O trauma dental é compreendido como uma agressão na qual a sua potência supera a resistência presente nos tecidos duros ósseos e dentários, podendo ser térmica, química ou mecânica. O tipo, a duração e a intensidade do impacto definem a extensão da lesão. As fraturas nos elementos dentários podem envolver somente a coroa do dente, a coroa e a raiz ou apenas a raiz, configurando-se como uma situação de urgência frequente nos consultórios odontológicos e odontopediátricos. Podem-se citar: fratura de esmalte, fratura não complicada da coroa, fratura complicada da coroa, fratura coronoradicular e fratura radicular. Quando o tecido de sustentação é envolvido, os traumas são classificados em concussão, subluxação, luxação lateral, intrusão, extrusão e avulsão. Além disso, os traumas dentais são, em sua maioria, causados por acidentes cotidianos, envolvendo situações passíveis de prevenção. Dessa forma, o cirurgião-dentista frente a um traumatismo dental deve agir de forma imediata e segura. Esses atendimentos são desafiadores, pois muitas vezes necessitam, principalmente, de técnicas para o manejo do comportamento, já que esses pacientes apresentam maior grau de estresse devido à sintomatologia dolorosa. O presente estudo objetivou fazer uma revisão de literatura sobre os traumatismos dentais que ocorrem com mais frequência com crianças e adolescentes e como os mesmos podem ser prevenidos.

Pneumonia associada a ventilacao mecânica (PAVM) e uma das principais causas de morte em unidade de terapia intensiva (UTI). A higiene bucal em pacientes entubados parece ser uma medida importante na prevencao dessa doenca. Objetivo: trata-se de um projeto piloto com a aplicacao de um protocolo de higiene bucal (PHB) em pacientes adultos hospitalizados em UTI e sob ventilacao mecânica. Metodo: o PHB incluiu escovacao dentaria com succao e gel de clorexidina a 0,12%. Resultados: em um ano, participaram 110 pacientes que receberam o PHB e 397 do grupo controle. A PAVM foi diagnosticada em quatro pacientes do grupo de intervencao e em 15 do grupo controle, sem diferenca estatistica. O tempo medio de participacao do paciente na pesquisa foi de 6 dias, sendo que a aplicacao do PHB foi de 1,4 dias. Conclusoes: mais experiencias podem aumentar a incorporacao do PHB em terapia intensiva, com perspectivas de reducao de PAVM e melhoria na qualidade de vida dos pacientes.

BACKGROUND/AIMSPopulation-based studies that investigate the impact of TDI on oral health-related quality of life (OHRQoL) among school children and its association with socioeconomic factors are scarce and offer conflicting results. The aim of this study was to evaluate the impact of TDI on OHRQoL among school children and its association with socioeconomic status.MATERIALS AND METHODSA cross-sectional study was conducted with 588 12-year-old children enrolled in public and private schools in the urban areas in the city of Diamantina (southeastern Brazil). Clinical examinations were performed for the diagnosis of traumatic dental injury based on Andreasen's classification. The Child Perceptions Questionnaire (CPQ11-14 ), which has been validated for the population in Brazil, was employed to evaluate oral health-related quality of life. Socioeconomic status and overjet were also analyzed. Statistical analysis involved the chi-square test and logistic regression.RESULTSA total of 29.4% of the students exhibited some type of trauma to at least one tooth. A negative impact on oral health-related quality of life was found in 53.1% of the sample. Traumatic dental injury was associated with a high impact on oral health-related quality of life [OR = 1.61 (95% CI: 1.08-2.39)] and overjet >3 mm [OR = 5.42 (95% CI: 3.66-8.02)]. However, no statistically significant associations were found between TDI and socioeconomic status.CONCLUSIONSPrevalence of traumatic dental injury was high among the children who participated in the study, and it was associated with a high impact on oral health-related quality of life as well as overjet >3 mm.

Para preservar a integridade da saude bucal, e necessaria a prevencao desde a infância. Para tal, esses cuidados odontologicos devem ser feitos por um especialista, o Odontopediatra, que alem de tornar um ambiente odontologico agradavel, deve conhecer tecnicas e ter habilidades para um manejo com o paciente infantil. Objetivo: O objetivo deste estudo foi analisar o perfil atual do Odontopediatra de Belo Horizonte e sua percepcao sobre o mercado de trabalho. Metodologia: Foram selecionados 50 odontopediatras (amostra de conveniencia) devidamente registrados no Conselho Regional de Odontologia de Minas Gerais para fazerem parte do estudo. Foi enviado um questionario estruturado contendo 11 questoes relativas ao tempo de formacao, grau de satisfacao com a profissao e remuneracao. A analise descritiva e bivariada (Exato de Fisher) foi realizada atraves do programa estatistico SPSS versao 20.0. Resultados: Observou-se que 80% dos odontopediatras participantes eram do sexo feminino, se especializaram ha mais de 11 anos e a maioria apresentava renda mensal acima de 10 salarios minimos. Atraves do teste do Exato de Fisher, nao houve diferenca estatistica entre os odontopediatras que percebiam o mercado de trabalho como ruim ou regular e bom ou otimo (p>0,05). Conclusoes: Conclui-se que os odontopediatras de Belo Horizonte sao, em sua maioria, mulheres casadas, metade delas com renda acima de 10 salarios minimos, atuantes em consultorio particular, percebem o mercado de trabalho como bom ou otimo e encontram-se satisfeitas com a profissao que exercem.

0 0 1 178 1021 Universidade de Taubate 8 2 1197 14.0 96 800x600 Normal 0 false false false PT-BR JA X-NONE /* Style Definitions */ table.MsoNormalTable {mso-style-name:Table Normal; mso-tstyle-rowband-size:0; mso-tstyle-colband-size:0; mso-style-noshow:yes; mso-style-priority:99; mso-style-parent:; mso-padding-alt:0cm 5.4pt 0cm 5.4pt; mso-para-margin:0cm; mso-para-margin-bottom:.0001pt; mso-pagination:widow-orphan; font-size:10.0pt; font-family:Times New Roman;} A perda dos dentes naturais ainda e vista pela sociedade e pelos proprios idosos como um processo natural do envelhecimento, e nao como a consequencia de doencas como a carie e doenca periodontal. Devido aos grandes avancos tecnologicos e ao declinio das taxas de mortalidade e fecundidade, a populacao mundial esta envelhecendo, o que torna necessaria a organizacao e desenvolvimento de acoes a fim de melhorar as condicoes de vida dessa populacao. Uma manutencao por toda vida de uma denticao natural e funcional inclui aspectos sociais e biologicos, tais como estetica, conforto, habilidade para mastigar, sentir sabor e falar. O objetivo deste estudo foi descrever o impacto gerado na saude fisica e psiquica em idosos submetidos a extracoes dentarias ao longo dos anos, usando o OHIP-14. A pesquisa foi realizada com 17 idosos atendidos em uma faculdade de odontologia. Observou-se que 76,5% dos idosos relataram se sentirem constrangidos por causa dos dentes e 53% relataram interromper quase sempre ou sempre as refeicoes por causa dos dentes. Concluiu-se que o edentulismo e um serio problema de saude publica e o mesmo acarreta grandes impactos na autoestima e na vida diaria dos idosos.

Purpose This study presents the Brazilian short form of the P-CPQ. Methods Data from a representative sample of 702 parents/caregivers of children were randomly divided in two subsamples. A development sample ( n = 502) was used for exploratory factor analysis (EFA), and a validation sample ( n = 200) was used for confirmatory factor analysis (CFA). The EFA was used to determine the hypothetical factor structure and internal consistency. The CFA was applied to test the factor structure of the original P-CPQ, alternative models and the validity and reliability of the Brazilian short form of the P-CPQ. Results A 3-factor model (alternative model 2) had a factor structure with high factor loadings, acceptable fit indices (χ 2 / df = 2.38; GFI = 0.90; CFI = 0.90; TLI = 0.87; AGFI = 0.85; SRMR = 0.07) and both convergent and discriminant validity (Pearson bivariate zero order correlations among factors <0.85). Conclusions The Brazilian P-CPQ with three subscales and 13 items appears to be a valid short version to be used in further studies to evaluate parents/caregivers’ perceptions of children’s oral health-related quality of life.

The aim of this study was to determine the level of agreement between reports by adolescents and their mothers regarding the impact of oral health on the adolescents' quality of life. The sample consisted of 960 pairs of adolescents aged 11 to 14 years and their mothers. The Brazilian version of the Parental-Caregiver Perceptions Questionnaire (P-CPQ) and the short form of the Child Perceptions Questionnaire (CPQ(11-14)) were administered. Agreement on the total scale and the subscales was determined through a comparison of mean values. The means of the directional and absolute differences were also determined. Agreement on each item on the group level and in the individual pairs was analyzed using the Intraclass Correlation Coefficient (ICC). The difference between the means and the directional differences were significant for the total score as well as for the functional limitation and social well-being subscales (p < 0.001). The ICC for the total P-CPQ and CPQ(11-14) scores was 0.43. The ICC indicated weak agreement on the subscales, ranging from 0.36 to 0.40. Agreement between reports by adolescents and their mothers regarding oral health-related quality of life (OHRQoL) was moderate, indicating that both perspectives should be considered.

Background Children with Acquired Immune Deficiency Syndrome (AIDS) exhibit impaired dental status, which can affect their quality of life. This study assessed the oral health-related quality of life of these patients and associated factors. Methods The "Child Perceptions Questionnaire 11-14", rating overall and domain-specific (oral symptoms, functional limitations, emotional well being, and social well being) oral health-related quality of life (OHR-QoL) was completed by 88 children with AIDS assisted in the Child Institute, Sao Paulo, Brazil. Parents or guardians provided behavioural and socio-demographic information. The clinical status was provided by hospital records. OHR-QoL covariates were assessed by Poisson regression analysis. Results The most affected OHR-QoL subscale concerned oral symptoms, whose rate was 23.9%. The direct answer for oral health and well being made up a rate of 47.7%. Brushing the teeth less than two times a day and viral load exceeding 10,000 HIV-RNA copies per millilitre of plasma were directly associated (p < 0.05) with a poorer oral health-related quality of life. Conclusions Children with more severe AIDS manifestations complained of poorer status of oral symptoms, functional limitations, emotional and social well being related to their oral health. Recognizing the factors that are associated with poorer OHR-QoL in children with AIDS may contribute to the planning of dental services for this population.

BACKGROUND:Traumatic dental injury (TDI) could have physical and psychosocial consequences for children. Thus, it is important to measure the impact of TDI on the quality of life of children (QoL). The aim of the present study was to investigate the association between treated/untreated TDI and the impact on the quality of life of 11-to-14-year-old Brazilian schoolchildren.METHODS:A cross-sectional study was carried out involving 1612 male and female schoolchildren aged 11 to 14 years attending public and private elementary schools in the city of Belo Horizonte, Brazil. A multi-stage sampling technique was adopted to select the children. Three calibrated examiners used the Andreasen classification for the diagnosis of TDI. Oral health-related quality of life was assessed using the Brazilian version of the Child Perceptions Questionnaire (CPQ11-14) - Impact Short Form (ISF:16), composed of 16 items and self-administered by all children. Other oral conditions (dental caries and malocclusion) and the Social Vulnerability Index were determined and used as controlling variables.RESULTS:Two hundred nineteen children were diagnosed with untreated TDI and 64 were diagnosed with treated TDI. There were no statistically significant associations between untreated or treated TDI and overall CPQ11-14 (Fisher = 0.368 and Fisher = 0.610, respectively). Children with an untreated TDI were 1.4-fold (95% CI = 1.1-2.1) more likely to report impact on the item "avoided smiling/laughing" than those without TDI, whereas children with a treated TDI were twofold (95% CI = 1.1-3.5) more likely to report impact on the item "other children asked questions" than those without TDI.CONCLUSIONS:Neither treated nor untreated TDI was associated with oral symptoms, functional limitations or emotional wellbeing. However, children with a TDI in the anterior teeth experienced a negative impact on social wellbeing, mainly with regard to avoiding smiling or laughing and being concerned about what other people may think or say.

OBJECTIVESThis study investigated the prevalence of traumatic dental injury (TDI) and associated factors in the permanent incisors of Brazilian schoolchildren.METHODSA cross-sectional survey was carried out with 1,612 male and female children aged 11 to 14 attending public and private elementary schools in Belo Horizonte, Brazil. A multistage sampling technique was adopted to select the children. Oral examinations were performed by calibrated examiners for the diagnosis of TDI (criteria proposed by Andreasen) and dental caries [Decayed, Missing and Filled Teeth Index (DMFT)]. The Social Vulnerability Index was used for socioeconomic classification. Data analysis involved descriptive statistics and the Poisson regression model.RESULTSThe prevalence of TDI was 17.1%. Falls (43.6%) were the most common cause of TDI, mainly at home (41.8%). Boys were more affected than girls. There was no statistically significant association between TDI and socioeconomic status. The adjusted results revealed that TDI was significantly associated with DMFT [1.11, 95% confidence interval (CI): 1.06 to 1.16] and overjet (1.15, 95% CI: 1.00 to 1.31).CONCLUSIONSTDI was associated with dental caries and overjet and was not influenced by socioeconomic status.

AIM Assess the effectiveness of chemical-mechanical control associated with orientation and motivation for the control of dental biofilm in orthodontic patients. METHODS AND MATERIALS Thirty patients between 12 and 21 years of age wearing a fixed orthodontic appliance were divided into three groups. The control group (G1) received orientation regarding oral hygiene. The experimental groups (G2 and G3) received orientation regarding oral hygiene and diet as well as a hygiene kit and mouthwash; the mouthwash given to G2 was a placebo and that given to G3 contained essential oils (Listerine). RESULTS In the comparison between T0 and T60, vestibular gingivitis was worse in G1 (p<0.05), with no statistically significant differences regarding lingual gingivitis and biofilm. G2 and G3 exhibited a significant improvement in clinical conditions. In the comparison between groups, G3 had undergone a significantly greater improvement than the other groups. CONCLUSION The use of the commercial mouthwash, together with mechanical oral hygiene, orientation, and motivation, proved to be adequate conduct for the maintenance of oral health in orthodontic patients. CLINICAL SIGNIFICANCE The present study contributes toward the maintenance of oral health in patients who wear a fixed orthodontic appliance through the prevention of dental biofilm buildup.

Sjogren's syndrome (SS) is a chronic inflammatory systemic autoimmune disease affecting the exocrine, salivary and lacrimal glands. The condition occurs more often in adults and is rare in childhood. SS should be considered in the differential diagnosis of recurrent parotitis and keratoconjunctivitis sicca. Oral manifestations include early tooth decay and xerostomia. Treatment consists of operative dentistry and saliva management. This paper reports a case of a 10-year-old Brazilian boy with SS, stressing the oral manifestations, treatment conduct, clinical importance and need for an early diagnosis in order to improve the patient's quality of life.

The Parental-Caregiver Perceptions Questionnaire (P-CPQ) is an instrument that assesses a parent's or a caregiver's perceptions regarding the impact of children's oral health status on quality of life. The aim of this study was to evaluate the psychometric properties of the Brazilian version of the P-CPQ. Following translation and cross-cultural adaptation, the P-CPQ was tested on 123 parents and caregivers of children between 11 and 14 years of age with dental caries and malocclusions. The parents/caregivers were recruited at dental clinics of the Federal University of Minas Gerais, where their children were receiving dental care. Psychometric properties were assessed through internal consistency, test-retest reliability, construct validity and discriminant validity. The mean P-CPQ score was 13.01 (SD=12.14) for the dental caries group and 16.57 (SD=13.13) for the malocclusion group. Internal reliability was confirmed by a Cronbach's alpha coefficient of 0.84. Test-retest reliability revealed satisfactory reproducibility (ICC=0.83). Construct validity was satisfactory, demonstrating significant correlations between global indicators and the total scale. The P-CPQ score was able to discriminate between different parental/caregiver perceptions of oral conditions in their children (dental caries and malocclusion). The results for the Brazilian version of the P-CPQ confirm that this questionnaire is a reliable and valid instrument to assess parental perceptions on the impact that oral health status has on children's life quality.

AIM:Evaluate the psychometric properties of the Brazilian version of the Family Impact Scale (FIS).METHODS:Following translation and cross-cultural adaptation, the FIS was tested on 123 parents-caregivers of children between 11 and 14 years of age with dental caries and malocclusions. The parents were recruited from the Paediatric Dental and Orthodontic clinics where their children were receiving dental care. Psychometric properties were assessed through internal consistency, test-retest reliability, construct validity and discriminant validity.RESULTS:The mean FIS score was 6.97 (SD 7.81) for the dental caries group and 7.25 (SD 7.70) for the malocclusion group. The FIS score was unable to discriminate different family impact caused by children's oral health conditions. Internal consistency was confirmed by a Cronbach's alpha coefficient of 0.79. Test-retest reliability revealed good reproducibility (ICC 0.83). Construct validity was good, demonstrating highly significant correlations between parent's perceptions regarding the overall wellbeing indicator for their children and the total FIS and subscales. Financial burden demonstrated no significant correlation with global indicators.CONCLUSIONS:Overall psychometric results for the Brazilian version of the FIS confirm it as a reliable, valid questionnaire for assessing the family impact caused by children's oral conditions.

O presente estudo busca fazer uma revisão bibliográfica da atual situação dos docentes universitários, ou seja, como eles estão sendo formados e qual o seu perfil. Percebe-se que esse assunto é bem discutido na literatura e que mudanças foram ocorrendo a partir da reflexão sobre a prática docente. O que se vê atualmente é a formação de um professor ativo, com ênfase na reflexão de sua prática pedagógica, a prática reflexiva que permite que o mesmo atue e reflita sobre seu próprio trabalho.

The Parental-Caregiver Perceptions Questionnaire (P-CPQ) is an instrument that assesses a parent's or a caregiver's perceptions regarding the impact of children's oral health status on quality of life. The aim of this study was to evaluate the psychometric properties of the Brazilian version of the P-CPQ. Following translation and cross-cultural adaptation, the P-CPQ was tested on 123 parents and caregivers of children between 11 and 14 years of age with dental caries and malocclusions. The parents/caregivers were recruited at dental clinics of the Federal University of Minas Gerais, where their children were receiving dental care. Psychometric properties were assessed through internal consistency, test-retest reliability, construct validity and discriminant validity. The mean P-CPQ score was 13.01 (SD=12.14) for the dental caries group and 16.57 (SD=13.13) for the malocclusion group. Internal reliability was confirmed by a Cronbach's alpha coefficient of 0.84. Test-retest reliability revealed satisfactory reproducibility (ICC=0.83). Construct validity was satisfactory, demonstrating significant correlations between global indicators and the total scale. The P-CPQ score was able to discriminate between different parental/caregiver perceptions of oral conditions in their children (dental caries and malocclusion). The results for the Brazilian version of the P-CPQ confirm that this questionnaire is a reliable and valid instrument to assess parental perceptions on the impact that oral health status has on children's life quality.

Purpose: The objective of this paper was to evaluate the relationship between mother’s Sense of Coherence (SOC) and preschool children’s oral health. Methods: The sample consisted of 42 mothers and their children with ages from 8 months to 5 years old, enrolled in a public day care center in Belo Horizonte city, MG. Mothers answered a retrospective questionnaire concerning questions about their SOC and about their children’s oral hygiene. Children were subjected to dental clinical examination to collect the dmf-t index. These examinations were carried out by one calibrated researcher (Kappa = 0.86) in knee-to-knee position with natural light. Data were analyzed using qui-square test, adjusted odds ratio, and multivariate logistic regression at the significance level of 0.05. Results: No statistical differences were found between the dmf-t index and child’s gender or oral hygiene (P>0.05), nor with mother’s SOC (P=0.335). Children aged 4 to 5 years old had 7.5 times more chance to have dmf-t ≥1 then children aged 8 moths to 3 years old (P=0.019) independently from the other variables. Conclusion: In conclusion the mother’s stress adaptability was not associated with her child’s caries experience in this sample. Key words: Preschool children; oral health; oral hygiene; sense of coherence