados numéricos , Saúde Bucal/estatística & dados numéricos , Adulto , Brasil/epidemiologia , Índice CPO , Feminino , Humanos , Seguro Saúde/estatística & dados numéricos , Masculino , Pessoa de Meia-Idade , Índice Periodontal , Estudos Prospectivos , Qualidade de Vida , Autoimagem , Classe Social , Fatores Socioeconômicos , Inquéritos e Questionários , Adulto Jovem
2.
Rev Saude Publica ; 53: 105, 2019.
Artigo em Inglês, Português | MEDLINE | ID: mdl-31826174

RESUMO

OBJECTIVE: To evaluate the factors associated with tooth loss in adults from the position and number of teeth lost in the dental arches. METHODS: This is a cross-sectional, population-based study with adults participating in the epidemiological survey of oral health of São Paulo in 2015. The outcome of the study was tooth loss, assessed by the proposed classification, namely: I) lost up to 12 back teeth; II) lost up to 12 teeth (including front teeth); and III) lost more than 12 teeth. A four-block analysis was conducted, supported by a conceptual theoretical model adapted for tooth loss. For the multinomial logistic regression, "individuals who did not lose teeth due to caries or periodontal disease" was used as reference (p < 0.05). RESULTS: Of 6,051 adults evaluated, 25.3% (n = 1,530) were classified in category I, 32.7% (n = 1,977) in II, 9.4% (n = 568) in III, and 1.9% (n = 117) were edentulous. Lower income and schooling, the perception of need for treatment and the last appointment motivated by routine, pain or extraction were associated with tooth loss, regardless of the classification. The negative evaluation of the dental service was associated with individuals who lost up to 12 teeth, both front and back. The presence of women and periodontal pocket were associated with tooth loss of up to 12 teeth, including front, and more than 12 teeth. Caries were associated with adults who lost up to 12 teeth, including front teeth. CONCLUSION: The proposed classification allowed the identification of differences between the associated factors. Thus, the need to consider such classification in future studies is evident.


Assuntos
Perda de Dente/epidemiologia , Adulto , Fatores Etários , Brasil/epidemiologia , Estudos Transversais , Cárie Dentária/epidemiologia , Cárie Dentária/fisiopatologia , Feminino , Humanos , Masculino , Saúde Bucal , Doenças Periodontais/classificação , Bolsa Periodontal/epidemiologia , Bolsa Periodontal/fisiopatologia , Fatores de Risco , Fatores Sexuais , Fatores Socioeconômicos , Perda de Dente/etiologia
3.
PLoS One ; 14(12): e0226794, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31841552

RESUMO

[This corrects the article DOI: 10.1371/journal.pone.0219240.].

4.
BMC Res Notes ; 12(1): 502, 2019 08 14.
Artigo em Inglês | MEDLINE | ID: mdl-31409372

RESUMO

The original publication of this article [1] did not include the funding acknowledgement of FAPESP. The authors would like to acknowledge the funding by FAPESP.

5.
PLoS One ; 14(7): e0219240, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31329623

RESUMO

The aim of this study was to identify the risk factors for tooth loss in an extended age group of adults over 4 years. The prospective cohort study assessed adults (20-64 years old) in 2011 and 2015, from Piracicaba, São Paulo, Brazil. The sample selection was planned based on the adult population in the city. The inclusion criteria were randomly selected residences per census tract unit (one adult per household). The exclusion criteria comprised of a physical or psychological state that prevented the achievement of clinical procedures or understanding of the questionnaire. The home oral examination was performed using the index of decayed, missing, and filled teeth (DMFT), the Community Periodontal Index according to the World Health Organization, and visible biofilm. Demographic and socio-economic data, information on health habits, and the use of dental services were obtained by questionnaire. The outcome was a presence incidence of tooth loss, assessed by the difference between Missing teeth (M>0) from DMFT in 2011 and that in 2015. The conceptual theoretical model 'Ethnicity, aging and oral health outcomes' was adapted for tooth loss and used in a Hierarchical multivariate Poisson Regression analysis (p<0.20). The reference category for the Poisson regression were individuals who had no missing teeth (M) due to caries or periodontal disease (p<0.05). There were a total of 143 (follow-up rate = 57.7%) participants in the four-year study, and there was incidence of tooth loss in 51 (35.7%) adults over this period. The risk factors for tooth loss were reason for seeking dental services by pain (RR = 2.72; 95.0% CI: 1.04-7.37), previous tooth loss (RR = 3.01; 95.0% CI: 1.18-7.73) and decayed teeth (RR = 2.87; 95.0% CI: 1.22-6.73). The risk factors for tooth loss were: reason for seeking dental services by pain, previous tooth loss and dental caries.

6.
BMC Res Notes ; 12(1): 221, 2019 Apr 11.
Artigo em Inglês | MEDLINE | ID: mdl-30971309

RESUMO

OBJECTIVE: To describe the methodological aspects of a Prospective Cohort Study of adult oral health in Piracicaba, Brazil. RESULTS: This Prospective Cohort Study evaluated adults (20-64 years old) between the years of 2011 and 2015, in Piracicaba, São Paulo, Brazil. The main objective was to evaluate the risk factors for tooth loss in adults. Data were collected at households and selected via probabilistic sampling, through clinical examination of caries, considering as variables the decayed, missing and filled permanent teeth index, need for caries treatment, periodontal disease (Community Periodontal Index and Periodontal Attachment Loss), use and need for dental prosthesis, and presence of visible biofilm. A questionnaire about demographic, socioeconomic and health habits, use of dental services, self-perceived quality of life (Oral Health Impact Profile-14) and health literacy (14-item Health Literacy Scale) was also employed. In 2011, 248 adults participated, and in 2015, 143 (follow-up rate = 57.7%). Despite the follow-up sample loss, most sociodemographic characteristics remained in the participant sample: for example, women (72.0%) (p = 0.534), family income between R$545,00 and R$1090,00 (63.9%) (p = 0.920), above 11 years of education (53.1%) (p = 0.200) and belonging to middle class (67.1%) (p = 0.909).


Assuntos
Cárie Dentária/epidemiologia , Conhecimentos, Atitudes e Prática em Saúde , Saúde Bucal/estatística & dados numéricos , Higiene Bucal/estatística & dados numéricos , Periodontite/epidemiologia , Perda de Dente/epidemiologia , Adulto , Biofilmes/crescimento & desenvolvimento , Brasil/epidemiologia , Cárie Dentária/economia , Cárie Dentária/fisiopatologia , Cárie Dentária/psicologia , Prótese Dentária/estatística & dados numéricos , Escolaridade , Características da Família , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Higiene Bucal/psicologia , Periodontite/economia , Periodontite/fisiopatologia , Periodontite/psicologia , Estudos Prospectivos , Qualidade de Vida/psicologia , Fatores Socioeconômicos , Inquéritos e Questionários , Perda de Dente/economia , Perda de Dente/fisiopatologia , Perda de Dente/psicologia
7.
RGO (Porto Alegre) ; 67: e2019006, 2019. tab, graf
Artigo em Inglês | LILACS-Express | ID: biblio-1002962

RESUMO

ABSTRACT Objective To analyze the spatial distribution of decayed and restored teeth in adults according to the Social Exclusion Index (SEI) and the proximity of public dental service. Methods: This ecological study used secondary data from an epidemiological survey of oral health and from the Piracicaba Research and Planning Institute (IPPLAP). The oral examinations of the DMFT index examined in households by a single examiner calibrated in 2011, by probability sampling, 248 adults (aged 20 to 64 years) representing the residents in Piracicaba-SP, Brazil. Data on social exclusion and health units with dental service were extracted from IPPLAP. We performed georeferencing of the census tracts selected by draw in the epidemiological survey and their respective districts, in addition to the health units with dental service in a radius of 500 m and 1000 m. Spearman's rank correlation coefficient was analyzed (p<0.05). Results: The smallest value of SEI, that is, the highest social exclusion, showed no correlation with decayed teeth (p=0.09), but had strong positive correlation with restored teeth (r=0.79; p<0.0001). Presence of public dental service in the vicinity of 500 m and 1,000 m showed no correlation, respectively, with the average number of decayed (p=0.07 and p=0.58) and restored (p=0.26 and p=0.56) teeth. Conclusion: Although the correlation between social exclusion and caries in adults was not observed, its case management, namely, the restored teeth, showed correlation with social inequalities. Presence of public dental service showed no correlation with components of caries experience evaluated in this study.


RESUMO Objetivo: Analisar a distribuição espacial dos dentes cariados e restaurados em adultos segundo o Índice de Exclusão Social (IEX) e a proximidade de serviço odontológico público. Metodologia: Este estudo ecológico utilizou-se de dados secundários de um levantamento epidemiológico de saúde bucal e do Instituto de Pesquisa e Planejamento de Piracicaba (IPPLAP). Os exames bucais do índice de dentes permanentes cariado perdidos e obturados (CPOD) examinou em domicílios por um único examinador calibrado em 2011, por amostragem probabilística, 248 adultos (20 a 64 anos) representativos dos residentes em Piracicaba-SP, Brasil. Os dados sobre exclusão social e as unidades de saúde com serviço odontológico foram extraídos do IPPLAP. Realizou-se o georreferenciamento dos setores censitários sorteados no levantamento epidemiológico e seus respectivos bairros, além das unidades de saúde com serviço odontológico em um raio de 500m e 1000m. Foi realizada a análise de correlação de Spearman (p<0.05). Resultados: O menor valor do IEX, ou seja, maior exclusão social, não apresentou correlação com dentes cariados (p=0,09), mas teve correlação positiva forte com dentes restaurados (r=0,79; p<0,0001). A presença de serviço odontológico público em proximidade de 500 e 1000m não apresentou correlação, respectivamente, com a média de dentes cariados (p=0,07 e p=0,58) e restaurados (p=0,26 e p=0,56). Conclusão: Apesar de não ser verificada correlação entre cárie e exclusão social em adultos, sua resolutividade, ou seja, os dentes restaurados apresentaram correlação com as desigualdades sociais. A presença de serviço odontológico público não apresentou correlação com os componentes de experiência de cárie avaliados nesse estudo.

8.
Rev. ABENO ; 19(3): 133-143, 2019. tab
Artigo em Português | LILACS, BBO - Odontologia | ID: biblio-1048125

RESUMO

O objetivo do estudo foi avaliar o conhecimento sobre cárie dentária entre docentes do ensino médio. Trata-se de um estudo exploratório transversal com abordagem quantitativa entre docentes do ensino médio de escolas públicas e privadas do município de Vitória/ES. O estudo utilizou um questionário autoaplicado validado, adaptado para população-alvo, com perguntas que versavam sobre o conhecimento da cárie. Os dados descritivos foram apresentados em frequências absolutas e relativas e houve o teste de associação utilizando o teste Exato de Fisher (p<0,05). Um total de 38 professores participaram do estudo, sendo 25 (65,8%) de escolas públicas. A maioria dos professores não recebeu informações sobre cárie (60,5%) durante sua formação acadêmica e seus conhecimentos foram adquiridos nas visitas ao cirurgião-dentista particular (50,0%). A maior parte soube definir cárie como doença (71,1%), no entanto, com incertezas (39,5%) se a lesão era a principal consequência do seu desenvolvimento e obrigatoriedade de restauração (55,3%) para o seu tratamento. O tema cárie é abordado em sala de aula por 60,5% dos docentes, principalmente no segundo ano (60,9%) e nas escolas particulares (p=0,0285). Dos professores, a maior parte gostaria que o tema cárie fizesse parte da estrutura curricular do ensino médio (92,1%) por acreditaram na relevância do assunto (97,4%). A maioria dos docentes soube definir a cárie como uma doença, no entanto, houve relativo desconhecimento de suas consequências e formas de tratamento (AU).


The objective of this study was to evaluate the knowledge about dental caries among high school teachers. This was a transversal descriptive study with a quantitative approach among high school teachers from public and private schools in the city of Vitória/ES, Brazil. The study used a validated self-administered questionnaire adapted for the target population with questions about the knowledge of caries. The descriptive data were presented in absolute and relative frequencies and the association test with Fisher's Exact test (p <0.05). A total of 38 teachers participated in the study, 25 (65.8%) of public schools. Most teachers did not receive information about caries (60.5%) during their academic training and their knowledge was acquired during visits to the private dentist (50.0%). Most of them knew how to define caries as a disease (71.1%), however, there was uncertainty about whether the lesion (39.5%) was the main consequence of its development and the obligatoriness of need for restoration (55.3%) for its treatment. The caries theme is addressed in the classroom by 60.5% of teachers, mainly in the second year (60.9%) and in private schools (p = 0.0285). Most part of the teachers would like that caries become part of the curricular structure of secondary education (92.1%) as they believe in the relevance of this subject (97.4%). As a conclusion, most teachers knew the definition of caries as a disease, however, there was relative ignorance of its consequences and ways of treatment (AU).


Assuntos
Humanos , Masculino , Feminino , Adulto , Pessoa de Meia-Idade , Idoso , Conhecimentos, Atitudes e Prática em Saúde , Educação em Saúde , Ensino Fundamental e Médio , Cárie Dentária/prevenção & controle , Professores Escolares , Brasil , Saúde Bucal , Estudos Transversais/métodos , Inquéritos e Questionários , Interpretação Estatística de Dados
9.
Braz. j. oral sci ; 17: e181344, 2018. ilus
Artigo em Inglês | LILACS, BBO - Odontologia | ID: biblio-970456

RESUMO

Aim: To investigate the prevalence of intraoral characteristics and associated factors with neonatal and parent variables in a group of Brazilian newborns. Methods: This cross-sectional study with a descriptive and inferential approach, whose data was obtained through clinical examination, interview and the collection of medical record information. The sample was selected from babies up to three days old, of both sexes, and born between January and December 2013 in the Ana Bezerra University Hospital, in the city of Santa Cruz-RN, Brazil. The exposure variables included neonatal (sex, weight, gestational age, type of delivery and Apgar score) and parent (presence of systemic disease(s), drug use and consanguinity between the parents) variables. Descriptive analysis and Poisson regression were performed to estimate the ratio of gross and adjusted prevalence of intraoral findings (Epstein pearls, Bohn's nodule, dental lamina cyst and ankyloglossia) with the neonatal and parent variables (p<0.05). Results: Of a total of 168 examined newborns, 56.5% (n=95) were male. The most prevalent intraoral feature was the fibrous cord of Magitot, 62.5% (n=105), and the most frequent alteration was Epstein pearls, 44.6% (n=75). Female gender was a factor for Bohn's nodule (OR=0.90; 95%CI:0.82-0.99), and no tobacco use by the father was a protective factor for Epstein pearls (OR=0.73;95%CI:0.55-0.97). Additionally, lower mother's age, between 20-34 years of age (OR=1.58;95%CI:1.07-2.35) and under 19 years of age (OR=1.61; 95%CI:1.03-2.52) increases the chance of having Epstein pearls. Conclusion: There was a high prevalence of alterations in the newborns' oral cavities and there were associations between neonatal and parent variables


Assuntos
Humanos , Masculino , Feminino , Recém-Nascido , Manifestações Bucais , Recém-Nascido , Odontopediatria
10.
Int J Dent ; 2017: 6074703, 2017.
Artigo em Inglês | MEDLINE | ID: mdl-28785282

RESUMO

OBJECTIVE: To verify the incidence of tooth loss in extended age group of adults in 4 years. MATERIALS AND METHODS: The prospective cohort study assessed adults (20-64 years old) between 2011 and 2015, from Piracicaba, São Paulo, Brazil. The dependent variable was cumulative incidence of tooth loss, assessed by difference between missing teeth (M) of decayed, missing, and filled tooth index (DMFT) in 2011 and 2015. Participants were stratified into young (20-44 years old) and older (45-64 years old) adults. Mann-Whitney U test (p < 0.05) was used to compare the means of incidence of tooth loss between age groups. RESULTS: After four years, 57.7% (n = 143) of adults were followed up and the mean incidence of tooth loss was 0.91 (SD = 1.65); among these, 51 adults (35.7%) who lost their teeth showed mean tooth loss of 2.55 (SD = 1.86). In older adults, incidence of tooth loss was higher (p = 0.008), but no difference between age groups was found when only adults with incidence of tooth loss were assessed (p = 0.844). CONCLUSION: There was higher incidence of tooth loss in older adults after four years, however, without difference between age groups when only those who lost teeth were evaluated.

11.
Cien Saude Colet ; 22(8): 2693-2702, 2017 Aug.
Artigo em Português, Inglês | MEDLINE | ID: mdl-28793083

RESUMO

The study characterized the oral health condition and main self-reported reasons for tooth extraction in an adult population. The cross-sectional study examined 248 adults aged 20-64 years, representative of the population of Piracicaba, São Paulo, Brazil. The oral examination conducted in households used the DMFT and CPI indexes, use and necessity of prosthodontics according to the WHO criteria and the presence of visible biofilm. Demographic and socioeconomic data were collected along with reasons for tooth extraction through a questionnaire. Descriptive analysis was stratified by age in groups: 20-44 and 45-64 years old. The average DMFT was 20.37 (EP = 0.50), P = 3.34 (EP = 0.33) for young adults and P = 13.41 (EP = 1.45) for the older adults. Gingival pockets (CPI ≥ 3) were found on 20.5% of young adults and 53.0% of the older ones. While 38.8% used upper prosthesis, 46.7% needed lower prosthesis. Pain was the most prevalent self-reported reason for tooth extraction (37.5%), being this choice primarily because of lack of another treatment option (52%) and done in the private sector (47.2%). We concluded that young adults (20-44 years old) showed less missing teeth, periodontal diseases, and need for prosthetic use. Pain and lack of options of other treatments were the main self-reported reasons for performing tooth extractions.


Assuntos
Saúde Bucal/estatística & dados numéricos , Doenças Periodontais/epidemiologia , Extração Dentária/estatística & dados numéricos , Odontalgia/epidemiologia , Adulto , Fatores Etários , Brasil/epidemiologia , Estudos Transversais , Prótese Dentária/estatística & dados numéricos , Feminino , Bolsa Gengival/epidemiologia , Humanos , Masculino , Pessoa de Meia-Idade , Prevalência , Fatores Socioeconômicos , Inquéritos e Questionários , Perda de Dente/epidemiologia , Adulto Jovem
12.
Ciênc. Saúde Colet ; 22(8): 2693-2702, Ago. 2017. tab
Artigo em Português | LILACS-Express | ID: biblio-890434

RESUMO

Resumo O presente estudo caracterizou a condição de saúde bucal e os principais motivos autorrelatados da extração dentária em uma população de adultos. Estudo transversal que examinou 248 adultos de 20-64 anos, representativos da população de Piracicaba (SP). O exame bucal domiciliar utilizou os índices CPOD, CPI, uso e necessidade de prótese dentária segundo critérios da OMS e presença de biofilme visível. Foram coletados dados demográficos, socioeconômicos e motivos da extração dentária por meio de questionário. A análise descritiva foi estratificada pela idade em 20-44 e 45-64 anos. O CPOD médio foi 20,37, P = 3,34 nos adultos jovens e P = 13,41 nos mais velhos. Bolsa periodontal (CPI ≥ 3) foi encontrada em 20,5% dos adultos jovens e 53,0% dos mais velhos. Enquanto 38,8% usavam prótese superior, 46,7% necessitavam de prótese inferior. A dor foi o motivo autorrelatado mais prevalente para realização da extração dentária, sendo esta escolha principalmente pela falta de outra opção de tratamento e no serviço privado. Conclui-se que os adultos jovens (20-44 anos) apresentaram menos dentes perdidos e doença periodontal, uso e necessidade de prótese. Dor e falta de opção de outros tratamentos foram os principais motivos autorrelatados para realização das extrações dentárias.


Abstract The study characterized the oral health condition and main self-reported reasons for tooth extraction in an adult population. The cross-sectional study examined 248 adults aged 20-64 years, representative of the population of Piracicaba, São Paulo, Brazil. The oral examination conducted in households used the DMFT and CPI indexes, use and necessity of prosthodontics according to the WHO criteria and the presence of visible biofilm. Demographic and socioeconomic data were collected along with reasons for tooth extraction through a questionnaire. Descriptive analysis was stratified by age in groups: 20-44 and 45-64 years old. The average DMFT was 20.37 (EP = 0.50), P = 3.34 (EP = 0.33) for young adults and P = 13.41 (EP = 1.45) for the older adults. Gingival pockets (CPI ≥ 3) were found on 20.5% of young adults and 53.0% of the older ones. While 38.8% used upper prosthesis, 46.7% needed lower prosthesis. Pain was the most prevalent self-reported reason for tooth extraction (37.5%), being this choice primarily because of lack of another treatment option (52%) and done in the private sector (47.2%). We concluded that young adults (20-44 years old) showed less missing teeth, periodontal diseases, and need for prosthetic use. Pain and lack of options of other treatments were the main self-reported reasons for performing tooth extractions.

13.
RGO (Porto Alegre) ; 65(2): 115-120, Apr.-June 2017. graf
Artigo em Inglês | LILACS, BBO - Odontologia | ID: biblio-896010

RESUMO

ABSTRACT Introduction: Although there has been an improvement in the oral health status of the population, tooth loss still aggravates the oral health of adults and is a matter of great relevance to dentistry. Aim: To determine the spatial distribution of tooth loss in adults and correlate this with the Social Exclusion Index and proximity to public dental services. Material and Method: This ecological study was based on epidemiological data of adults from Piracicaba municipality and from the Piracicaba Research and Planning Institute (IPPLAP). Data on dental evaluations were extracted from the Piracicaba epidemiological survey, which was a cross-sectional study with probabilistic sampling of 248 adults aged 20-64 years, representative of adults living in Piracicaba, Brazil. Oral examinations of the DMFT index were in accordance with the World Health Organization codes and criteria and were performed by a single examiner calibrated for this purpose. Data on social exclusion and the municipal health units that have dental services were extracted from IPPLAP. Georeferencing was performed of census tracts selected by draw, and the city health facilities that have dental services. For Spearman correlation analysis (p <0.05), we used the mean value of teeth lost per district, the Social Exclusion Index (IEX), and proximity to public dental service categorized according to radius: <500m, between 500-1000m, and >1000m the census tract. Result: There was a correlation between tooth loss and higher IEX, and r=−0.51 (p=0.01), but no correlation with proximity to public dental services (p=0.42). Conclusion: Tooth loss in adults was distributed according to social exclusion, however, it was unrelated to proximity to the public dental services.


RESUMO Introdução: Embora haja uma melhoria na condição de saúde bucal da população, as perdas dentárias ainda constituem um agravo à saúde bucal de adultos e é um assunto de grande relevância para Odontologia. Objetivo: Verificar a distribuição espacial das perdas dentárias em adultos e correlacionar com o Índice de Exclusão Social e a proximidade de serviço odontológico público. Material e Método: Este estudo ecológico utilizou-se de dados de um levantamento epidemiológico de adultos no município de Piracicaba e do Instituto de Pesquisa e Planejamento de Piracicaba (IPPLAP). Os dados sobre as perdas dentárias foram extraídos do levantamento epidemiológico de Piracicaba, que trata-se de um estudo transversal com amostragem probabilística de 248 adultos com idade entre 20 e 64 anos, representativos dos adultos residentes em Piracicaba-SP, Brasil. Os exames bucais do índice CPO-D seguiram os códigos e critérios da Organização Mundial da Saúde e foram realizados em domicílios por um único examinador calibrado para esta finalidade. Os dados sobre a exclusão social e unidades de saúde com serviço odontológico do município foram extraídos do IPPLAP. Foi realizado o georreferenciamento dos setores censitários sorteados e as unidades de saúde com serviço odontológico do município. Para análise de correlação de Spearman (p<0,05), utilizou-se a média de dentes perdidos por bairro, o Índice de Exclusão Social (IEX) e a proximidade de serviço odontológico público categorizados em raio de: <500m, entre 500-1000m e >1000m do setor censitário. Resultado: Houve correlação entre a perda dentária e o maior IEX, sendo r = -0,51 (p=0,01), mas não houve correlação com a proximidade de serviço odontológico público (p=0,42). Conclusão: A perda dentária em adultos distribuiu-se de acordo com a exclusão social, no entanto, sem relação com a proximidade do serviço público odontológico.

14.
Pesqui. bras. odontopediatria clín. integr ; 17(1): e3204, 13/01/2017. tab
Artigo em Inglês | LILACS, BBO - Odontologia | ID: biblio-914295

RESUMO

Objective: To analyze the perception of public service professionals on teaching-service integration in Dentistry. Material and Methods: This qualitative study used a guidescript for interview with four managers and another for seven dentist preceptors who participated in the years 2010-2012 of Work Health Education Program and the Extramural Internship in Health Promotion II in the Dentistry course of the Federal University of Espírito Santo, Vitória, Brazil. The thematic content analysis proposed by Bardin was carried out by two researchers and the complete transcription of speeches obtained in interviews was analyzed. Results: Four categories on the "teaching-service integration" theme were identified: teaching-learning process, contributions to service and users, interpersonal relationships, and professional training. Professionals highlighted the exchange of experience between practitioners and academics, enrichment of the academic experience in the training field and stimulation of local productivity, as in educational activities, and good acceptance by users. However, they also reported challenges, such as the beginning of the preceptory process without previous specific preparation, and that there are limitations concerning, for example, the infrastructure and the overload of the preceptor professional. Conclusion: In the perception of professionals, teaching and service integration is a positive strategy for academicians but also for health services, although there are still challenges to be overcome.


Assuntos
Humanos , Masculino , Feminino , Preceptoria/métodos , Ensino , Educação em Saúde , Relações Comunidade-Instituição , Aprendizagem Baseada em Problemas/métodos , Sistema Único de Saúde , Brasil , Pesquisa Qualitativa
15.
Arq. odontol ; 53: 1-7, jan.-dez. 2017. ilus, tab
Artigo em Português | LILACS, BBO - Odontologia | ID: biblio-906403

RESUMO

Objetivo: Avaliação da efetividade de diferentes métodos motivacionais indiretos de higiene bucal na redução de biofilme e alteração gengival em adultos. Métodos: Foi realizado um estudo de intervenção controlado, aleatorizado e cego. Os adultos (n=88) foram distribuídos em quatro grupos (n=22) conforme o método motivacional adotado: Grupo I: filme; Grupo II: folheto; Grupo III: palestra; Grupo IV (controle): nenhuma motivação. O conteúdo informado era o mesmo, apenas diferiu a metodologia motivacional adotada. O grupo controle recebeu as informações após a finalização do estudo. O exame clínico foi realizado por um examinador através dos índices de placa bacteriana e gengival em cinco tempos: zero (baseline), 7, 37, 67 e 97 dias após as motivações. Realizou-se uma Análise de Variância (ANOVA)/teste de Tukey (p<0,05). Resultados: Os métodos de motivação indireta (filme, folheto e palestra) apresentaram redução no índice de placa bacteriana e índice gengival em pelo menos um tempo do acompanhamento (p<0,05) e não houve diferença no grupo controle (p>0,05). Sete dias após a realização da motivação indireta, o índice de placa bacteriana do grupo I (filme) foi menor que do grupo IV (controle) (p=0,0154) e ambos não diferiram dos grupos II (folheto) e III (palestra). Após trinta e sete dias, o índice gengival dos grupos I (filme) e III (palestra) diferiram do grupo controle, mas não apresentaram diferença estatística com o grupo II (folheto) (p<0,001). Conclusão: Houve redução dos índices de placa bacteriana e gengival nos tempos de acompanhamento, no entanto, sem diferir entre métodos motivacionais indiretos de higiene bucal utilizados. Este resultado incorpora que as técnicas motivacionais em adultos apresentam impacto em índices bucais em curto prazo, e por isso, devem ser constantemente reforçadas pelo profissional de saúde. (AU)


Aim: To evaluate the effectiveness of different indirect oral hygiene methods in the reduction of bacterial plaque and gingival bleeding in adults. Methods: This was a controlled, randomized, and double-blind study. The adults (n = 88) were divided into four groups (n = 22) according to the adopted motivational method: Group I: film; Group II: folder; Group III: lecture; Group IV (control): no motivation. The content informed was the same; the only difference was in the adopted motivational methodology. In the control group, the content was given after having completed the study. The clinical examination was performed through the bacterial and gingival plaque indices at zero time (baseline), 7, 37, 67, and 97 days after the motivations. An analysis of variance (ANOVA) / Tukey's test was performed (p <0.05). Results: The methods of indirect motivation (film, leaflet, and lecture) presented a reduction in the bacterial plaque index and gingival index during the follow-up time (p> 0.05). However, seven days after indirect motivation, the index of plaque in group I (film) was lower than in group IV (control) (p = 0.015), and neither differed from groups II (folder) and III (lecture). After 37 days, the gingival index of groups I (film) and III (lecture) differed from the control group, but presented no statistically significant difference when compared to group II (folder) (p <0.001). Conclusion: Although there was no reduction in the bacterial plaque index and in the groups during follow-up, the motivation through film and lecture presented a lower average plaque index and gingival index when compared to the control group in at least one period of the study's evaluation.(AU)


Assuntos
Humanos , Biofilmes , Placa Dentária , Motivação , Higiene Bucal , Avaliação de Resultados (Cuidados de Saúde) , Ensaio Clínico , Saúde Bucal
16.
Braz. j. oral sci ; 15(2): 185-190, Apr.-June 2016. ilus
Artigo em Inglês | LILACS, BBO - Odontologia | ID: biblio-848386

RESUMO

Children that arrive at dental offices with fear and anxiety usually tend to resist conditioning mechanisms. The aim this study was to evaluate children's perception about dental treatment and to identify factors that influence this perception. Material and Methods: A random sample of 100 children of both genders aged 3 to 12, who were treated at the Department of Dentistry of a University (group I) and at a Children's Hospital (group II), was selected. A structured questionnaire about the child's perception about dental care was applied and the children were asked to draw a picture of this topic. Most of children expressed a positive perception in the questionnaire and in the drawings (93.8%). This positive perception was more pronounced in group I (94%) and in children aged 3 to 5 years (100%), particularly in girls (78%). The main cause of fear was the use of needles (42.4%). Many children (24.2%) reported to prefer the noninvasive procedures. A positive perception of dental treatment was observed in the majority of the sample. Therefore, dental pediatricians must be aware of the perception of children for better conditioning (Au)


Assuntos
Humanos , Masculino , Feminino , Pré-Escolar , Criança , Ansiedade ao Tratamento Odontológico/etiologia , Assistência Odontológica para Crianças/psicologia , Relações Dentista-Paciente , Estratégia Saúde da Família , Educação em Saúde Bucal , Odontopediatria , Inquéritos e Questionários , Desenho
17.
RGO (Porto Alegre) ; 64(2): 186-192, Apr.-June 2016. graf
Artigo em Inglês | LILACS-Express | ID: lil-789129

RESUMO

ABSTRACT The aim this study is to present a clinical case of conservative aesthetic restorative treatment of teeth 11 and 21 in a patient diagnosed with molar incisor hypomineralization. An 18-year-old female patient came to the Outpatient Restorative Dentistry Clinic at the Federal University of Espírito Santo, complaining mainly of not feeling comfortable with a color change in her anterior teeth. Molar incisor hypomineralization was diagnosed in molars and incisors and the negative psychosocial implications for the aesthetics involved were noticed. Due to factors such as age, financial viability, technical facility and low degree of severity, we opted for maximum preservation of the healthy tooth structure, through minimal surgical intervention to remove the irregular enamel only and subsequently restore the teeth involved (11 and 21) with resin composite. For the patient, this conservative procedure restored function and aesthetics, and thereby improved her emotional and social behavior. Conservative restorations can provide real solutions, especially in cases of molar incisor hypomineralization in anterior teeth where the patient's psychological state should always be considered. An appropriate assessment of the dental substrate and a careful restorative technique are necessary for success in terms of aesthetics and function and can quickly promote the patient's well-being.


RESUMO O objetivo do trabalho é apresentar um caso clínico de tratamento restaurador estético conservador de dentes anteriores (11 e 21) em paciente com diagnóstico de hipomineralização-molar incisivo. A paciente do sexo feminino, 18 anos, procurou o ambulatório de Odontologia Restauradora Clínica da Universidade Federal do Espírito Santo, com queixa principal de incômodo com a alteração de cor dos dentes anteriores. Houve o diagnóstico de hipomineralização-molar incisivo em dentes molares e incisvos, percebendo-se uma implicação psicossocial negativa pela estética envolvida. Devido aos fatores idade, viabilidade financeira, facilidade técnica e baixo grau de severidade da lesão, optou-se por privilegiar uma maior preservação possível de estrutura dentária sadia, sendo realizada mínima intervenção operatória, removendo-se somente o esmalte irregular com subsequente restauração com resina composta nos elementos envolvidos (11 e 21). Este procedimento restaurador conservador foi capaz de devolver à paciente função e estética, melhorando seu comportamento emocional e social. As restaurações estéticas conservadoras podem ser altamente resolutivas, principalmente em casos de hipomineralização-molar incisivo em dentes anteriores, onde o fator psicológico do paciente deve sempre ser considerado. Uma avaliação adequada do substrato dentário e criteriosa técnica restauradora são necessárias para o sucesso no âmbito estético-funcional, sendo capaz de restabelecer rapidamente o bem-estar do paciente.

18.
Arq. odontol ; 52(1): 23-31, jan.-mar. 2016. tab
Artigo em Português | BBO - Odontologia, LILACS | ID: biblio-1920

RESUMO

Objetivo: Avaliar conhecimento prévio e adquirido sobre cárie dentária de graduandos em Odontologia da Universidade Federal do Espírito Santo ­ UFES. Material e Métodos: Este estudo exploratório teve como grupo amostral (N = 121) acadêmicos de Odontologia do 1o ao 8o períodos. Um questionário sobre os conhecimentos prévios e adquiridos sobre cárie dentária foi aplicado aos estudantes. A análise dos dados foi realizada de forma descritiva (frequências absolutas e relativas) e analítica (testes qui-quadrado e McNemar; p < 0,05). Resultados: Foi observado que quanto ao conceito da cárie dentária, 52,9% adquiriram de 1ª a 4ª séries, e 31,4% de 5ª a 8ª séries. Maior parte do conhecimento obteve-se da graduação em Odontologia (38,8%), da casa/família (28,1%) e dentista particular (13,2%). Os alunos afirmaram que o conhecimento foi aplicado na prática diária (90,1%) e melhorou a própria saúde bucal (95,0%). Foi observada diferença significativa nas respostas quanto à consequência da cárie dentária e necessidade de restauração entre alunos do início do curso (1º período) e do meio e final do curso (4º e 8º períodos) (qui-quadrado; p < 0,05). No entanto, não houve diferença estatística entre os alunos do 4º e 8º períodos. Quanto ao conhecimento sobre cárie dentária dos acadêmicos do 4º período "antes" e "após'' a inserção no curso de Odontologia, observou-se melhora estatisticamente significante após o ingresso na faculdade (McNemar; p < 0,05). Conclusão: Estudantes passaram adquirir conhecimento efetivo sobre cárie dentária somente após ingressarem na faculdade, tornando-se evidente após o 4º período do curso. Houve relevância das informações coletadas com prática de saúde bucal.(AU)


Aim: To evaluate the knowledge about dental caries that had been acquired both previously and during the undergraduate Dentistry course at the Federal University of Espírito Santo (UFES). Methods: This exploratory study was conducted with a sample group (n = 121) of undergraduate Dentistry students from the first to eighth semesters. A questionnaire about the knowledge of dental caries acquired before and during the Dentistry course was applied to the students. Data was analyzed by descriptive (absolute and relative frequencies) and analytical (chi-square test and McNemar test; p < 0.05) statistics. Results: It was observed that 52.9% of the students had learned about the concept of caries in elementary school, while 31.4% reported having learned about the concept during middle school. A large percentage of the students (38.8%) responded that they had acquired most of their knowledge about dental caries during Dental School, while 28.1% and 13.2% stated that it was from their home/family and private dentist, respectively. For 90.1% of the students, their knowledge about dental caries is used on a daily basis, and 95% reported that this knowledge improved their oral health. A significant difference was observed in the responses from first-year students (first period) when compared to the students from the middle (fourth period) and final (eighth period) years of the course as regards the consequences of dental caries and the need for restoration (chi-square, p < 0.05). However, no statistical difference was observed between fourth and eighth periods. Comparing the overall knowledge about dental caries before and during dental school, a significant improvement was observed only after the fourth period (McNemar test, p < 0.05). Conclusion: Relevant knowledge about dental caries was mostly acquired by the students during dental school, especially after the fourth period. Relevance from the collected data and improvement of oral self-care were also observed.(AU)


Assuntos
Cárie Dentária , Educação em Saúde Bucal , Estudantes de Odontologia , Conhecimento , Inquéritos e Questionários
19.
Pesqui. bras. odontopediatria clín. integr ; 16(1): 219-227, jan.-dez. 2016. tab, ilus
Artigo em Inglês | LILACS, BBO - Odontologia | ID: biblio-912430

RESUMO

Objective: To radiographically evaluate the alveolar bone level after periodontal full mouth disinfection (FMD) treatment in women during chemotherapy (CHE) and hormone therapy with Tamoxifen (TAM). Material and Methods: This is an uncontrolled clinical trial with a convenience sample of women in antineoplastic treatment (CHE and TAM) and non-surgical periodontal FMD treatment. The Radiographic examination consisted of four bitewing radiographs and six periapical radiographs of the upper and lower anterior teeth, acquired according to the parallelling standard technique at three times: before (T0), 3 (T3) and 6 (T6) months after periodontal treatment. The alveolar crest level in the interproximal area of each tooth was measured by two calibrated observer using magnifying glass and digital caliper. Statistical analysis was performed for evaluation of the three times in each experimental group using the Friedman test (p < 0.05) and between groups, the Mann Whitney test (p <0.05). Results: Overall, 14 women undergoing treatment for breast cancer participated in this study. A follow-up loss of five (35.71%) women occurred during the study and the final sample size was composed of nine women divided into two groups: CHE (n = 4) and TAM (n = 5). A total of 330 sites were evaluated: 126 (CHE) and 204 (TAM). The alveolar bone level showed statistically significant reduction after 6 months of FMD therapy (p <0.05), but there was no difference between antineoplastic treatment type (p> 0.05). Conclusion: Patients undergoing chemotherapy and hormone therapy with Tamoxifen showed better alveolar bone levels after six months of periodontal FMD treatment. The current antineoplasic therapy did not influence the results obtained with periodontal treatment.


Assuntos
Humanos , Feminino , Adulto , Pessoa de Meia-Idade , Idoso , Neoplasias da Mama , Higiene Bucal/educação , Doenças Periodontais/diagnóstico , Radiografia Dentária/instrumentação , Tamoxifeno , Brasil , Saúde Bucal , Radiografia Interproximal/instrumentação , Estatísticas não Paramétricas
20.
Rev. ABENO ; 16(3): 7-18, 2016.
Artigo em Português | LILACS, BBO - Odontologia | ID: biblio-881821

RESUMO

O objetivo deste artigo foi discutir o processo histórico da integração ensino/serviço em Odontologia no Brasil. Foi realizada uma revisão de literatura a partir de um levantamento bibliográfico nas bases SciELO e LILACS utilizando as palavras-chave Integração ensino/serviço; Estágio curricular; Odontologia; Programa de Educação pelo Trabalho para a Saúde; PET-Saúde; Atenção primária à saúde; e Práticas profissionais, limitada a artigos publicados entre os anos de 1970-2014, em português. Também foi realizada uma pesquisa documental, contemplando as legislações existentes. A análise evidenciou que a integração ensino-serviço no Brasil, por muitas décadas, se deu de forma lenta, embora atualmente haja uma política de incentivo para favorecer esta integração. Foram identificadas experiências exitosas a partir da integração ensino-serviço em Odontologia, embora se destaque que ainda exista dificuldades e fragilidades, principalmente porque o sistema de saúde vigente no Brasil está em construção. Considera-se que os incentivos para a consolidação da parceria entre universidade e serviços de saúde devem ser mantidos e ampliados, com o objetivo de favorecer a formação profissional em Odontologia no aspecto mais amplo de saúde e trazer benefícios reais para os serviços de saúde (AU).


The aim of this study was to discuss historical process about the teaching/service integration in Dentistry in Brazil. A literature search was conducted in the SciELO and LILACS databases using the keywords Teaching/service integration; Curricular training; Dentistry; Education Program for Health at Work; PET-Health; Primary health care; Professional practices, limited to papers published from 1970 to 2014, in Portuguese. It was also included the policies and legislation related to the subject. The analysis showed that the integration of teaching and service in Brazil for many decades, was given slowly, although currently there is a policy of incentives to encourage this integration. Some successful experiences from the teaching-service integration in Dentistry was found, although there are still difficulties and weaknesses, mostly because the current healthcare system in Brazil is still under construction. It is considered that the incentives for the consolidation of the partnership between universities and health services should be maintained and expanded with the aim of promoting professional training in Dentistry in the broadest aspect of health and bring real benefits to health services (AU).


Assuntos
Estratégia Saúde da Família , Odontologia em Saúde Pública/educação , Políticas Públicas de Saúde , Brasil
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