Dental pain and associated factors in Brazilian preschoolers

Abstract Objective: To describe the prevalence of dental pain in Brazilian preschoolers, as well as its associated factors, considering a representative sample of that population group in Brazil. Methods: Cross-sectional study that used the analytical data from national oral health survey (SB Brazil) carried out in 2010. A representative sample of Brazilian preschoolers aged 5 years was considered. Interviews were carried out (answered by parents/tutors), as well as clinical examinations in children. Descriptive, bivariate and mutiple analyzes were performed, described in odds ratios and 95% confidence interval (OR/95%CI). Results: 7280 preschoolers were included. Of these, 1520 (21.1%) had dental pain in the last 6 months. The chance of the occurrence of dental pain was higher among those who used dental services (1.51/1.02–2.23), with tooth decay (3.08/2.08–4.56), that self-perceveid the need for dental treatment (3.96/2.48–6.34), whose parents reported dissatisfaction by children with their teeth and mouth (1.47/1.04–2.10) and those who reported impact of oral problems on quality of life (5.76/3.90–8.49). Conclusions: The prevalence of dental pain among Brazilian preschool children was relatively high, being associated with the use of dental services and the normative and subjective oral health status

Fatores associados à Síndrome de Burnout entre profissionais intensivistas de hospital universitário.

Objetivo: Avaliar prevalências da Síndrome de Burnout (SB) e dimensões -exaustão emocional (EE), despersonalização (DE) e baixa realização profissional (BRP)- entre profissionais intensivistas e identificar suas associações com variáveis individuais, ocupacionais e organizacionais. Métodos: Estudo analítico entre intensivistas de hospital universitário de Montes Claros-MG. Utilizou-se para coleta de dados Maslach Burnout Inventory, Critério de Classificação Econômica Brasil e questionário “variáveis individuais, ocupacionais e organizacionais”. Resultados: As prevalências da SB e dimensões (EE-DE-BRP) foram respectivamente: 34,0%; 16,9%; 19,4% e 17,9%. Por análise multivariada registrou-se maior chance de desenvolver SB entre homens às mulheres; pessoas que identificam o trabalho como “às vezes/quase sempre/sempre” estressante àquelas que o identificam como “nunca/quase nunca” estressante; e pessoas que “não concordam e nem discordam/concordam em parte/concordam totalmente” que escolheriam outra profissão com a mesma remuneração àquelas que “discordam totalmente/em parte” na escolha de outra profissão. Maior chance de desenvolver EE: entre “solteiros/divorciados/desquitados” aos casados; entre os que têm “ruim/regular” motivação com o trabalho àqueles cuja motivação é “boa/muito boa/excelente”; e entre aqueles que percebem que “às vezes/quase sempre/sempre” as pessoas são tratadas desigualmente àqueles que percebem que “nunca/quase nunca” existe tratamento desigual. Maior chance de desenvolver DE: entre aqueles que “nunca consumiram bebida alcóolica” àqueles que “consomem/não consomem mais”; e entre aqueles com “ruim/regular” expectativa profissional àqueles com expectativa “boa/muito boa/excelente”. Conclusão: As prevalências registradas são preocupantes sendo que SB e dimensão DE associaram-se às variáveis individuais e ocupacionais e EE associou-se às variáveis individuais, ocupacionais e organizacionais

The use of dental services on a regular basis in the population of Montes Claros in the State of Minas Gerais, Brazil

<p></p><p>Abstract The use of dental services on a regular basis by residents of Montes Claros (MG) was assessed, as well as related aspects. Cross-sectional study was conducted with a complex probabilistic sample by conglomerates. Logistic regression was used (OR/CI95%) with a significance level of 5. Of the 2582 study participants, 761 required and obtained access to the services for less than a year. Of these, 262 (35.8%) used the services in a regular/routine manner. The use of dental services on a regular basis was greatest among individuals in the age group “≥ 18 ≤ 37”; with schooling “equal to or greater than 9 years”; who classified their oral health, general health and appearance of teeth and gums as “excellent/good”; who reported no pain” on teeth and gums over the last six months; They reported that the “assistance provider had adequate skills”; that they “always/often” received information about oral hygiene and diet/nutrition. In addition, this use was lower among those who rated the time to ask questions about the dental problem or treatment as “regular/bad/terrible.” The conclusion drawn is that the use of dental services on a regular basis was relatively low, being associated with personal traits, subjective health conditions and characteristics related to the services.</p><p></p

Autopercepção da saúde bucal e impacto na qualidade de vida do idoso: uma abordagem quanti-qualitativa Self-perception of oral health and impact on quality of life among the elderly: a quantitative-qualitative approach

Este estudo, de abordagem quanti-qualitativa, objetivou aprofundar o entendimento das relações entre autopercepção, impacto na qualidade de vida e condições bucais de idosos. Exame clínico e entrevista gravada contendo questões objetivas e discursivas foram realizados com 45 idosos. Conduziu-se análise descritiva quantitativa das questões objetivas e referentes ao exame clínico e à análise de conteúdo das questões discursivas de abordagem qualitativa. Imagens fotográficas do estado bucal foram relacionadas a trechos das entrevistas. A análise quantitativa evidenciou: 4,8 dentes em média; CPOD (número de dentes cariados, perdidos e obturados) médio de 29,9; 57,7% eram desdentados, 60% acreditavam não necessitar tratamento, 75% sofriam impacto na qualidade de vida devido às condições bucais, apesar de 67% perceberem positivamente sua saúde bucal. Na análise qualitativa constatou-se subestimação de sintomas, falta de esperança e resignação frente às limitações impostas pelo precário estado clínico. Muitos encararam as limitações como conseqüência do envelhecimento e não como problema que mereça ser corrigido. O que mais incomodou foram as relações de dependência e a proximidade com a morte, minimizando outros problemas. A população idosa foi informada de que poderia modificar sua autopercepção, conscientizando-a que esta realidade pode ser modificada.<br>A qualitative-quantitative approach was used in this study to obtain a clearer understanding of the relationship between self-perception, impact on quality of life and oral health among the elderly. Clinical examination and recorded interviews with objective and discursive questions were conducted with 45 institutionalized elderly people. Descriptive analyses of quantitative data were made. The interviews were transcribed and a systematic reading of the interviews was carried out selecting the components related to the categories under analysis. Photographic images of the oral clinical status were correlated with participants' speech. Quantitative analysis revealed: an average of 4.8 teeth; DMFT were 29.9; 57.7 % were toothless; 60% believed they did not need dental care; 75% suffered a great impact on quality of life due to oral health conditions, despite the fact that 67% evaluated their oral health positively. Underestimation of symptoms, lack of hope and resignation due to limitations regarding poor clinical status were detected. Most elderly people viewed such limitations as a consequence of aging and not as a problem that may be solved. This reality can be changed through information and guidance for elderly people