Relationship between oral health and its impact on quality of life among adolescents

The aim of this study was to assess oral health status and its relationship with quality of life. A household population, cross-sectional study was carried out; participants were between 15 and 17 years of age (n = 247) and were examined by two calibrated dentists. Socio-economic status was classified according to ANEP-ABIPEME criteria. Clinical examinations to observe DMFT, CPI and Dean indices were performed as per WHO criteria. The Significant Caries Index (SiC) was used to evaluate polarization of the occurrence of caries among participants of the tercile with higher DMF-T. The OHIP instrument was used to measure quality of life. The Spearman and Mann-Whitney tests were used for assessing correlations (5% significance level). Examinations were carried out in 117 (47.37%) females and in 130 (52.63%) males. Of the examined participants, 45.75% were classified as belonging to socio-economic class C. Caries occurrence was observed in 218 subjects (88.26%); the mean DMFT was 5.40. The SiC index was 9.97. Almost half (47.77%) of the participants examined did not present sextants affected by periodontal disease. Of the participants examined, 80.16% presented absence of fluorosis. The mean OHIP was 3.95. The following correlations were observed: a positive and statistically significant correlation between the highest score in the OHIP and decayed teeth; a positive correlation with threshold significance between OHIP and DMFT; an inverse correlation between intact teeth and OHIP; and a positive and non statistically significant correlation between SiC and OHIP (correlation coefficient = 0.13, p = 0.245). Association between the mean OHIP and the terciles was not significant (p = 0.146); there were also no associations between periodontal condition and OHIP nor were there associations between the presence of fluorosis and mean OHIP

Translation and validation of the Brazilian version of the Dentist Satisfaction Survey

Objetivos: avaliar o nível de satisfação geral com o trabalho de um grupo de dentistas brasileiros e testar a validade de uma tradução transcultural para o português do Brasil da versão modificada do Dentist Satisfaction Survey (DSS). Métodos: Participaram deste estudo transversal 605 dentistas que prestavam à época serviços públicos de atendimento odontológico em São Paulo, SP, Brasil. A satisfação no trabalho foi medida por meio de uma versão modificada do DSS, que é baseado em respostas a 29 itens de um questionário auto-administrado, usando a escala de Likert de 5 pontos. Os itens foram traduzidos para o Português, retraduzidos e comparados com os itens da versão original. Foram calculadas as medidas de consistência interna e validade externa, respectivamente, por meio do coefi ciente de Cronbach e do coeficiente de correlação de Spearman. Resultados: O nível de satisfação geral com o trabalho foi de 2,86 (± 0,20) em 5 na escala de Likert. O α de Cronbach (0,83) mostrou uma boa consistência interna e homogeneidade entre os itens. As correlações de confiabilidade entre item e escala foram boas. Conclusão: O nível de satisfação geral com o trabalho foi neutro. Outras ações e políticas foram desenvolvidas para aumentar o nível de satisfação com o trabalho entre os dentistas brasileiros que trabalham no setor público. A versão em português do DSS modificado apresentou propriedades psicométricas satisfatórias quanto à sua confiabilidade, reprodutibilidade e validade para o Brasil.Objectives: The aims of this study were to evaluate the level of overall job satisfaction among a group of Brazilian dentists and to test the validity of a cross-cultural translation to Brazilian Portuguese of the modifi ed version of the Dentist Satisfaction Survey (DSS). Methods: This cross-sectional study had the participation of 605 dentists practicing in public dental care services in São Paulo, SP, Brazil. Job satisfaction was measured by a modifi ed version of the DSS, which is based on responses to a 29-item self-administrated questionnaire, using a 5-point Likert scale. The items were translated into Brazilian Portuguese, back-translated and compared with the original English version. Measures for internal consistency and concurrent validity were calculated, respectively, by Cronbach’s α coeffi cient and Spearman’s correlation coeffi cient. Results: The level of overall job satisfaction among the sample was 2.86 (± 0.20) out of 5 on the Likert scale. Cronbach’s α (0.83) showed a good internal consistency and homogeneity between items. Item-scale reliability correlations were good. Conclusion: The level of overall job satisfaction was neutral. Further actions and policies have been developed to increase the level of job satisfaction among Brazilian dentists working in the public sector. The Portuguese version of the modifi ed DSS showed satisfactory psychometric properties regarding its reliability, reproducibility and validity for the Brazilian culture

Gender and racial inequalities in trends of oral cancer mortality in Sao Paulo, Brazil

OBJETIVO: Analisar tendências recentes da mortalidade por câncer de boca, focalizando diferenças quanto a sexo e raça. MÉTODOS: Foram utilizados dados oficiais de população e mortalidade na cidade de São Paulo entre 2003 e 2009 para estimar coeficientes de mortalidade por câncer de boca (C00-C10, Classificação Internacional de Doenças, 10a Revisão), com ajuste por idade e estratificação por sexo (feminino e masculino) e cor (negros e brancos). Para cálculo de tendências foi utilizado o procedimento de Prais-Winsten de autorregressão para análise de séries temporais. RESULTADOS: No período de estudo, 8.505 indivíduos residentes na cidade morreram de câncer de boca. Os coeficientes apresentaram tendência crescente para mulheres (taxa de crescimento anual = 4,4%, IC95% 1,4;7,5) e estacionária para homens, representando inversão das tendências anteriores entre os sexos, na cidade. Identificou-se tendência crescente para negros, com elevada taxa de aumento anual (9,1%, IC95% 5,5;12,9), e tendência estacionária para brancos. A mortalidade por câncer de boca em negros quase dobrou durante o período e ultrapassou a mortalidade em brancos para quase todas as categorias. CONCLUSÕES: A mortalidade entre mulheres aumentou mais do que entre homens e duplicou entre negros. A vigilância de tendências da mortalidade por câncer de boca entre os estratos de sexo e cor pode contribuir para programas de saúde que reduzam a carga de doença e atenuem diferenças em saúde que são injustas, evitáveis e desnecessárias.OBJETIVO: Analizar tendencias recientes de mortalidad por cáncer de boca, enfocando diferencias con respecto a sexo y raza MÉTODOS: Se utilizaron datos oficiales de población y mortalidad en la ciudad de Sao Paulo (Brasil) entre 2003 y 2009 para estimar coeficientes de mortalidad por cáncer de boca (C00-C10, Clasificación Internacional de Enfermedades, 10ª Revisión), con ajuste por edad y estratificación por sexo (femenino y masculino) y raza (negros y blancos). Para calcular las tendencias se utilizó procedimiento de Prais-Winsten de auto-regresión para análisis de series temporales. RESULTADOS: En el período de estudio, 8505 individuos residentes en la ciudad murieron por cáncer de boca. Los coeficientes presentaron tendencia creciente en mujeres (tasa de crecimiento anual = 4,4%, IC95%: 1,4;7,5) y estacionaria en hombres, representando inversión de las tendencias anteriores entre sexos, en la ciudad. Se identificó tendencia creciente en negros, con elevada tasa de crecimiento anual (9,1%, IC95%:5,5;12,9), y tendencias estacionaras en blancos. La mortalidad por cáncer de boca en negros casi se duplicó durante el período y sobrepasó la mortalidad en blancos para casi todas las categorías. CONCLUSIONES: la mortalidad entre mujeres aumentó más que en hombres y se duplicó en negros. La vigilancia de tendencias de mortalidad por cáncer de boca entre los estratos de sexo y raza puede contribuir en programas de salud que reduzcan la carga de enfermedad, y atenúen las diferencias que son injustas, evitables e innecesarias.OBJECTIVE: To analyse recent trends in oral cancer mortality, focusing specifically on differences concerning gender and race. METHODS: Official information on deaths and population in the city of Sao Paulo, 2003 to 2009, were used to estimate mortality rates from oral cancer (C00 to C10, International Classification of Diseases, 10th Revision), adjusted for age and stratified by gender (females and males) and race (blacks and whites). The Prais-Winsten auto-regression procedure was used to analyse the time series. RESULTS: During the study period, 8,505 individuals living in the city of Sao Paulo died of oral cancer. Rates increased for females (rate of yearly increase = 4.4%, 95%CI 1.4;7.5), and levelled off for men, which represents an inversion of previous trends among genders in the city. Increases were identified for blacks, with a high rate of yearly increase of 9.1% (95%CI 5.5;12.9), and levelled off for whites. Oral cancer mortality in blacks almost doubled during the study period, and surpassed mortality in whites for almost all categories. CONCLUSIONS: Mortality presented a higher increase among women than in men, and it doubled among backs. The surveillance of trends of oral cancer mortality across gender and racial groups may contribute to implementing socially appropriate health policies, which concurrently reduce the burden of disease and the attenuation of unfair, avoidable and unnecessary inequalities in health

Survival and quality of life of patients with oral and oropharyngeal cancer at 1-year follow-up of tumor resection

OBJECTIVE: This study aimed to assess the survival and life quality evolution of patients subjected to surgical excision of oral and oropharyngeal squamous cell carcinoma. MATERIAL AND METHODS: Forty-seven patients treated at a Brazilian healthcare unit specialized in head and neck surgery between 2006 and 2007 were enrolled in the study. The gathering of data comprised reviewing hospital files and applying the University of Washington Quality of Life (UW-QOL) questionnaire previously and 1 year after the surgery. Comparative analysis used Poisson regression to assess factors associated with survival and a paired t-test to compare preoperative and 1-year postoperative QOL ratings. RESULTS: 1 year after surgery, 7 patients were not found (dropout of the cohort); 15 had died and 25 fulfilled the UW-QOL again. The risk of death was associated with having regional metastasis previously to surgery (relative risk=2.18; 95% confidence interval=1.09-5.17) and tumor size T3 or T4 (RR=2.30; 95%CI=1.05-5.04). Survivors presented significantly (p<0.05) poorer overall and domain-specific ratings of quality of life. Chewing presented the largest reduction: from 74.0 before surgery to 34.0 one year later. Anxiety was the only domain whose average rating increased (from 36.0 to 70.7). CONCLUSIONS: The prospective assessment of survival and quality of life may contribute to anticipate interventions aimed at reducing the incidence of functional limitations in patients with oral and oropharyngeal cancer.(FAPESP) São Paulo Research Foundation(CNPq) Brazilian Council for the Scientific and Technological Developmen

Relationship Between Orofacial Pain And Absenteeism Among Workers In Southern Brazil

Aim: To verify the relationship between orofacial pain and absenteeism in workers of slaughter and meat processing industries in the Southern region of Brazil. Methods: A cross-sectional study, with the random sample of 401 workers of slaughter and meat processing industries in the Southern region of Brazil, was carried out. A questionnaire referred to the situation of absenteeism caused by nine different types of orofacial pain and also the amount of time the employee was kept from work. Results: Only 60 workers (15%) reported having missed work due to orofacial pain in the six months prior to the study. The prevalence of absenteeism resulting from orofacial pain was of 15%. The types of orofacial pain that resulted in absenteeism were: spontaneous toothache (9.7 %); toothache caused by cold or hot liquids or by sweet foodstuff (6.5%) and pain around and behind the eyes (3.2%). There was a predominance of absenteeism in half and full work shifts for the types of orofacial pain experienced. Associations between absenteeism from induced toothache and gender (p < 0.05), absenteeism and spontaneous toothache and family income (p = 0.011), and between absenteeism and the self awareness of their oral health condition, as well as the nine types of orofacial pain (p < 0.001) were observed. Conclusions: The prevalence of absenteeism as a result of orofacial pain was low.8150-5

Adults’ dental age estimation by Cameriere’s method using mandibular canines’ pulp/tooth ratio in Surabaya, Indonesia

Human dentition is widely used as a growth marker in dentistry, anthropology, archaeology, and forensic sciences, allowing comparison between individuals and populations. Adult dental age estimation is challenging for forensic odontologists because a variety of endogenous and exogenous factors influence dentition as age increases. This study aimed to assess the reliability of the pulp/tooth ratio in estimating the biological age of adults in Surabaya, Indonesia. Periapical radiographs of canines of males and females were involved in this study and the dental age assessment was performed following Cameriere’s method using Adobe Photoshop CS6. The statistical analysis of the present study was carried out using SPSS Statistics version 23.0. This study found a significant correlation between the pulp/tooth ratio and biological age. Females showed a higher level of reliability with a smaller MAE (5.34 years) than males (MAE= 7.40 years). Further, the middle adult group (31-50 years old) demonstrated greater reliability, MAE being 3.90 years. This study suggests that the pulp/tooth ratio has a high degree of reliability in estimating individual age and can be applied as a supporting method for age determination in adults in Indonesia. This method performs best for estimating dental age in females between the ages of 31 and 50 years. A future study of dental age estimation using the pulp/tooth ratio is suggested to develop a specific equation for the Indonesian population

Adults’ dental age estimation by Cameriere’s method using mandibular canines’ pulp/tooth ratio in Surabaya, Indonesia

Human dentition is widely used as a growth marker in dentistry, anthropology, archaeology, and forensic sciences, allowing comparison between individuals and populations. Adult dental age estimation is challenging for forensic odontologists because a variety of endogenous and exogenous factors influence dentition as age increases. This study aimed to assess the reliability of the pulp/tooth ratio in estimating the biological age of adults in Surabaya, Indonesia. Periapical radiographs of canines of males and females were involved in this study and the dental age assessment was performed following Cameriere’s method using Adobe Photoshop CS6. The statistical analysis of the present study was carried out using SPSS Statistics version 23.0. This study found a significant correlation between the pulp/tooth ratio and biological age. Females showed a higher level of reliability with a smaller MAE (5.34 years) than males (MAE= 7.40 years). Further, the middle adult group (31-50 years old) demonstrated greater reliability, MAE being 3.90 years. This study suggests that the pulp/tooth ratio has a high degree of reliability in estimating individual age and can be applied as a supporting method for age determination in adults in Indonesia. This method performs best for estimating dental age in females between the ages of 31 and 50 years. A future study of dental age estimation using the pulp/tooth ratio is suggested to develop a specific equation for the Indonesian population

Frequency of toothbrushing and associated factors in adolescents: new approaches

Objetivos: verificar a relação entre frequência de escovação e fatores associados utilizando novas perspectivas de análise de dados em saúde. Materiais e métodos: foi realizado um estudo transversal, com dados coletados da Pesquisa Nacional de Saúde do Escolar 2015 (PeNSE), foi utilizada a regressão de Poisson Multinível e Multivariada e técnica de mineração de dados utilizando a técnica de Árvore de Classificação. Resultados: participaram do estudo 10.231 escolares, sendo 51,3% dos escolares do gênero feminino com idades entre 13 a 18 anos. Na análise multivariada e multinível foi verificada associação entre frequência de escovação e não morar em capitais (RP=1.03); ser do gênero feminino (RP=1.06); ser branco (RP=1.02); idade; e morar em casas com até 4 pessoas (RP=1.03). Na análise de árvore de classificação o gênero foi a variável com maior peso de discriminação. Conclusões: vários fatores foram associados à frequência de escovação e espera-se que os dados subsidiem políticas públicas sobre a questão.Objectives: To verify the relationship between tooth brushing frequency and associated factors using new perspectives of health data analysis. Materials and methods: A cross-sectional study was conducted with data collected from the Brazilian National School Health Survey 2015 (PeNSE), we used multilevel and multivariate Poisson regression and classification tree analysis data mining technique. Results: 10,231 students&nbsp; participated in the study, of which 51.3% were female students aged 13 to 18 years. In the multivariate and multilevel analysis, association between frequency of brushing and non-living in a state capital (PR=1.03)&nbsp;was verified; being female PR=1.06); race PR=1.02); age; and live in houses with up to 4 people PR=1.03). In the classification tree analysis, gender was the variable with the highest weight of discrimination. Conclusions: several factors were associated with the tooth brushing and it is expected that the data will subsidize public policies on the issue