Risk Factors for Different Types of Traumatic Injuries in Primary Teeth

Objective: To evaluate traumatic dental injuries (TDI) in primary teeth and the association of gender and age with different injuries. Material and Methods: Records of patients with TDI in primary teeth were included. The following parameters were registered: gender and age, place of trauma, cause of trauma, affected tissue and tooth, number of injured teeth, type of injury, and gingival and bone damage. A logistic regression analysis was performed to explore the interaction between gender and age on the occurrence of types of injuries (p≤0.05). Results: The total of 721 records were evaluated and 370 records were included, being 61.6% boys and 60.5% children aged 0–3 years old, with 658 primary teeth affected. The support tissue was most affected (496/658), followed by dental tissue (139/658). Enamel/dentine fracture with pulp exposure (n=51) and intrusion (n=131) were the most common injuries of dental and support tissues, respectively. In general, boys suffered more traumas than girls, regardless of the age range. As for concussion, logistic regression confirms that gender and age are also influencers. Girls (OR=1.822, CI = 1.050-3.164, p=0.033) in the 4–6 year age group (OR=2.15, CI = 1.239–3.747, p=0.007) are more likely to have concussions. Children age 4–6 years were less likely to suffer an intrusion (OR=0.496; CI = 0.278– 0.886; p=0.018). Conclusion: Gender and age influence concussion and intrusion in the primary teeth

A 14-Year Follow-Up Study of Sequelae in Primary Teeth and Permanent Successors After Dental Trauma

Objective: To evaluate the presence of sequelae in primary teeth and their permanent successors, as well as associations between TDI and the presence of sequelae in both teeth. Material and Methods: In this 14-year retrospective study, 2.290 records were reviewed, 192 patients who suffered dental trauma in primary teeth were followed until the eruption of successor teeth were included. Descriptive, chi-square, and regression logistic with generalized estimating equations tests were performed (p<0.05). Results: 362 primary and successor teeth were followed. Sequelae were present in 71.8% of primary teeth and 25.7% of their successors. Teeth with complicated fracture (100%), extrusion (100%) and avulsion (100%) resulted in the largest amounts of sequelae in primary teeth and intrusion (61%) on their successors. Age was associated with sequelae in permanent teeth (p<0.01). Extrusion (OR 10.06; CI 2.12-47.63) and intrusion (OR 7.51; CI 2.73-20.70) had a higher risk to cause sequelae in primary and permanent teeth, respectively. Conclusion: The type of injury involved influenced the sequelae in traumatized teeth and their successors, and the age of the child influenced the presence of sequelae in permanent teeth.&nbsp

Clinical Findings Arising from the Use of Silver Diamine Fluoride to Prevent or Treat Caries Lesions and Dentinal Hypersensitivity: A Data Mining Analysis

Objective: To summarize data of clinical trials that used silver diamine fluoride (SDF) to prevent and treat caries lesions and dentinal hypersensitivity. Material and Methods: Six electronic databases were searched in May 2022. The concentration of SDF, type of usage (alone/combined), dentition, anterior/posterior teeth, tooth region, dental tissue, number of the treated surfaces, the intervention environment, participants' age, frequency and duration of SDF application, purpose, and outcome were the extracted variables. The type of study, year of publication, authors, journals, and country were also investigated. Results: From 8860 articles, 53 were selected. Most were randomized (n=38), that applied 38% SDF (n=43), alone (n=44), on multiple surfaces (n=44), only in dentin (n=36), of the crown (n=46) of anterior and posterior (n=36) primary teeth (n=39). The studies were preferably carried out outside the clinic (n=31), only in children (n=33), with reapplication of SDF (n=30), but did not inform the duration of application (n=19). SDF was most used to treat (n=46) only caries lesions (n=50). They were published between 2001 and 2022, mainly in the Journal of Dentistry (n=10). China (n=19) and Lo E.C.M (n=19) were the countries and authors that published the most, respectively. Conclusion: The silver diamine fluoride 38% alone was most used to treat caries lesions in the dentin of the crown of all primary teeth, preferably applied on multiple surfaces, requiring reapplication, and outside the clinic

Development and validation of the Brazilian Version of Lay Persons’ Social Judgements about Cleft-lip Scale (B-LSojCleft-S)

Abstract The aim of this study was to develop and analyze the psychometric properties of the Brazilian Version of Lay Person's Social Judgement about Cleft-lip Scale (B-LSojCleft-S). A standardized photograph of a 16-year-old girl was manipulated by using photo editing software, to simulate different cleft-lip situations. The cleft-free image was used as a control. The researchers structured an initial questionnaire that was evaluated by experts and a sample of the target population to evaluate the construct. After analysis by the researchers, a final version of the B-LSojCleft-S containing 14 items was generated. Each answer was awarded score from 1 to 3 points, yielding a total score of 14 to 42 points. Higher scores represented better social judgements. The B-LSojCleft-S was applied online to 103 test participants and 73 retest participants with an interval of 20 days between application. Aspects of acceptability, discriminant property, internal consistency, reliability and construct validity were evaluated. Construct validity was assessed using the Friedman test (p 0.70, and internal consistency using Cronbach's alpha > 0.81. The B-LSojCleft-S showed high acceptability, strong discriminant property, excellent internal consistency and reliability, but had a floor and ceiling effect. The instrument reached valid and reliable scores and had acceptable psychometric properties to evaluate the social judgments of lay persons about different cleft lip situations in a Brazilian population

Sequelas nos dentes permanentes e a experiência das crianças/cuidadores após luxações nos dentes decíduos

Objetivo: avaliar a prevalência de sequelas nos dentes permanentes (SqP) após luxações em dentes decíduos e verificar se o relato da experiência das crianças/cuidadores após o acidente estão relacionadas com tipo de luxação, idade da criança e número de dentes traumatizados. Material e Métodos: foram avaliados os dados de 1.255 crianças (0-10 anos) atendidas no Centro de Traumatismos da UFRJ entre 2005 e 2017. Foram incluídas crianças que tiveram luxações em decíduos e acompanhamento até erupção do sucessor. Prontuários incompletos foram excluídos. A experiência dos cuidadores foi categorizada em “bateu com a boca” e queixas específicas (“dor”/“dente mole”/“alteração de cor”/“estética”). Os dados foram submetidos ao teste chi-quadrado e de Equações de Estimações Generalizadas (

Programa da Saúde do Estudante Universitário do Centro de Ciências da Saúde - PSEU-UFRJ

Introdução Nos últimos anos aumentou o ingresso de estudantes nas universidades. Essa expansão representa uma oportunidade de ações de promoção da saúde, em especial prevenindo comportamentos de risco. O estudante universitário passa por processo de transição na vida que pode acarretar alterações na sua dinâmica social envolvendo transformações físicas, emocionais, busca de independência, autonomia e contato com novas experiências, considerado como um período de maior vulnerabilidade. Práticas não saudáveis de forma individual e coletiva levam a um comportamento de risco à saúde, tais como o consumo alimentar inadequado, uso abusivo de álcool e tabagismo. Estes comportamentos estão associados e podem predispor a doenças crônicas no futuro. Objetivo Apresentar o Programa da Saúde do Estudante Universitário do Centro de Ciências da Saúde (CCS)- PSEU-UFRJ. Metodologia Descrever o processo de criação, seus objetivos, metodologia de implantação e resultados preliminares do PSEU-UFRJ. Resultados O PSEU-UFRJ é um programa acadêmico que objetiva promover a saúde do estudante de graduação do CCS. Foi elaborado e proposto pela Coordenação de Projetos Especiais da Decania com apoio do Laboratório Multidisciplinar de Pesquisa em Epidemiologia e Saúde da Faculdade de Medicina, aprovado no Conselho de Centro-CCS e na Congregação da FM. A metodologia adotada foi conhecer os principais comportamentos de risco dos estudantes e suas magnitudes através de inquéritos periódicos. A partir desses resultados formular estratégias e ações para minimizar os problemas encontrados e avaliar a efetividade de tais ações. Pretende-se vincular alunos de iniciação cientifica e pós-graduandos interessados. Os inquéritos por via eletrônica foram aprovados por Comite de Ética em Pesquisa. Foram realizados dois inquéritos, no primeiro e segundo semestre (2023) e aproximadamente 550 alunos responderam. Discussão No Brasil experiências semelhantes ao PSEU-UFRJ em universidades são escassas. Países de alta renda investem em estudos periódicos, a nível nacional, de prevenção de comportamentos de risco no ensino médio. Trata-se, portanto, de uma experiencia inovadora, que poderá contribuir para a melhora da saúde dos estudantes assim como do seu rendimento acadêmico. Todas as etapas serão monitoradas possibilitando acumular conhecimentos com a experiencia no CCS. Conclusões O PSEU-UFRJ pretende implantar intervenções que visando a promoção da saúde do estudante do CCS. Essa implantação acumulara conhecimentos e experiencia permitindo aprimorar o PSEU-UFRJ e expandir para outros Centros.   Palavras-chaves: estudantes, universitário, comportamento de risco, doenças crônicas não transmissíveis

A world panorama of bruxism in children and adolescents with emphasis on associated sleep features: A bibliometric analysis

[EN] Background and Objectives To present a world panorama of the published papers on bruxism in children and adolescents, emphasising the characteristics of studies related to the sleep features of these patients. Methods Literature searches were conducted in six databases without language or date restrictions. Data on the titles, types of study, main subjects, countries of origin, keywords, years of publication, authors and their network collaborations, journals and sleep studies were extracted and analysed using VantagePoint (TM) software. Results A total of 725 studies met the eligibility criteria. Most included only children (75.31%), with observational design (66.34%), and risk or aetiology (53.93%) as the main subject. Brazil (18.06%) and Brazilian authors (54.84%) had the largest number of studies, with a low amount of network collaboration. The Journal of Oral Rehabilitation published most of the studies (6.2%); publications in this field have grown considerably from 2000 to 2020. Of the studies, 123 (16.96%) included sleep studies; night sweating, restless sleep, sleep talking, mouth breathing, snoring, obstructive sleep apnoea syndrome, sleep-disordered breathing, nightmares, poor sleep quality and duration, and daytime naps were significantly associated with bruxism in most. Conclusion Studies on bruxism in children and adolescents have increased in the past 20 years, with most being observational, and risk or aetiology as the main subject. Brazil and the Journal of Oral Rehabilitation have published most in the field. Sleep studies have shown some features associated with bruxism, such as night sweating, restless sleep, somniloquy, snoring, breathing problems, nightmares, daytime naps, and poor sleep quality and duration.Coordenacao de Aperfeicoamento de Pessoal de Nivel Superior--Brazil (CAPES), Grant/Award Number: 001; Conselho Nacional de Desenvolvimento Cientifico e Tecnologico (CNPq), Grant/Award Number: 401058/2016-6Ribeiro-Lages, MB.; Jural, LA.; Barauna Magno, M.; Vicente Gomila, JM.; Masterson Ferreira, D.; Fonseca-Goncalves, A.; Cople Maia, L. (2021). A world panorama of bruxism in children and adolescents with emphasis on associated sleep features: A bibliometric analysis. Journal of Oral Rehabilitation. 48(11):1271-1282. https://doi.org/10.1111/joor.1324912711282481

Emoji as promising tools for emotional evaluation in orthodontics

Abstract Background Emoji are pictograms frequently used in social networks capable of expressing emotions. These tools can provide insights into people's behavior that could not be obtained with the use of textual communication. Recently, emoji have been introduced to various research fields as successful alternatives to word-based questionnaires for measure emotional responses. The objective of this study was to preliminarily evaluate the discriminating ability and relationship of these tools with different occlusal conditions/malocclusions. Methods Online surveys were applied to adult individuals (n = 201; mean age = 27.4 ± 5.7; 37.3% males, 62.7% females). Subjects issued acceptance scores (10-point scale) and expressed their emotional status using a 30-emoji list in relation to nine occlusal conditions: C1–crowding, C2–anterior open bite, C3–interincisal diastema, C4–increased overjet + deep bite (Class II div. 1), C5–anterior crossbite (Class III), C6–ideal occlusion, C7–unilateral posterior crossbite, C8–anterior open bite plus bilateral posterior crossbite plus crowding, and C9–deep bite (Class II div. 2). Cochran's Q and McNemar tests were used to compare the frequencies of choice of emoji between conditions. Correspondence analyses were applied to assess the association between occlusal conditions and emoji. Kendall's correlation coefficient was calculated to evaluate the relationship between mean acceptance scores and frequency counts of each emoji. Results The frequency of choice between conditions showed a significant difference for 25 of the 30 emoji (P < 0.05), indicating an adequate discriminating ability of these tools. Emoji were grouped predominantly based on their emotional valence (positive/negative) and arousal/activation (high/low). Positive emoji were associated with the most accepted conditions (i.e., C6, C3), while negative emoji with the most rejected ones (i.e., C8, C1, C2). Although only weak, positive correlations between acceptance and positively valenced emoji, and negative correlations between acceptance and negatively valenced emoji were observed (P < 0.05). Conclusions Emoji have an adequate discriminatory ability and would allow determining emotional profiles in the face of different occlusal conditions. Further research is necessary to consolidate the use of these tools in an instrument that allows measuring emotional responses