Social capital and factors associated with the caries experience in adults : a population-based study in Brazil

The objective of this study was to investigate the experience of caries related to social capital and associated factors in adults in large-scale population-based study. A Cross-sectional study was performed in 163 municipalities in the State of São Paulo, Brazil (SBSP-2015). 17,560 people were evaluated, of which 6051 were adults aged 35-44 years. Hierarchical logistic regression analysis was proposed. Outcome variables (decayed teeth, missing teeth and DMFT) and independent variables were included in the model, considering the distal (income and schooling); intermediate (social capital) and proximal levels (sex and ethnicity). Results showed that income up to 1,500 reais - US$ 367.6 in 11/11/2019 - (OR = 1.91;1.75-2.08), schooling up to 8 years (OR = 1.32;1.12-1.56) and non-white ethnicity (OR = 1.54;1.35-1.76) were more likely to have decayed teeth. Income up to 1500 reais (OR = 1.29;1.15-1.44), schooling up to 8 years (OR = 2.13;1.90-2.38), low social capital (OR = 1.84;1.65-2.04), medium social capital (OR = 1.15;1.01-1.30) and females were more likely to have lost teeth (OR = 1.13;1.03-1.23). Schooling up to 8 years (OR = 1.51;1.35-1.69), low social capital (OR = 1.25; 1.14-1.37) and female (OR = 1.40,1.19-1.53) were associated with DMFT. It was concluded that sociodemographic factors and low social capital were associated with the experience of caries, which should be taken into account in the formulation of public policies3

Malocclusion and dental appearance in underprivileged brazilian adolescents

Satisfaction with dental aesthetics is a subjective indicator used in epidemiological studies and is related to health behaviours. Little is known about the factors that influence this indicator, particularly among adolescents who live in a situation of social vulnerability. The aim of this study was to investigate the relationship between malocclusion and dental appearance in underprivileged Brazilian adolescents. This analytical cross-sectional study was conducted in Piracicaba, Brazil, and evaluated 884 adolescents from 13 to 19 years of age. The dependent variable was satisfaction with dental appearance, and the independent variables were classified as individual (components of the Dental Aesthetic Index - DAI, sex and age) and contextual (social exclusion index). For statistical analysis, multilevel regression models were estimated. The individual variables were considered Level 1, and the contextual variable was considered Level 2, with a level of significance of 5%. The mean age of the adolescents was 15.3 years. Female adolescents more frequently affirmed that they were satisfied with their dental appearance than did male individuals. There was an increase in dissatisfaction with oral health with the increase in anterior maxillary overjet, midline diastema, larger anterior irregularity in the maxilla, larger anterior irregularity in the mandible, anterior open bite and antero-posterior molar relation. Satisfaction with dental appearance was associated with individual factors such as sex and DAI components33CONSELHO NACIONAL DE DESENVOLVIMENTO CIENTÍFICO E TECNOLÓGICO - CNPQ141654/2013-

Individual And Contextual Factors Associated With Malocclusion In Brazilian Children

Objective: To assess the association between the prevalence of malocclusion in Brazilian 12 years-olds with individual and contextual variables. Methods: A cross-sectional, analytical study was conducted with data from the Brazilian Oral Health Survey-SBBrazil 2010. The outcome studied was malocclusion, categorized as absent, set, severe and very severe. The independent variables were classifi ed as individual and contextual. Data were analyzed using a multilevel model with a 5% signifi cance level. Results: It was found that the prevalence of severe and very severe malocclusion in 12-year-olds did not differ between the Brazilian regions, although variation between the cities was signifi cant (p < 0.001). Male children (p = 0.033), those on lower income (p = 0.051), those who had visited a dentist (p = 0.009), with lower levels of satisfaction with mouth and teeth (p < 0.001) and embarrassed to smile (p < 0.001) had more severe malocclusion. The characteristics of the cities also affected the severity of malocclusion; cities with more families on social benefi ts per 1,000 inhabitants, with lower scores on the health care system performance index and lower gross domestic product per capita were signifi cantly associated with malocclusion. Conclusion: Signifi cant associations between the presence and severity of malocclusion were observed at the individual and contextual level.47SUPPL.3118128Ben-Shlomo, Y., Kuh, D., A life course approach to chronic disease epidemiology conceptual models, empirical challenges and interdisciplinary perspectives (2002) Int J Epidemiol., 3 (2), pp. 285-293. , DOI: 10.1093/ije/31.2.285Carvalho, D.M., Alves, J.B., Alves, M.H., Prevalence of malocclusion in schoolchildren with low socioeconomic status (2011) Rev Gaucha Odontol., 59 (1), pp. 71-77Youth risk behavior surveillance-United States, 2005 (2006) MMWR., 55 (5 SS). , Centers for Disease Control and PreventionCons, N.C., Jenny, J., Kohout, F.J., DAI: the dental aesthetic index (1986), Iowa City: College of Dentistry, University of IowaDanaei, S.M., Salehi, P., Association between normative and self-perceived orthodontic treatment need among 12-to 15-year-old students in Shiraz, Iran (2010) Eur J Orthod., 32 (5), pp. 530-534. , DOI: 10.1093/ejo/cjp139Dogan, A.A., Sari, E., Uskun, E., Saglam, A.M.S., Comparison of orthodontic treatment need by professionals and parents with different socio-demographic characteristics (2010) Eur J Orthod., 32 (6), pp. 672-676. , DOI: 10.1093/ejo/cjp161Hox, J.J., Multilevel analysis: techniques and applications (2002), Mahwah: Lawrence Erlbaum AssociatesManzanera, D., Montiel-Company, J.M., Almerich-Silla, J.M., Gandía, J.L., Diagnostic agreement in the assessment of orthodontic treatment need using the Dental Aesthetic Index and the Index of Orthodontic Treatment Need (2010) Eur J Orthod., 32 (2), pp. 193-198. , DOI: 10.1093/ejo/cjp084Health through oral health: guidelines for planning and monitoring for oral health care (1989), World Health Organization. LondonLevantamento epidemiológico básico de saúde bucal (1991), Organização Mundial da Saúde. 3. ed. São PauloPeres, K.G., Barros, A.J.D., Anselmi, L., Peres, M.A., Barros, F.C., Does malocclusion infl uence the adolescent's satisfaction with appearance? A cross-sectional study nested in a Brazilian birth cohort (2008) Community Dent Oral Epidemiol., 36 (2), pp. 137-143. , DOI: 10.1111/j.1600-0528.2007.00382.xPeres, K.G., Peres, M.A., Boing, A.F., Bertoldi, A.D., Bastos, J.L., Barros, A.J.D., Redução das desigualdades na utilização de serviços odontológicos no Brasil entre 1998 e 2008 (2012) Rev Saude Publica., 46 (2), pp. 250-259. , DOI: 10.1590/S0034-89102012000200007Pertesen, P.E., The World Oral Health Report, 2003 (2003) Continuous improvement of oral health in the 21 st century-the approach of the WHO Global Oral Health Programe. Community Dent Oral Epidemiol., 31 (SUPPL.1), pp. 3-24Roncalli, A.G., Unfer, B., Costa, I.C.C., Arcieri, R.M., Guimarães, L.O.C., Saliba, N.A., Levantamentos epidemiológicos em saúde bucal: análise da metodologia proposta pela Organização Mundial da Saúde (1998) Rev Bras Epidemiol., 1 (2), pp. 177-189. , DOI: 10.1590/S1415-790X1998000200008Singer, J.D., Using SAS proc mixed to fi t multilevel models, hierarchical models, and individual growth models (1998) J Educ Behav Stat., 24 (4), pp. 323-355Tellez, M., Sohn, W., Burt, B.A., Ismail, A.I., Assessment of the relationship between neighborhood characteristics and dental caries severity among low-income African-Americans: a multilevel approach (2006) J Public Health Dent., 66 (1). , DOI: 10.1111/j.1752-7325.2006.tb02548.xThomaz, E.B.A., Cangussu, M.C.T., Assis, M.O., Maternal breastfeeding, parafunctional oral habits and malocclusion in adolescents: A multivariate analysis (2012) Int J Pediatr Otorhinolaryngol., 76 (4), pp. 500-506. , DOI: 10.1016/j.ijporl.2012.01.005Tomita, N.E., Sheiham, A., Bijella, V.T., Franco, L.J., Relação entre determinantes socioeconômicos e hábitos bucais de risco para más-oclusões em préescolares (2000) Pesq Odont Bras., 14 (2), pp. 169-175. , DOI: 10.1590/S1517-74912000000200013Xiao-Ting, L., Tang, Y., Huang, X.L., Wan, H., Chen, Y.X., Factors infl uencing subjective orthodontic treatment need and culture-related differences among Chinese natives and foreign inhabitants (2010) Int J Oral Sci., 2 (3), pp. 149-157. , DOI: 10.4248/IJOS10050Watt, R.G., Emerging theories into the social determinants of health: implications for health promotion (2002) Community Dent Oral Epidemiol., 30 (4), pp. 241-247. , DOI: 10.1034/j.1600-0528.2002.300401.xZanini, R.R., Moraes, A.B., Giugliani, E.R.J., Riboldi, J., Determinantes contextuais da mortalidade neonatal no Rio Grande do Sul por dois modelos de análise (2011) Rev Saude Publica., 45 (1), pp. 79-89. , DOI: 10.1590/S0034-8910201100010000

Influence Of Socioeconomic Clinical And Demographic Variables On Caries Experience Of Preschool Children In Piracicaba, Sp

AIM: To evaluate the influence of socioeconomic, clinical and demographic variables on caries experience in 5-year-old preschool children in Piracicaba. METHODOLOGY: The sample consisted of 728 children attending 22 public (n=428) and 18 private (n=300) preschools. Dental caries was measured using the dmft/dmfs indexes and by detecting initial caries lesion (IL). Gingivitis, crowding, spacing, fluorosis and mouth breathing were also recorded. The socioeconomic variables (monthly family income, number of people living in the household, parents' educational level, home ownership and car ownership) were collected by means of a semi structured questionnaire answered by the children's parents. RESULTS: The mean (standard deviation) values for dmft and dmfs indexes were 1.30 (2.47) and 3.08 (7.55) respectively; and 62.2% of the children were caries-free. The mean (standard deviation) values for dmft+LI and dmfs+LI were 1.72 (3.36) and 3.45 (7.94), respectively and 59.7% were caries-free. By means of multiple logistic regression analyses, children with fluorosis (OR=0.40) or family income > 4 minimum wages (OR=0.49) presented lower probabilility of having caries experience. Those with gingivitis (OR=1.87) were more prone to having the disease. Considering the diagnostic threshold including IL, the multiple logistic regression analyses showed that children with fluorosis (OR=0.39) or family income > 4 minimum wages (OR=0.52) were less prone to having caries. Those with gingivitis (OR=1.80), crowding (OR=2.63 e OR=1.01) or mouth breathing (OR=1.37) presented more probability of having the disease. CONCLUSION: The preschool children who presented gingivitis, crowding, mouth breathing or monthly family income £ 4 minimum wages had more probability of having caries experience. Thus, it would be essential to plan preventive and operative caries control actions targeting these children.123Downer, M.C., Caries prevalence in the United Kingdom (1994) Int Dent J, 44, pp. 365-370Marthaler, T.M., O'mullane, D.M., Vrbic, V., The prevalence of dental caries in Europe 1990-1995 (1996) Caries Res, 30 (4), pp. 237-255Pitts, N.B., Evans, D.J., Nugent, Z.J., Pine, C.M., The dental caries experience of 12-year-old children in England and Wales. Surveys co-ordinated by the British Association for the Study of Community Dentistry in 2000/2001 (2002) Community Dent Health, 19, pp. 46-53Pieper, K., Schulte, A.G., The decline in dental caries among 12-year-old children in Germany between 1994 and 2000 (2004) Community Dental Health, 21, pp. 199-206(1988) Levantamento epidemiológico em saúde bucal: Brasil, zona urbana 1986, , Brasil. Ministério da Saúde, Brasília, M.SCPO-D médio nas capitais Brasileiras, 1996 (2000), http://www.saude.gov.br/programas/bucal, Brasil. Ministério da Saúde, Disponível na InternetProjeto SB Brasil 2003: condições de saúde bucal da população brasileira 2002-2003 - resultados principais, p. 2004. , Brasil. Ministério da Saúde, Brasília: Ministério da SaúdePereira, A.C., Biscaro, S.L., Moreira, B.H.W., Condições bucais de escolares de 7 a 12 anos de idade, após 20 anos de fluoretação das águas de abastecimento público de Piracicaba (1995) Rev Paul Odontol, 17 (3), pp. 30-36Pereira, A.C., Mialhe, F.L., Bianchim, F.L.C., Meneghim, M.C., Prevalência de cárie e fluorose dentária em escolares de cidades com diferentes concentrações de flúor na água de abastecimento (2001) Rev Bras Odont Saúde Coletiva, 2 (1), pp. 34-39Weyne, S.C., A construção do paradigma de promoção de saúde: Um desafio para as novas gerações (1997) Promoção de Saúde Bucal, pp. 1-26. , In: Krieger L, coordenador, São Paulo: Artes MédicasPinto, V.G., (2000) Saúde Bucal Coletiva, , 4a ed. Editora São Paulo: SantosNadanovsky, P.O., Declínio da cárie (2000) Saúde Bucal Coletiva, pp. 341-351. , In: Pinto VG, coordenador, São Paulo: Editora SantosAndrade, M., Como está o sorriso do Brasil? (2000) Revista da ABO Nacional, 8, pp. 134-135Loretto, N.R.M., Seixas, Z.A., Jardim, M.C., Brito, R.L., Cárie dentária no Brasil: Alguns aspectos sociais, políticos e econômicos (2000) Revista da ABO Nacional, 8, pp. 45-49Ribeiro, A.G., Oliveira, A.F., Rosenblatt, A., (2005) Cárie precoce na infância: prevalência e fatores de risco em pré-escolares, aos 48 meses, na cidade de João Pessoa, 21 (6), pp. 1695-1700. , Paraíba, Brasil. Cad Sau ́de Pu ́blicaPitts, N.B., Longbottom, C., Preventive Care Advised (PCA)/ Operative Care Advised (OCA) - categorising caries by the management option (1995) Community Dent Oral Epidemiol, 23, pp. 55-9Pitts, N.B., Fyffe, H.E., The effect of varying diagnostic thresholds upon clinical caries data for a low prevalence group (1988) J Dent Res, 67, pp. 592-596Ismail, A.I., Clinical diagnosis of precavitated carious lesions (1997) Community Dent Oral Epidemiol, 25, pp. 13-23Pitts, N.B., Diagnostic tools and measurements-impact on appropriate care (1997) Community Dent Oral Epidemiol, 25, pp. 24-35Warren, J.J., Steven, M.L., Kanellis, M.J., Dental caries in the primary dentition: Assessing prevalence of cavitated and non-cavitated lesions (2002) J Public Health Dent, 62, pp. 109-114Nyvad, B., Machiulskiene, V., Baelum, V., Reliability of a new caries diagnostic system differentiating between active and inactive caries lesions (1999) Caries Res, 33, pp. 252-260Fyffe, H.E., Deery, C., Nugent, Z.J., Nuttall, N.M., Pitts, N.B., Effect of diagnostic threshold on the validity and reliability of epidemiological caries diagnosis using the Dundee Selectable Threshold Method for caries diagnosis (DSTM) (2000) Community Dent Oral Epidemiol, 28, pp. 42-51Assaf, A.V., de Castro Meneghim, M., Zanin, L., Tengan, C., Pereira, A.C., Effect of different diagnostic thresholds on dental caries calibration - a 12 month evaluation (2006) Community Dent Oral Epidemiol, 34, pp. 213-219Assaf, A.V., Meneghim, M.C., Zanin, L., Cortellazzi, K.L., Pereira, A.C., Ambrosano, G.M.B., Effect of different diagnostic threshold on dental caries calibration (2006) J Public Health Dent, 66 (1), pp. 17-22Ekstrand, K.R., Kuzmina, I.N., Kuzmina, E., Christiansen, M.E.C., Two and a half-year outcome of caries-preventive programs offered to groups of children in the Solntsevsky District of Moscow (2000) Caries Res, 34, pp. 8-19Forgie, A.H., Paterson, M., Pine, C.M., Pitts, N.B., Nugent, Z.J., A randomized controlled trial of the caries preventive efficacy of a chlorhexidine-containing varnish in high- caries-risk adolescents (2000) Caries Res, 34, pp. 432-439Nyvad, B., Machiulskiene, V., Baelum, V., Construct and predictive validity of clinical caries diagnostic criteria assessing lesion activity (2003) J Dent Res, 82 (2), pp. 117-122Ismail, A.I., Brodeur, J.M., Gagnon, P., Payette, M., Picard, D., Hamalian, T., Prevalence of non-cavitated and cavitated carious lesions in a random sample of 7-9-year-old schoolchildren in Montreal, Quebec (1992) Community Dent Oral Epidemiol, 20, pp. 250-255Biscaro, M.R.G., Fernandez, R.A.C., Pereira, A.C., Meneghim, M.C., Influência das lesões pré-cavitadas em relação às necessidades de tratamento em escolares de baixa prevalência de cárie (2000) Rev Bras Odont Saúde Coletiva, 1 (2), pp. 57-64Fejerskov, O., Manji, F., Risk assessment in dental caries (1990) Risk assessment in dentistry, pp. 215-217. , In: , Bader JD, editor. Chapel Hill: University of North Carolina Dental EcologyCypriano, S., Sousa, M.L.R., Rihs, L.B., Wada, R.S., Saúde bucal dos pré-escolares, Piracicaba, Brasil, 1999 Rev. Saúde Pública 2003, 37 (2), pp. 247-253Levantamentos básicos em saúde bucal (1999) Tradução de Ana Júlia Perrotti Garcia, p. 66. , Organização Mundial da Saúde, 4.ed. São Paulo: Santos, Título original: Oral health surveys - basic methodsAinamo, J., Bay, I., Problems and proposal for recording gingivitis and plaque (1975) Int Dent J, 25 (4), pp. 229-35Cons, N.C., Jenny, J., Kohout, F.J., (1986) DAI: the Dental Aesthetic Index, , Iowa City: College of Dentistry University of Iowa(2001), SAS User's Guide: Statistics, version 8.2. Cary [NY]: SAS Institute IncPitts, N.B., Modern concepts of caries measurement (2004) J Dent Res, 83, pp. 43-47. , Spec Iss CIsmail, A., Diagnostic levels in dental public health planning (2004) Caries Res, 38, pp. 199-203Assaf, A.V., Tengan, C., Tagliaferro, E.P.S., Meneghim, Z.P., Meneghim, M.C., Pereira, A.C., Ambrosano, G.M.B., Influence of initial carious lesions on oral health planning (2006) Braz j oral sci, 5 (19), pp. 1217-1222Antunes, J.L., Peres, M.A., Jahn, G.M., Levy, B.B., The use of dental care facilities and oral health: A multilevel approach of schoolchildren in the Brazilian context (2006) Oral Health Prev Dent, 4, pp. 287-94Tappuni, A.R., Challacombe, S.J., Distribution and relation frequency of eight streptococcal species in saliva from predentate and dentate children and adults (1993) J Dent Res, 72 (1), pp. 31-6Gábris, K., Marton, S., Madlena, M., Prevalence of malocclusion in Hungarian adolescents (2006) Eur J Orthod, 28, pp. 467-70Moura, C., Cavalcanti, A.L., Maloclusões, cárie dentária e percepções de estética e função mastigatória: Um estudo de associação. Revista Odonto Ciência - Fac (2007) Odonto/ PUCRS, 22 (57), pp. 256-262Nascimento Filho, E., Mayer, M.P.A., Pontes, P.A.L., Pignatari, A.C.C., Weckx, L.L.M., A respiração bucal é fator de risco para cárie e gengivite? (2003) Rev bras alergia imunopatol, 26 (6), pp. 243-249Grindefjord, M., Dahllöf, G., Ekström, G., Höjer, B., Modéer, T., Caries prevalence in 2.5-year-old children (1993) Caries Res, 27, pp. 505-510Campus, G., Lumbau, A., Lai, S., Solinas, G., Castiglia, P., Socio-economic and behavioural factors related to caries in twelve-year-old Sardinian children (2001) Caries Res, 35, pp. 427-434Maltz, M., Barbachan e Silva, B., Relação entre cárie, gengivite e fluorose e nível socioeconômico em escolares (2001) Rev Saúde Pública, 35 (2), pp. 170-176Freire, M.C.M., Melo, R.B., Silva, A.S., Dental caries prevalence in relation to socioeconomic status of nursery school children Goiânia-GO, Brazil (1996) Community Dent Oral Epidemiol, 24, pp. 357-61. , Freire MCMPeres, K.G.A., Bastos, J.R.M., Latorre, M.R.D.O., Severidade de cárie em crianças e relação com aspectos sociais e comportamentais (2000) Rev Saúde Pública, 34 (4), pp. 402-8Baldani, M.H., Vasconcelos, A.G.G., Antunes, J.L.F., Associação do índice CPO-D com indicadores socioeconômicos e de provisão de serviços odontológicos no Estado do Paraná (2004) Cad Saúde Pública, 20 (1), pp. 143-15

Assessment Of Educational Actions On The Oral Health Of Adolescents Within The Family Health Strategy [avaliação Das Ações De Educação Na Saúde Bucal De Adolescentes Dentro Da Estratégia De Saúde Da Família]

Objective: to evaluate the actions of education on the oral health of adolescents within the scope of the Family Health Strategy. Methodology: A questionnaire was applied and a clinical exam conducted evaluating biofilm and gingival inflammation in 80 adolescents before and after interventions. A qualitative study of the brushing technique was also performed on 15 adolescents in the sample. Results: there was an improvement in oral hygiene of adolescents who participated in actions at school and an increase in the number of adolescents who had healthy gums or only mild inflammation in the second test in school groups and home visits. With respect to the consumption of candies, both the weekly group and the school group saw a decrease in candy consumption between the first and second tests. There was an increased frequency of brushing in the school group. Conclusion: considering the importance of educational activities observed in this study, the process of training and joint planning of activities among the school staff and health professionals would appear to be important.17718411848Elias, M.S., Cano, M.A.T., Mestriner Jr., W., Ferriani, M.G.C., A importância da saúde bucal para adolescentes de diferentes estratos sociais do município de Ribeirão Preto (2001) Rev latino-am enfermagem, 9 (1), pp. 88-95Facó, E.F., Viana, L.M.O., Bastos, V.A., Nuto, S.A.S., O cirurgião dentista e o programa saúde da família na microrregião II, Ceará, Brasil (2005) RBPS, 18 (2), pp. 70-77Pontes, N.S.T., (2007) Processo de trabalho em saúde bucal e necessidade de educação permanente: A experiência do PSF no município de Petrópolis, , [dissertação]. Rio de Janeiro (RJ Universidade do Estado do Rio de JaneiroRodrigues, A.A.A.O., Assis, M.M.A., Oferta e Demanda na atenção à saúde bucal: O processo de trabalho no programa saúde da família em Alagoinhas-Bahia (2005) Rev Baiana de Saúde Pública, 29 (2), pp. 273-285Araújo, Y.P., Dimenstein, M., Estrutura e organização do trabalho do cirurgião-dentista no PSF de municípios do Rio Grande do Norte (2006) Cien Saude Colet, 11 (1), pp. 219-227Pace, M.A., Grigolleto, J.C., Bertoldi, R.C., Polachini, M.C.G.W., Bregagnolo, J.C., Hábitos de higiene oral de famílias cadastradas em programa de saúde da família de Ribeirão Preto-SP (2006) Cad Saude Coletiva, 14 (1), pp. 49-62(2006) Cadernos de Atenção Básica: Saúde Bucal, , Brasil. Ministério da Saúde (MS), No 17. Brasília: MSFlores, E.M.T.L., Drehmer, T.M., Conhecimentos, percepções, comportamentos e representações de saúde e doença bucal dos adolescentes de escolas públicas de dois bairros de Porto Alegre (2003) Cien Saude Colet, 8 (3), pp. 743-752Tomita, N.E., Pernambuco, R.A., Lauris, J.R.P., Lopes, E.S., Educação em Saúde Bucal para adolescentes: Uso de métodos participativos. Rev (2001) FOB, 9 (1-2), pp. 63-69Ferrari, R.A.P., Thonsom, Z., Melchior, R., Atenção à saúde dos adolescentes: Percepção dos médicos e enfermeiros das equipes da saúde da família (2006) Cad Saude Publica, 22 (11), pp. 2491-2495(1993) Congresso Mundial de Odontologia Preventiva 1993 set 3-5, , Organização Mundial da Saúde (OMS). In, Umea, SuéciaGarcia, R.A., Matos, R., (2007) A distribuição espacial da vulnerabilidade social das famílias brasileiras, , In: Seminário População, Pobreza e Desigualdade2007 nov 5-7Belo Horizonte (MG), BrasilGreene, J.C., Vermillion, J.R., The simplified oral hygiene index (1964) J Am Dent Assoc, 68, pp. 7-13Löe, H., Silness, J., Periodontal disease in pregnancy. I. prevalence and severity (1963) Acta Odontol Scand, 21 (6), pp. 533-551Bardin, L., (1979) Análise de conteúdo, , Lisboa: Edições 70Santos, N.C.N., Alves, T.D.B., Freitas, V.S., Jamelli, S.R., Sarinho, E.S.C., A saúde bucal de adolescentes: Aspectos de higiene, de cárie dentária e doença periodontal nas cidades de Recife, Pernambuco e Feira de Santana, Bahia (2007) Cien Saude Colet, 12 (5), pp. 1155-1166Rivera-Hermosillo, G., Martínez-Torres, J., Hernández-Laguna, E., Caries dental e higiene bucal en adolescentes (2006) México Rev ADM, 63 (6), pp. 231-234Toassi, R.F.C., Petry, P.C., Motivação no controle do biolfilme dental e sangramento gengival em escolares (2002) Rev Saude Publica, 36 (5), pp. 634-637Souza, G.B., Nogueira de Sá, P.H.R., Junqueira, S.R., Frias, A.C., Avaliação dos Procedimentos Coletivos em Saúde Bucal: Percepção de adolescentes de Embu, SP (2007) Rev Saúde Social, 16 (3), pp. 138-148Mesquini, M.A., Molinari, S.L., Prado, I.M.M., Educação em saúde bucal: Uma proposta para abordagem no Ensino Fundamental e Médio (2006) Arq Mudi, 10 (3), pp. 16-22Pauleto, A.R.C., Pereira, M.L.T., Cyrino, E.G., Saúde bucal: Uma revisão crítica sobre programações educativas para escolares (2004) Cien Saude Colet, 9 (1), pp. 121-130Almeida, G.C.M., Ferreira, M.A.F., Saúde bucal no contexto do Programa Saúde da Família: Práticas de prevenção orientadas ao indivíduo e ao coletivo (2008) Cad Saude Publica, 24 (9), pp. 2131-2140Koyashiki, G.A.K., Alves-Souza, R.A., Garanhani, M.L., O trabalho em saúde bucal do Agente Comunitário de Saúde em Unidades de Saúde da Família (2008) Cien Saude Colet, 13 (4), pp. 1343-1354Oliveira, S.F., Albuquerque, F.J.B., Programa de saúde da família: Uma análise a partir das crenças dos seus prestadores de serviço (2008) Psicologia & Sociedade, 20 (2), pp. 237-24

Evaluation Of An Educational Program For Children With High Risk Of Caries

The goal of this study was to evaluate a 15-month educational program designed to children. The sample consisted of 60 six-year olds, randomly assigned into control and experimental group. The control consisted of tooth brushing training, once a year. The experimental group received intensive individual tooth brushing training every three months and guidance on oral health. Initially, both groups were assessed using plaque, gingival, dmfs and DMF-S indexes every three months. In the control, no statistically significant difference was observed for plaque and gingival indexes. The experimental group showed a statistically significant reduction in mean values for two indexes. The caries indexes showed no statistically significant difference. The proposed educational program developed was efficient in reducing gingival and plaque indexes as well caries incidence.31424625

Association Between Family Social Risk And Dental Caries And Periodontal Disease Risk In Adults In The Family Health Strategy [associação Entre Risco Social Familiar E Risco à Cárie Dentária E Doença Periodontal Em Adultos Na Estratégia De Saúde Da Família]

Objective: To evaluate the association between family social risk (FSR), individual oral risk and caries and periodontal disease risk and demographic variables of adults from a Family Health Unit (FHU) in the city of Santo André, SP, Brazil. Method: The sample consisted of 253 families and 324 adults, which corresponds to 16.4% of the families registered at the Jardim Santo Alberto FHU in Santo André, SP. The data of the families were collected using the Basic Attention Information System's A Form and transferred to the instrument "Family Risk Scoring System - Santo André", being classified as low, medium, high and extra high FSR. After this classification, all members of the families were asked to attend for an oral examination by the FHU's oral health team, being classified according to the caries and periodontal disease risk criteria established by the São Paulo State Health Secretary. Data were subjected to descriptive analysis, Chi-square or Fisher's exact test, and multiple logistic regressions. Results: The FSR was only associated with the microarea, and most individuals from the microarea 1 belonged to the high FSR classification. No significant association was found between caries risk and individual oral risk and the demographic variables. Women had 2.290 more chances than men of presenting low risk of periodontal disease. Conclusion: The instrument and risk criteria used in this program should be restructured and reevaluated in other populations in order to achieve a more effective contribution for planning the work of FHU's oral health teams.131101110(1997) Saúde Da Família: Uma Estratégia Para a Reorientação Do Modelo Assistencial, , Brasil. Ministério da Saúde, Brasília(2006) Aprova a Política Nacional De Atenção Básica, Estabelecendo a Revisão De Diretrizes E Normas Para a Organização Da Atenção Básica Para O Programa Saúde Da Família (PSF) E O Programa Agentes Comunitários (PACS), , Brasil. Ministério da Saúde. Portaria GM/MS no 648 de março de 2006, BrasíliaBoing, A.F., Peres, M.A., Kovaleski, D.F., Zangs, S.E., Antunes, J.L., Estratificação socioeconômica em estudos epidemiológicos de cárie dentária e doenças periodontais: Características da produção na década de 90 (2005) Cad Saúde Pública, 21 (3), pp. 673-678Sheiham, A., Impact of dental treatment on the incidence of dental caries in children and adults (1997) Community Dent Oral Epidemiol, 25 (1), pp. 104-112Moysés, S.J., Desigualdades em saúde bucal e desenvolvimento humano: Um ensaio em preto, branco e alguns tons de cinza (2000) Rev Bras Odontol Saúde Coletiva, 1 (1), pp. 7-15Patussi, M.P., Marcenes, W., Croucher, R., Sheiham, A., Social deprivation, income inequality, social cohesion and dental caries in Brazilian school children (2001) Soc Sci Med, 53 (7), pp. 915-925Baldani, M.H., Narvai, P.C., Antunes, J.L.F., Cárie dentária e condições socioeconômicas no Estado do Paraná, 1996 (2002) Cad Saúde Pública, 18 (3), pp. 755-763Coelho, F.L.G., Savassi, L.C.M., Aplicação de escala de risco familiar como instrumento de priorização das visitas domiciliares (2004) Rev Bras Med Família Comum, 2, pp. 19-26Terreri, A.L.M., Soler, Z.A.S.G., Estudo comparativo de dois critérios utilizados no programa saúde da família na priorização do tratamento da cárie entre crianças de 5 a 12 anos (2008) Cad Saúde Pública, 24 (7), pp. 1581-1587Nascimento, F.G., Prado, T.N., Galavote, H.S., Maciel, E.L.N., Aplicabilidade de uma escala de risco para organização do processo de trabalho com famílias na unidade de saúde da família em Vitória, ES, Brasil (2010) Ciênc Saúde Coletiva, 15 (5), pp. 2465-2472(2001) Secretaria De Estado De Saúde, Coordenadoria De Planejamento Em Saúde, Área Técnica Em Saúde Bucal, pp. 14-42. , São Paulo, A organização das ações de saúde bucal na atenção básica: versão cidade de São Paulo. São Paulo(2004) Coordenação Nacional De Saúde Bucal, p. 16. , Brasil. Ministério da Saúde, Diretrizes da política nacional de saúde bucal. BrasíliaRoncalli, A.G., Epidemiologia das desigualdades em saúde bucal com foco em famílias (2008) Saúde Bucal Das Famílias, p. 308. , Moysés ST, Moysés SJ, Kriger L, São Paulo, Artes MédicasLocker, D., Deprivation and oral health: A review (2000) Community Dent Oral Epidemiol, 28 (3), pp. 161-169Peres, K.G.A., Bastos, J.R.M., Latorre, M.R.D.O., Severidade de cárie em crianças e relação com aspectos sociais e comportamentais (2000) Rev Saúde Pública, 34 (4), pp. 402-408Peres, M.A.A., Gesse, H.C., Marcenes, W., Condições gengivais e periodontais associadas a fatores socioeconômicos (2001) Rev Saúde Pública, 35 (3), pp. 289-293Antunes, J.L.F., Peres, M.A., Frazão, P., Cárie dentária (2006) Epidemiologia Da Saúde Bucal, p. 470. , Antunes JLF, Peres MA (Orgs.), Rio de Janeiro: Guanabara KooganSheiham, A., Alexander, D., Cohen, L., Marinho, V., Moysés, S., Petersen, P.E., Spencer, J., Weyant, R., Global Oral Health Inequalities: Task Group-Implementation and Delivery of Oral Health Strategies (2011) Adv Dent Res, 23 (2), pp. 259-267Marmot, M., Bell, R., Social determinants and dental health (2011) Adv Dent Res, 23 (2), pp. 201-206Gonçalves, V.B., (2011) Percepção De Profissionais E Usuários Com Relação À Odontologia Na Estratégia De Saúde Da Família [Dissertação De Mestrado], p. 102. , Piracicaba, Faculdade de Odontologia de Piracicaba, Universidade Estadual de CampinasLourenço, E.C., Silva, A.C.B., Meneghin, M.C., Pereira, A.C., A inserção de equipes de saúde bucal no Programa Saúde da Família no Estado de Minas Gerais (2009) Ciênc Saúde Coletiva, 14 (1 SUPPL.), pp. 1367-1377Fernandes, L.C.L., Bertoldi, A.D., Barros, A.J.D., Utilização dos serviços de saúde pela população coberta pela Estratégia de Saúde da Família (2009) Rev Saúde Pública, 43 (4), pp. 595-603Deinzer, R., Granrath, N., Spahl, M., Linz, S., Waschul, B., Herforth, A., Stress, oral health behaviour and clinical outcome (2005) Br J Health Psychol, 10 (2 PT.), pp. 269-283Deinzer, R., Hilpert, D., Bach, K., Schawacht, M., Herforth, A.J., Effects of academic stress on oral hygiene--a potential link between stress and plaque-associated disease? (2001) Clin Periodontol, 28 (5), pp. 459-464Mendoza-Sassi, R., Béria, J.U., Utilización de los servicios de salud: Una revisión sistemática sobre los factores relacionados (2001) Cad Saude Publica, 17 (4), pp. 819-832Travassos, C., Viacava, F., Pinheiro, R.S., Brito, A.S., Utilização dos serviços de saúde no Brasil: Gênero, características familiares e condição social (2002) Rev Panam Salud Publica, 11 (5-6), pp. 365-373Rocha, R.A.C.P., Goes, P.S.A., Comparação do acesso aos serviços de saúde bucal em áreas cobertas e não cobertas pela Estratégia Saúde da Família em Campina Grande, Paraíba, Brasil Cad (2008) Saúde Pública, Rio De Janeiro, 24 (12), pp. 2871-2880Capilheira, M.F., Santos, I.S., Fatores individuais associados à utilização de consultas médicas por adultos (2006) Rev Saude Publica, 40 (3), pp. 436-443Fejerskov, O., Changing Paradigms in Concepts on Dental Caries: Consequences for Oral Health Care (2004) Caries Res, 38 (3), pp. 182-191Apresentação SB Brasil 2010, , www.portal.saude.gov.br/portal/arquivos/pdf/apresentacaonova_28120.pdf, Brasil. Ministério da Saúde, Disponível emLevy-Costa, R.B., Sichieri, R., Pontes, N.S., Monteiro, C.A., Disponibilidade domiciliar de alimentos no Brasil: Distribuição e evolução (1974-2003) (2005) Rev Saúde Pública, 39 (4), pp. 530-540Petry, P.C., Victora, C.G., Santos, I.S., Adultos livres de cárie: Estudo de casos e controles sobre conhecimentos, atitudes e práticas preventivas (2000) Cad Saúde Pública, 16 (1), pp. 145-153Martins, A.M.E.B.L., Melo, F.S., Fernandes, F.M., Sorte, J.A.B., Coimbra, L.G.A., Batista, R.C., Levantamentos epidemiológicos brasileiros das condições de saúde bucal (2005) Unimontes Científica, 7 (1), pp. 55-66(2004) Condições De Saúde Bucal Da População Brasileira 2002-2003: Resultados Principais, p. 52. , Brasil. Ministério da Saúde, Brasília, Coordenação Nacional De Saúde BucalShiau, H.J., Reynolds, M.A., Sex differences in destructive periodontal disease: A systematic review (2010) J Periodontol, 81 (10), pp. 1379-1389Eke, P.I., Dye, B.A., Wei, L., Thornton-Evans, G.O., Genco, R.J., Prevalence of Periodontitis in Adults in the United States: 2009 and 2010 (2012) J Dent Res, 91 (10), pp. 914-920Saintrain, M.V.L., Proposta de um indicador comunitário em saúde bucal (2007) Rev Bras Prom Saúde, 20 (3), pp. 199-220Carnut, L., Vilgueiras, L.V., Figueiredo, N., Goes, P.S.A., Validação inicial do índice de necessidade de atenção à saúde bucal para as equipes de saúde bucal na estratégia de saúde da família (2011) Cienc Saúde Coletiva, 16 (7), pp. 3083-3091Gerais, M., Secretaria de Estado de Saúde de Minas Gerais (2006) Linha Guia - Atenção Em Saúde Bucal, p. 290. , Belo Horizonte: SAS/MG, 1a e

Relationship Between Malocclusion And Behavioral, Demographic And Socioeconomic Variables: A Cross-sectional Study Of 5-year-olds.

OBJECTIVE: Epidemiological studies have demonstrated that the prevalence and the severity of malocclusion have increased over the years. The aim of this study was to evaluate the relationship between malocclusions, such as open bite and crossbite, and behavioral, demographic and socioeconomic variables in a sample of 5-year-old children attending preschools. METHODS: The random sample consisted of 728 preschool children attending 22 public (n = 428) and 18 private (n = 300) preschools. A calibrated examiner performed the epidemiological examination outdoors, under natural light, using dental mirror and CPI probe. Information on socioeconomic status and the presence of deleterious oral habits was collected by a questionnaire sent to parents. Univariate and multiple logistic regression analyses were performed. RESULTS: The deleterious oral habits were observed in 83.1% of the children and were significantly associated with social class. Pacifier use (OR = 21.71), thumb sucking (OR = 4.72); atypical swallowing (OR = 7.35) and mouth breathing (OR = 4.65) were risk indicators for open bite. Pacifier use (OR = 1.59), lip interposition (OR = 1.78), mouth breathing (OR = 1.96) and gender (OR = 1.88) were risk indicators for crossbite. CONCLUSIONS: Environmental factors, such as the presence of deleterious oral habits as well as social class, play an important role in identifying children with open and/or crossbite.331757

Variables Associated With The Performance Of Centers For Dental Specialties In Brazil [variáveis Associadas Ao Desempenho De Centros De Especialidades Odontológicas No Brasil]

The aim of this study was to evaluate the performance of the Centers for Dental Specialties (CDS) in the country and associations with sociodemographic indicators of the municipalities, structural variables of services and primary health care organization in the years 2004–2009. The study used secondary data from procedures performed in the CDS to the specialties of periodontics, endodontics, surgery and primary care. Bivariate analysis by χ2 test was used to test the association between the dependent variable (performance of the CDS) with the independents. Then, Poisson regression analysis was performed. With regard to the overall achievement of targets, it was observed that the majority of CDS (69.25%) performance was considered poor/ regular. The independent factors associated with poor/regular performance of CDS were: municipalities belonging to the Northeast, South and Southeast regions, with lower Human Development Index (HDI), lower population density, and reduced time to deployment. HDI and population density are important for the performance of the CDS in Brazil. Similarly, the peculiarities related to less populated areas as well as regional location and time of service implementation CDS should be taken into account in the planning of these services.174978988(2004) Secretaria de Atenção à Saúde. Departamento de Atenção Básica. Coordenação Nacional de Saúde Bucal. Diretrizes da Política, , Nacional de Saúde Bucal. Brasília: Ministério da Saúde Brasil Ministério da SaúdeAntunes, J.L.F., Narvai, P.C., Políticas de saúde bucal no Brasil e seu impacto sobre as desigualdades em saúde (2010) Rev Saúde Pública, 44 (2), pp. 360-365Estabelece critérios, normas e requisitos para a implantação e credenciamento de Centros de Especialidades Odontológicas e Laboratórios Regionais de Próteses Dentárias, , http://dtr2001.saude.gov.br/sas/PORTARIAS/Port2004/GM/1570re.htm, Portaria no 1.570 de 2004. Disponível em (Acessado em 08 de março de 2012) Brasil. Ministério da SaúdeCoordenação Nacional de Saúde Bucal, , http://189.28.128.100/dab/docs/publicacoes/geral/serie_tecnica_11_port.pdf, A Política Nacional de Saúde Bucal do Brasil: registro de uma conquista histórica. (Série Técnica: Desenvolvimento de Sistemas e Serviços de Saúde). Disponível em: (Acessado em 15 de fevereiro de 2011), Brasil. Ministério da Saúde(2004) Secretaria de Atenção à Saúde, , Brasil. Ministério da Saúde. Departamento de Atenção Básica. Projeto SB BRASIL: condições de saúde bucal da população brasileira 2002- 2003: resultados principais. Brasília: Ministério da SaúdeNeri, M., Soares, W., Desigualdade social e saúde no Brasil (2002) Cad Saúde Pública, 18, pp. 77-87Portaria no 600 de 2006, , http://dtr2001.saude.gov.br/sas/PORTARIAS/Port2006/GM/GM-600.htm, Institui o financiamento dos Centros de Especialidades Odontológicas. Brasília: Ministério da Saúde2006. Disponível em: (Acessado em 15 de agosto 2013) Brasil. Ministério da SaúdePortaria no 599 de 2006, , http://www.brasilsus.com.br/index.php?option=com_content&view=article&id=885, Brasil. Ministério da Saúde. Disponível em: (Acessado em 15 de agosto de 2013]Sistemas e Aplicativos, , http://www2.datasus.gov.br/DATASUS/index.php?area=040805, Brasil. Ministério da Saude DATASUS - Departamento de Informática do SUS, 2011. Disponível em: (Acessado em 08 de setembro de 2011)Figueiredo, N., Goes, P.S.A., Construção da atenção secundária em saúde bucal: Um estudo sobre os Centros de Especialidades Odontológicas em Pernambuco, Brasil (2009) Cad Saúde Pública, 25 (2), pp. 259-267Relatório da tabela de domínio NFCES051 - HABILITAÇÕES, , Brasil. Ministério da Saúde DATASUS - Departamento de Informática do SUS, 2011. (Acessado em 29 de junho de 2011)Evolução do credenciamento e implantação das estratégias de Agentes Comunitários de Saúde, Saúde da Família e Saúde Bucal, , http://dab.saude.gov.br/historico_cobertura_sf.php, Brasil. Ministério da Saúde DAB. Unidade Geográfica: Município - Todos / Estados - Todos / Região - Todas. Competência: Dezembro de 2009. Disponível em (Acessado em 12 de novembro de 2011)Censo Demográfico 2010, , www.ibge.gov.br/home/presidencia/noticias/censo10052011.shtm, Brasil. Instituto Brasileiro de Geografia e Estatística. IBGE. Resultados Preliminares do Universo do Censo Demográfico 2010. DisponívelPrograma das Nações Unidas para o Desenvolvimento, Ranking decrescente do IDHM dos municípios, 2000, , http://www.pnud.org.br/atlas/ranking/IDH-M%2091%2000%20Ranking%20decrescente%20(pelos%20dados%20de%202000).xls, PNUD. Disponível em. (Acessado em 29 de agosto de 2011)Goes, P.S.A., Figueiredo, N., Neves, J.C., Silveira, F.M.M., Costa, J.F.R., Pucca Junior, G.A., Avaliação da atenção secundária em saúde bucal: Uma investigação nos centros de especialidades do Brasil (2012) Cad. Saúde Pública, 28, pp. S81-S8

Impact Of The Activation Of Intention To Perform Physical Activity In Type Ii Diabetics: A Randomized Clinical Trial [impacto Da Ativação Da Intenção Na Prática Da Atividade Física Em Diabéticos Tipo Ii: Ensaio Clínico Randomizado]

Type II diabetes mellitus is a highly prevalent disease among the adult Brazilian population, and one that can be controlled by interventions such as physical activity, among others. The aim of this randomized controlled study was to evaluate the impact of a traditional motivational strategy, associated with the activation of intention theory, on adherence to physical activity in patients with type II, diabetes mellitus who are part of the Unified Health System (SUS). Participants were divided into a control group (CG) and an intervention group (IG). In both groups, the traditional motivational strategy was applied, but the activation of intention strategy was only applied to the IG Group. After a two-month follow- up, statistically significant differences were verified between the groups, related to the practice of walking (p = 0.0050), number of days per week (p = 0.0076), minutes per day (p = 0.0050) and minutes walking per week (p = 0.0015). At the end of the intervention, statistically significant differences in abdominal circumference (p = 0.0048) between the groups were observed. The conclusion drawn is that the activation of intention strategy had greater impact on adherence to physical activity and reduction in abdominal circumference in type II diabetics, than traditional motivational strategy.203875886Solla, J.J.S.P., Franco, L.J., Campos, G.P., McHado, C.A., Lessa, I., Entrevista: O enfoque das políticas do SUS para a promoção da saúde e prevenção das DCNT: Do passado ao futuro (2004) Cien Saude Colet, 9 (4), pp. 945-956Dias, J.C.R., Campos, J.A.D.B., Diabetes mellitus: Razão de prevalências nas diferentes regiões geográficas no Brasil, 2002 2007 (2012) Cien Saude Colet, 17 (1), pp. 239-244Sociedade Brasileira de Diabetes (SBD), (2007) Consenso brasileiro de tratamento e acompanhamento do diabete mellitus, , Rio de Janeiro: DiagraficDiagnosis and classification of diabetes mellitus (2012) Diabetes Care, (35), pp. S64-S71Davies, M.J., Tringham, J.R., Troughton, J., Khunti, K.K., Prevention of type 2 diabetes mellitus: A review of the evidence and its application in a UK setting (2004) Diabet Med, 21 (5), pp. 403-414Winnick, J.J., Sherman, W.M., Habash, D.L., Stout, M.B., Failla, S.M., Belury, M.A., Schuter, D.P., Short-term aerobic exercise trining in obese humans with type 2 diabetes mellitus improves whole-body insulin sensitivity through gains in peripheral, not hepatic insulin sensivity (2008) J. Clin Endocrinol Metab, 93 (3), pp. 771-778Guimarães, G.V., Ciolac, E.G., Síndrome metabólica: Abordagem do educador físico (2004) Rev. 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New York: Prentice-Hall International Inc(2008) SAS/STAT® User's Guide, Version 9.2., , Cary: SAS Institute IncMilne, S., Orbell, S., Sheeran, P., Combining motivational and volitional interventions to promote exercise participation: Protection motivation theory and implementation intentions (2002) Br J Health Psychol, 7, pp. 163-184Fagard, R.H., Cornelissen, V.A., Effect of exercise on blood pressure control in hypertensive patients (2007) Eur J Cardiovasc Prev Rehabil, 14 (1), pp. 12-17Xavier, F., Sunyer, P.I., The role of weight loss in improving metabolic outcomes. Outcomes about obesity in the last 12 months (2002) Medscape Gastroenterology, pp. 2-4. , http://www.medscape.org/viewarticle/427179, [acessado 2014 maio 23]Norris, S.L., Zhang, X., Avenell, A., Long-term non-pharmacologic weight loss interventions for adults with type 2 diabetes (2005) Cochrane Database Syst Rev, (2)Orbell, S., Sheeran, P., Using implementation intentions to increase attendance for cervical cancer screening (2000) Health Psychol, 19 (3), pp. 283-289Lourenço, L.B.A., (2012) Efeito do planejamento da ação e de enfrentamento de obstáculos na adesão medicamentosa e qualidade de vida de pacientes coronariopatas, , [dissertação]. Campinas: Universidade Estadual de Campinas, Faculdade de Ciências Médica