Oral health-related quality of life in the LGBTIQ+ population: a cross-sectional study

Abstract The aim of this cross-sectional study was to investigate the associations between oral health-related quality of life (OHRQoL) and socioeconomic and demographic variables, suicidal ideation, self-perception of oral health, and experiences of dental care in the Brazilian adult LGBTIQ+ population. A sample of 464 participants completed self-administered online questionnaires and provided information for OHRQoL assessment, using the OHIP-14 instrument at three hierarchical levels of explanatory variables: LGBTIQ+ identities; socioeconomic and demographic data and existential suffering; and self-perception of oral health and experience of dental care. The collected data were fitted to hierarchical multiple logistic regression models, in which the associations between each independent variable with the OHIP-14 prevalence outcome were analyzed. The OHIP-14-prevalence index showed that 33.2% of the participants answered ‘frequently’ or ‘always’, and the highest frequencies were obtained for the psychological discomfort (27.8%), psychological disability (18.3%), and physical pain (17.5%) domains. According to the adjusted final model, LGBTIQ+ individuals who were more likely to have their OHRQoL affected were those who were indifferent (OR=3.21; 95% CI: 1.26-8.20), dissatisfied (OR=10.45; 95% CI: 3.86-28.26), or very dissatisfied (OR=53.93; 95% CI: 12.12-239.93) with their oral health status, and also those who had or have difficulty accessing dental treatment (OR=2.06; 95% CI: 1.24-3.41) (p<0.05). It may be concluded that the OHRQoL of the investigated Brazilian LGBTIQ+ population showed associations with individual aspects and with access to dental services

O diagnóstico das faringoamigdalites: revisão sistemática

Introduction: Pharyngitis is a medical condition characterized by inflammation of the palatine tonsils. Typically caused by viral or bacterial infections, this condition affects individuals of all ages and can present a variety of uncomfortable symptoms. Methodology: To conduct a systematic review on the diagnosis of pharyngitis, the adopted methodology began with the definition of search filters. The established timeframe spanned from 2013 to 2023, aiming to obtain a contemporary analysis of the available literature on the subject. The search yielded initially identified 20 articles. Result: When streptococcal pharyngitis is identified early, and prompt treatment with penicillin is initiated, bacterial replication is suppressed, reducing the exaggerated immune response that may lead to rheumatic fever. Penicillin is particularly effective against Group A Streptococcus, the bacterium responsible for the majority of streptococcal pharyngitis cases. Conclusion: In conclusion, pharyngitis, though common and often considered a benign condition, underscores the crucial importance of early diagnosis to prevent serious complications. The swiftness in identifying the cause, whether of viral or bacterial origin, guides the appropriate therapeutic approach, directly influencing the effectiveness of treatment.Introdução: A faringoamigdalite é uma condição médica caracterizada pela inflamação das tonsilas palatinas. Geralmente causada por infecções virais ou bacterianas, essa condição afeta pessoas de todas as idades e pode apresentar uma variedade de sintomas desconfortáveis. Metodologia: Para realizar uma revisão sistemática sobre o diagnóstico das faringoamigdalites, a metodologia adotada começou com a definição dos filtros de busca. O período estabelecido compreendeu os anos de 2013 a 2023, visando obter uma análise contemporânea da literatura disponível sobre o tema. A pesquisa resultou em 20 artigos inicialmente identificados. Resultado: Quando a faringoamigdalite estreptocócica é identificada precocemente, e o tratamento com penicilina é iniciado prontamente, a replicação bacteriana é suprimida, reduzindo a resposta imunológica exagerada que pode levar à febre reumática. A penicilina é particularmente eficaz contra o Streptococcus do grupo A, a bactéria responsável pela maioria dos casos de faringoamigdalite estreptocócica. Conclusão: Em conclusão, a faringoamigdalite, embora comum e muitas vezes considerada uma condição benigna, destaca a importância crucial do diagnóstico precoce para evitar complicações graves. A rapidez na identificação da causa, seja ela de origem viral ou bacteriana, orienta a abordagem terapêutica apropriada, influenciando diretamente a eficácia do tratamento