Prevalência de tabagismo ativo e passivo durante a gravidez: estudo transversal

The aim of the present study was to evaluate the prevalence of active and passive smoking during pregnancy and its association with sociodemographic indicators, as well as perinatal and postnatal outcomes in newborns. Methods: This cross-sectional study was comprised of 431 pairs of mothers/ newborns. The study variables were: preterm birth, birth weight, oral mucosal lesions, sociodemographic indicators and smoking data. We collected data from medical records and through a self-administered questionnaire answered by mothers. A pediatric dentist examined the newborns for oral mucosal lesions. Bivariate and multivariate logistic regression models were used to evaluate the association between active and passive smoking and the other variables (α=5%). Results: The prevalence of active (9.5%) and passive smoking (4.2%) during pregnancy was low. Active smoking was statistically associated with low birth weight (OR: 2.4; 95%CI:1.1-5.3), lower schooling level (OR: 0.2; 95%CI:0.1-0.5) and mothers aged ≥36 years old (OR: 4.9; 95%CI:1.2-20.0). Passive smoking was not statistically associated with the other variables. There was no association between active or passive smoking during pregnancy and premature birth and oral lesions of the newborn. Conclusions: The prevalence of active and passive smoking were low. Active smoking was associated with low birth weight, maternal age and mother's schooling, suggesting a social influence of smoking behavior among a population with a lower educational level. There was no association between active and passive smoking and prematurity and oral lesions of the newbornObjetivo: O objetivo do estudo foi avaliar a prevalência de tabagismo ativo passivo durante a gestação e a associação entre indicadores sociodemográficos, bem como desfechos pré e pós-parto em recém-nascidos. Metodologia: Este estudo transversal foi composto por 431 pares de mães/recém-nascidos. As variáveis estudadas foram: nascimento prematuro, peso ao nascer, lesões mucosas orais, indicadores sociodemográficos e dados sobre tabagismo. Coletamos dados por meio de prontuários e por questionário auto-aplicado respondido pelas mães. Um dentista pediátrico examinou os recém-nascidos para lesões mucosas orais. A regressão logística foi utilizada para a análise bivariada e multivariada dos dados (α=5%). Resultados: Prevalência de tabagismo ativo (9,5%) e tabagismo passivo (4,2%) durante a gravidez foi baixo. O tabagismo ativo foi estatisticamente associado ao baixo peso ao nascer (OR: 2,4; 95%CI:1,1-5,3), às mães com menor escolaridade (OR: 0,2; 95%CI:0,1-0,5), e mães com idade ≥36 anos (OR: 4,9; 95%CI:1,2-20,0); enquanto o tabagismo passivo não esteve estatisticamente associado a nenhuma variável. Não houve associação entre tabagismo durante a gestação com nascimento prematuro e lesões orais de recém-nascidos. Conclusões: As prevalências de tabagismos passivo e ativo foram baixas. O tabagismo ativo esteve associado ao baixo peso ao nascer, à idade materna e à escolaridade da mãe, sugerindo influência social do comportamento do tabagismo entre a população com menor escolaridade. Não houve associação entre tabagismo ativo e passivo com prematuridade e lesões de mucosa oral em recém-nascido

Dental Fear Survey: A Cross-Sectional Study Evaluating the Psychometric Properties of the Brazilian Portuguese Version

Objective. The aim of this study was to evaluate the psychometric properties of the Brazilian version of the Dental Fear Survey (DFS), previously translated to the Brazilian Portuguese language and validated. Methods. A cross-sectional study with 1,256 undergraduates from the city of Belo Horizonte, Brazil, was carried out. The DFS and a questionnaire about previous dental experiences were self-administered. Data analysis involved descriptive statistics, principal components analysis (PCA), confirmatory factor analysis (CFA), internal consistency and test-retest reliability, and construct, discriminant, and convergent validity. Results. PCA identified a three-factor structure. CFA confirmed the multidimensionality of the Brazilian version of the DFS. A modified model of the Brazilian version of the DFS fits better than the hypothesized model. The Cronbach’s alpha coefficient for the total DFS scale was 0.95. Conclusion. The DFS demonstrated acceptable construct validity, convergent validity, and discriminant validity. These results supported the reliability and validity of the DFS among Brazilian undergraduates

Determining Cut-Off Points for the Dental Fear Survey

Objective. To determine a high fear cut-off point score for the Dental Fear Survey (DFS) using a single-item self-report questionnaire. Methods. The DFS, a 20-item questionnaire assessing fear of dental treatment, was completed by 1,256 participants with a mean age of 22.3 years (SD = 5.1). Another self-report questionnaire was used to collect data on previous dental experiences. A high fear cut-off point score was determined by calculating the receiver operating characteristic (ROC) curve for the DFS. Descriptive statistics and multinomial logistic regression were calculated; a significance level of p<0.05 was used for all tests. Results. The ROC curve indicated that a DFS score ≥53 corresponds to a sensitivity of 88.9% and a specificity of 92.5%. Most participants (n=895; 71.5%) reported no fear of going to the dentist. There was significant association between DFS score and fear assessed with the question “Are you fearful of going to the dentist?” (p<0.001). Conclusion. A cut-off point of 53 on the DFS total score represents the best compromise between sensitivity and specificity and can be used to predict high dental fear

Risk Factors for the Incidence of Dental Caries in Low, Very Low, and Extremely Low Birth Weight Children: A Cohort Study

Objective:&nbsp;To assess the incidence of caries in a two-year period among low birth weight (LBW), very low birth weight (VLBW), and extremely low birth weight (ELBW) children considering socioeconomic indicators, dietary factors and oral hygiene.&nbsp;Material and Methods:&nbsp;A convenience sample was formed of 42 low birth weight children aged two to five years at baseline. Two examiners diagnosed caries using the World Health Organization criteria. Birth weight, socioeconomic indicators and diet were collected from medical records and questionnaires. Binomial models were used to estimate unadjusted and adjusted rate ratios (RR) and respective 95% confidence intervals for the factors evaluated.&nbsp;Results:&nbsp;Thirty-six children were re-examined after two years. The incidence of dental caries was 36.7%. The dmft index was 0.44 (±1.25) at baseline and increased to 1.36 (±3.85) at follow-up. VLBW children (1,000 to 1,500 g) (RR=0.23; 95%CI: 0.08-0.72) and LBW children (1,500 to 2,500 g) (RR=0.06; 0.01-0.55) had fewer carious lesions compared to ELBW children (&lt;1,000 g). Carious lesions were more frequent among children with a lower income (RR=6.05; 1.05-34.84) and less frequent among those who did not consume sweetened juice, tea or yogurt (RR: 0.21; 0.07-0.62).&nbsp;Conclusion: An inverse dose-response relation was found between birth weight and the incidence of caries. A lower income and the consumption of sweetened beverages were risk factors for the development of caries

Lesões bucais de maior frequência clínica em crianças – revisão de literatura

Objective: The objective of this article is to present to the dental professionals, through a literature review, the main oral lesions that are part of the odontopediatric stomatology, in order to improve the knowledge and attention to the health of the pediatric patients. Methods: The searches were carried out in the following bibliographic databases: PubMed, Web of Science, LILACS and Bireme. Data synthesis: this article deals with the description of the most frequent oral lesions in Pediatric Dentistry, such as epstein’s pearls and gingival cyst of the newborn, which are the most common changes in newborns; congenital abnormalities such as ankyloglossia; lesions with fluid retention such as eruption cyst/hematoma; fungal and viral diseases such as candidosis, acute herpetic gingivostomatitis and secondary herpes simplex, respectively. There are also those related to the main infectious diseases of childhood, with clinical manifestations in the oral cavity such as measles, impetigo, varicella, mumps and hands, feet and mouth disease. Conclusion: It is very important, for General Practitioner and Pediatric Dentistry to recognize oral lesions in children, to make a correct and early diagnosis of them, in order to improve the knowledge, attention to the health and quality of life of the pediatric patients.Objetivo: Apresentar aos profissionais da Odontologia, por meio de uma revisão de literatura, as principais lesões bucais que fazem parte da Odontopediatria, a fim de melhorar o conhecimento e a atenção à saúde dos pacientes pediátricos. Métodos: As buscas foram realizadas nas seguintes bases de dados bibliográficas: PubMed, Web of Science, LILACS e Bireme. Síntese dos dados: Este artigo trata da descrição das lesões bucais mais frequentes na Odontopediatria, como pérolas de Epstein e cisto gengival do recém-nascido, que são as alterações mais comuns em recém natos; alterações congênitas como anquiloglossia; lesões com retenção de líquido como cisto/hematoma de erupção; doenças fúngicas e virais como candidose, gengivoestomatite herpética aguda e herpes simples secundário, respectivamente. Há, também, aquelas relacionadas às principais doenças infecciosas da infância, com manifestações clínicas na cavidade bucal como sarampo, impetigo, varicela, caxumba e doença das mãos, pé e boca. Conclusão: É muito importante, para o clínico geral e para o odontopediatra, reconhecer as diversas lesões que podem acometer a cavidade bucal das crianças, propiciando um diagnóstico correto e precoce das mesmas, a fim de melhorar o conhecimento, atenção à saúde e qualidade de vida dos pacientes pediátricos

Traumatismo dentário e impacto na qualidade de vida de adolescentes brasileiros e suas famílias

Exportado OPUSMade available in DSpace on 2019-08-12T00:53:19Z (GMT). No. of bitstreams: 1 tese_cristiane_bendo.pdf: 4395181 bytes, checksum: 54523d52a1ce9d9eada635c2b17b5c77 (MD5) Previous issue date: 12O objetivo do estudo foi avaliar o impacto dos traumatismos dentários na qualidade de vida relacionada à saúde bucal (QVRSB) de adolescentes brasileiros e suas famílias. Foi realizado um estudo de base populacional com adolescentes de 11-14 anos de idade e suas famílias, no município de Belo Horizonte, Brasil. Este estudo será apresentado em formato de dois artigos científicos. O primeiro artigo descreve um estudo caso-controle, aninhado a um estudo transversal, com uma amostra de 1.215 adolescentes. A QVRSB foi mensurada por meio da versão brasileira do Child Perceptions Questionnaire (CPQ11-14) Impact Short Form (ISF:16), autoaplicada aos adolescentes. Foi conduzida a análise Two Step Cluster para definir os casos e controles baseado nos escores do CPQ11-14-ISF:16. O grupo caso incluiu adolescentes que apresentavam alto impacto negativo na QVRSB (n=405), e o grupo controle incluiu aqueles com baixo impacto negativo (n=810). Foram selecionados dois controles para cada caso, e pareados individualmente por escola e gênero. O segundo artigo teve um desenho de estudo transversal, e envolveu uma amostra de 1.122 famílias. Para mensurar o impacto na QVRSB da família, os pais/responsáveis responderam a versão brasileira do Family Impact Scale (B-FIS), que consiste de 14 itens. Para ambos os artigos, a principal variável independente foi o traumatismo dentário, diagnosticado através da Classificação de Andreasen por três examinadores previamente calibrados. Cárie dentária, maloclusão e idade foram consideradas variáveis de confundimento. Foram realizadas regressão logística condicional (para o estudo caso-controle) e regressão de Poisson com variância robusta (para o estudo transversal), com nível de significância de 5%. O modelo de regressão logística condicional demonstrou que adolescentes diagnosticados com fraturas envolvendo dentina e/ou polpa tiveram 2,40 vezes mais chance de apresentar alto impacto negativo na QVRSB (95% intervalo de confiança [IC] = 1,26-4,58; p= 0,008) do que aqueles sem evidência de fraturas. Fraturas de esmalte (p = 0,065) e fraturas restauradas (p = 0,072) não foram estatisticamente associadas com QVRSB. O modelo de regressão de Poisson multivariada demonstrou que famílias de adolescentes diagnosticados com fraturas envolvendo dentina e/ou polpa tiveram maior probabilidade de reportar impacto negativo considerando-se o escore total do B-FIS (RR = 1,44; 95% IC = 1,10-1,88), bem como nos domínios Atividade dos pais/família (RR = 1,45; 95% IC = 1,09-1,94), Emoções dos pais (RR = 1,45; 95% IC = 1,03- 2,04) e Conflito familiar (RR = 1,46; 95% IC = 1,01-2,11). Conclui-se que adolescentes com traumatismos dentários mais graves e não tratados como fraturas envolvendo dentina e/ou polpa tem mais chance de autorrelatar alto impacto negativo na sua QVRSB e maior probabilidade de apresentar impacto negativo na QVRSB das suas famílias do que aqueles sem evidência de traumatismo.The objective of the study was to evaluate the impact of traumatic dental injuries (TDI) on oral health-related quality of life (OHRQoL) among Brazilian adolescents and their families. A population-based study was carried out with adolescents aged 11-14 years and their families from Belo Horizonte, Brazil. The study is presented into two manuscripts. The first manuscript describes a case-control study, nested to a cross-sectional study with a sample of 1,215 adolescents. OHRQoL was measured by the Brazilian version of the Child Perceptions Questionnaire (CPQ11-14) - Impact Short Form (ISF:16), self-reported by adolescents. Two Step Cluster analysis was performed to define cases and controls based on CPQ11-14-ISF:16 scores. The case group included adolescents who presented higher negative impact on OHRQoL (n=405), and the control group included those with lower negative impact (n=810). Two controls for each case were individually matched from the same school and gender. The second manuscript has a cross-sectional design, and involved a sample of 1,122 families. To assess the impact on familys OHRQoL, parents/caregivers answered the Brazilian version of the Family Impact Scale (B-FIS), which consists of 14 items. For both manuscripts, the main independent variable was TDI, diagnosed by the Andreasen classification, by three calibrated examiners. Dental caries, malocclusion and age were confounding variables. Conditional logistic regression analysis (for case-control study) and Poisson regression model with robust variance (for crosssectional study) were performed with the significance level set at 5%. Multiple conditional logistic regression model demonstrated that adolescents diagnosed with fractures involving dentin and/or pulp had 2.40 more chances to present high negative impact on QHRQoL (95% confidence interval [CI] = 1.26-4.58; p = 0.008) than those without evidence of fractures. Enamel fracture only (p=0.065) and restored fractures (p = 0.072) were not statistically associated with OHRQoL. The multivariate Poisson regression analysis demonstrated that families of adolescents diagnosed with fracture involving the dentine and/or pulp were more likely to report a negative impact on the overall B-FIS (rate ratio [RR] = 1.44; 95% confidence interval [CI] = 1.10-1.88) as well on the Parental/Family Activity (RR = 1.45; 95% CI = 1.09-1.94), Parental Emotions (RR = 1.45; 95% CI = 1.03-2.04) and Family Conflict (RR = 1.46; 95% CI = 1.01-2.11) subscales. In summary, adolescents with more severe untreated TDI such as fractures involving dentin and/or pulp were more likely to self-report a higher negative impact on their OHRQoL and more likely to present negative impact on families OHRQoL than those without TDI

Traumatismo dentário em adolescentes: prevalência, fatores associados e influência na qualidade de vida

Exportado OPUSMade available in DSpace on 2019-08-13T14:03:52Z (GMT). No. of bitstreams: 1 disserta__o_odontopediatria_2007_2009_cristiane_baccin_bendo.pdf: 1837875 bytes, checksum: cca588ee7a4905245644f57ed5ac0f43 (MD5) Previous issue date: 25O traumatismo dentário é um evento que atinge principalmente crianças e adolescentes. Sua prevalência, etiologia, tipo de lesão e associação com fatores como gênero, idade e overjet jáforam largamente estudados em adolescentes brasileiros. Entretanto, não há consenso na literatura acerca da influência das condições sócio-econômicas na ocorrência de traumatismosdentários, bem como da associação entre traumatismos e cárie dentária. Além disso, como afetam principalmente dentes anteriores, é importante investigar a influência dos traumatismos dentários na qualidade de vida dos adolescentes. Diante disso, realizou-se umestudo transversal representativo do município de Belo Horizonte, MG, Brasil. O estudo contou com 1612 escolares na faixa etária de 11 a 14 anos, de ambos os gêneros, alunos de escolas públicas e particulares, selecionados de forma aleatória e em duplo estágio. Aclassificação de Andreasen foi utilizada para o diagnóstico de traumatismos dentários e o CPO-D para diagnóstico de cárie dentária. O Índice de Vulnerabilidade Social (IVS) do município de Belo Horizonte foi utilizado para classificação sócio-econômica. A avaliação dainfluência dos traumatismos dentários na qualidade de vida dos adolescentes foi realizada através da aplicação da versão brasileira do Child Perceptions Questionnaire (CPQ11-14) Impact Short Form (ISF:16), composto por 16 itens. Foi realizada análise descritiva eanalítica dos dados, utilizando os testes Qui-quadrado e Exato de Fisher, com nível de significância de 5%. A prevalência de traumatismos dentários foi de 17,1%. A principal causa dos traumatismos foram as quedas (43,6%), e o local mais frequente foi a própria casa doadolescente (41,8%). O gênero masculino foi mais afetado do que o gênero feminino, 19,9% e 15,0% respectivamente (P = 0,009). Não houve associação significativa entre a condiçãosócio-econômica e a ocorrência de traumatismos dentários (P = 0,294). Entretanto, foi encontrada forte associação de traumatismos dentários com experiência de cárie (P < 0,001) e overjet (P = 0,016). Quanto à influência dos traumatismos dentários na qualidade de vidaobservou-se que adolescentes que tiveram fraturas de esmalte-dentina tiveram 1,9 vezes (95% CI = 1,1-3,7) mais chance de apresentar impacto no item outras crianças lhe fizeram perguntas sobre seus dentes, lábios, maxilares ou boca do que aqueles que não tiveram história de traumatismo dentário. Da mesma forma, adolescentes que possuíam traumatismos tratados com restaurações apresentaram duas vezes (95% CI = 1,1-3,5) mais chance de impacto no mesmo item do que adolescentes que não tiveram traumatismos dentários. Nãohouve associação significativa entre qualidade de vida e fraturas de esmalte-dentina e fraturas restauradas (Fisher = 1,000 e Fisher = 0,610, respectivamente). Concluí-se que a ocorrência de traumatismos dentários está associada à experiência de cárie e overjet acentuado,ocasionando impacto negativo principalmente no bem-estar social dos adolescentes.The traumatic dental injury is an event that affects mainly children and adolescents. Its prevalence, etiology, type of lesion and association with factors such as gender, age and overjet have been widely studied in Brazilian adolescents. However, there is no consensus inthe literature about the influence of socioeconomic conditions in the occurrence of traumatic dental injuries and the association between that and dental caries. Moreover, as affecting mainly anterior teeth, it is important to investigate the influence of traumatic dental injuries inadolescents quality of life. Considering that, there was a cross-sectional survey representative of the municipality of Belo Horizonte, MG, Brazil. The study involved 1612 schoolchildren aged 11 to 14 years, both genders, students from public and private schools, selected atrandom and double stage. The classification of Andreasen was used to diagnose traumatic dental injuries and DMFT for dental caries. The Social Vulnerability Index (SVI) of the city of Belo Horizonte was used for socioeconomic classification. The evaluation of the influencein quality of life by traumatic dental injuries in adolescents was performed by applying the Brazilian version of the Child Perceptions Questionnaire (CPQ11-14) - Impact Short Form (ISF:16), composed of 16 items. Data analysis included descriptive and analitic statistics. Thechi-square test and Fishers test were used. The significance level was set at 5%. The prevalence of traumatic dental injuries was 17.1%. The main cause of traumatic dental injuries were falls (43.6%), and the most common place was the own home of the adolescent (41.8%). The males were more affected than the females, 19.9% and 15.0% respectively (P =0.009). There was no significant association between socioeconomic status and the occurrence of traumatic dental injuries (P = 0.294). However, it was found strong association of traumatic dental injuries with experience of dental caries (P <0.001) and overjet (P = 0.016). As theinfluence of traumatic dental injuries of quality of life showed that adolescents who had enamel-dentin fractures were 1.9 times (95% CI = 1.1-3.7) more chance to make impact in the item "other children made you questions about your teeth, lips, jaw or mouth" than those whohad no history of traumatic dental injury. Similarly, adolescents who had traumatic dental injuries treated with restorations presented twice (95% CI = 1.1-3.5) more likely to impact on the same item than adolescents who had no traumatic dental injuries. There was no significantassociation between quality of life and enamel-dentin fractures and restored fractures (Fisher = 0.610 and Fisher = 1.000, respectively). The conclusion is that the occurrence of traumatic dental injuries is associated with experience of dental caries and overjet pronounced, causing a negative impact mainly on social well-being of adolescents

Individuals with special needs and their families’ oral health-related quality of life

Abstract To evaluate the impact of dental caries among Brazilian individuals with special health care needs (SHCN) on their families’ oral health-related quality of life (OHRQoL). A cross-sectional study was carried out with a population-based sample of 227 subjects who were enrolled from the ACOLHER-PNE project conducted at the Fluminense Federal University. Parents/caregivers answered the Brazilian version of the 14-item Family Impact Scale (B-FIS) to assess the impact on family's quality of life (QoL). The main independent variable was dental caries experience, diagnosed according to the World Health Organization (WHO) criteria. The DMFT/dmft score was categorized into 0 = caries free; 1–2 = low; 3-4 = moderate; and ≥ 5 = high experience. Mother's schooling, age, sex, SHCN conditions, and socioeconomic factors were the other independent variables. QoL was measured through FIS domains and total score. Statistical analyses was performed using the Kruskal Wallis and Mann Whitney U tests and Poisson regression (p 8 years old) experience a higher impact level compared to younger subjects (PR: 2.43; 95%CI: 1.80–3.29, p = 0.001). High caries experience and other socioeconomic factors were not associated with a greater negative impact on parents’ QoL

Base of the skull morphology and Class III malocclusion in patients with unilateral cleft lip and palate

OBJECTIVE: The aim of the present study was to determine the morphological differences in the base of the skull of individuals with cleft lip and palate and Class III malocclusion in comparison to control groups with Class I and Class III malocclusion. METHODS: A total of 89 individuals (males and females) aged between 5 and 27 years old (Class I, n = 32; Class III, n = 29; and Class III individuals with unilateral cleft lip and palate, n = 28) attending PUC-MG Dental Center and Cleft Lip/Palate Care Center of Baleia Hospital and PUC-MG (CENTRARE) were selected. Linear and angular measurements of the base of the skull, maxilla and mandible were performed and assessed by a single calibrated examiner by means of cephalometric radiographs. Statistical analysis involved ANCOVA and Bonferroni correction. RESULTS: No significant differences with regard to the base of the skull were found between the control group (Class I) and individuals with cleft lip and palate (P > 0.017). The cleft lip/palate group differed from the Class III group only with regard to CI.Sp.Ba (P = 0.015). Individuals with cleft lip and palate had a significantly shorter maxillary length (Co-A) in comparison to the control group (P < 0.001). No significant differences were found in the mandible (Co-Gn) of the control group and individuals with cleft lip and palate (P = 1.000). CONCLUSION: The present findings suggest that there are no significant differences in the base of the skull of individuals Class I or Class III and individuals with cleft lip and palate and Class III malocclusion