Ana Cristina Borges de Oliveira

Association between periodontal condition and use of tongue piercing: a case-control study.

OBJECTIVE This cross-sectional study aimed to evaluate the periodontal status and risk factors for gingival recession in individuals with tongue piercings. METHODS Sixty cases (individuals with tongue piercings) and 120 controls (non-users) in Brazil, between 13 and 28 years of age, from both genders and a mix of races were selected. The clinical evaluation of patient oral health records included periodontal parameters and the presence of tooth fracture. Cases and controls were compared with demographic, behavioural and clinical variables of interest. Risk variables for the occurrence of gingival recession were identified in multivariate regression models, with linear and logistic regressions. RESULTS The case group presented a higher prevalence and severity of gingival recession when compared with the control group. Individuals with tongue piercings presented an 11 times greater chance for the occurrence of gingival recession in the anterior lingual mandibular region as compared with controls (OR=11.0, 95% CI 5.02-24.09). The presence of gingival recession in the anterior lingual mandibular region was associated with the use of piercings, age, male gender and bleeding on probing. CONCLUSIONS The use of tongue piercings was strongly associated with the occurrence of gingival recession in the anterior lingual mandibular region.

The influence of glycemic control on the oral health of children and adolescents with diabetes mellitus type 1.

OBJECTIVE To evaluate the influence of disease control, expressed by the mean values of glycated hemoglobin (HbA1c), in the oral health of children and adolescents with diabetes mellitus type 1 (T1DM). SUBJECTS AND METHODS A cross sectional study involving 87 children and adolescents (59 girls), 10 ± 2.6 years old. The participants were divided into three groups: HbA1c ≤ 8%, 8% < HbA1c ≤ 10% and HbA1c > 10%. The duration of the disease, age and average HbA1c were obtained from their medical records. Oral health was evaluated according to the following indexes: Simplified Oral Hygiene Index (OHI-S); Community Periodontal Index (CPI); Decayed, Missing or Filled Teeth Index (DMFT/dmft) for permanent and deciduous teeth; and the stimulated salivary flow rate (SSFR). RESULTS The median SSFR was 1.1 mL/min in the group with HbA1c ≤ 8%, 0.7 mL/min in the intermediary group and 0.6 mL/min in the HbA1c > 10% group. A significant decrease in salivary flow was observed with an increase in HbA1c (p = 0.007). The DMFT/dmft and CPI indexes were higher in individuals with higher HbA1c values. More caries-free individuals were found in the group with HbA1c ≤ 8% compared to those with HbA1c > 10%. The group with HbA1c > 10% exhibited more caries and bleeding gums than the other groups. HbA1c values in girls were higher than in boys. CONCLUSION Children and adolescents with unsatisfactory glycemic control, represented by higher HbA1c concentrations, exhibited a higher frequency of caries and gingivitis, and a reduction in salivary flow.

Performance of primary dental care services: an ecological study in a large Brazilian city.

This study explored the association between area-level primary dental care performance and area-level demographics, dental treatment need, and health care service indicators. An ecological cross-sectional study was performed in Belo Horizonte, Brazil, in 2010. The 142 primary health care (PHC) units were grouped based on the following variables: access to individual dental treatment, frequency of dental emergencies, and frequency of individual preventive procedures. The independent variables analyzed were demographic variables, dental treatment need, and health care service indicators. The data were obtained from the information systems of the Brazilian Ministry of Health and the city of Belo Horizonte. We explored the associations between membership in a specific PHC cluster type and the independent variables using multinomial logistic regression with a significance level of 5%. Variables such as the high/very high vulnerability of population, rate of completed treatment, and rate of referrals of users to secondary care were independently associated with the clusters (P < 0.05). The performance of primary dental care services was associated with patient demographics, dental treatment need, and referrals. The results of this study have implications for the planning of public policies.

Association between untreated dental caries and household food insecurity in schoolchildren

The aim of the present study was to assess the association between untreated dental caries (UDC) and household food insecurity (HFI) among schoolchildren in different income strata. A population-based study was carried out with a sample of 584 12-y-old schoolchildren. Oral examinations were performed and HFI was determined using a validated scale. Other independent variables were analyzed for being of interest to the stratification of the results (per capita household income) or for acting as potential confounding variables. The prevalence of UDC and HFI was 45% and 39%, respectively. The multivariate models demonstrated that the UDC was significantly more prevalent among children in food-insecure households with per capita income of up to US

Factors associated with the prevalence of anterior open bite among preschool children: A population-based study in Brazil

70.71 than among those in the same income stratum that were free of HFI [PR = 1.52 (95%CI = 1.01-2.29)]. HFI was associated with a greater frequency of UDC among low-income schoolchildren, but had no significant impact on this variable among children from other income strata. Thus, ensuring access to quality food may be a good strategy for minimizing inequities in oral health and reducing dental caries experience among schoolchildren from low-income families.

Adaptação da versão saúde bucal do instrumento de diagnóstico do estágio de desenvolvimento da rede de atenção à saúde

INTRODUCTION: The aim of this study was to identify factors associated with the prevalence of anterior open bite among five-year-old Brazilian children. METHODS: A cross-sectional study was undertaken using data from the National Survey of Oral Health (SB Brazil 2010). The outcome variable was anterior open bite classified as present or absent. The independent variables were classified by individual, sociodemographic and clinical factors. Data were analyzed through bivariate and multivariate analysis using SPSS statistical software (version 18.0) with a 95% level of significance. RESULTS: The prevalence of anterior open bite was 12.1%. Multivariate analysis showed that preschool children living in Southern Brazil had an increased chance of 1.8 more times of having anterior open bite (CI 95%: 1.16 - 3.02). Children identified with alterations in overjet had 14.6 times greater chances of having anterior open bite (CI 95%: 8.98 - 24.03). CONCLUSION: There was a significant association between anterior open bite and the region of Brazil where the children lived, the presence of altered overjet and the prevalence of posterior crossbite.

Análisis de medidas de adaptación de una herramienta de diagnóstico de salud bucal para evaluar una etapa de desarrollo en la atención de la salud

A implantacao de redes de atencao a saude bucal e um processo recente e necessita de ser avaliado. Este estudo objetivou descrever as etapas de adaptacao da versao saude bucal de um instrumento para avaliar o estagio de desenvolvimento da rede de atencao a saude no Sistema Unico de Saude do Brasil. O instrumento original, denominado Instrumento de Diagnostico do Estagio de Desenvolvimento da Rede de Atencao a Saude, foi desenvolvido por Mendes (2011). Foi realizada a avaliacao formal dos significados geral e referencial do instrumento original, chegando-se a versao adaptada. Para isso, o instrumento foi analisado por um comite de especialistas da area em questao. A compreensao da versao adaptada foi avaliada em um pre-teste aplicado para 20 coordenadores municipais de saude bucal de Minas Gerais. Constatou-se uma boa equivalencia conceitual, funcional, de itens, semântica e operacional entre os instrumentos. A versao saude bucal foi bem compreendida, apresentando-se adequada para ser testada quanto as suas propriedades psicometricas. Essa etapa se encontra em fase de conclusao.The implementation of oral healthcare networks is a recent process that requires evaluation. The current study aimed to describe the stages in the adaptation of the oral healthcare version of an instrument to evaluate the stage of development in the healthcare network under the Unified National Health System (SUS). The original instrument, called Instrument for the Diagnosis of Developmental Stages in the Healthcare Network, was developed by Mendes (2011). A formal evaluation was made of the general and referential meanings from the original instrument, producing the adapted version. The instrument was analyzed by a committee of oral health experts. Comprehension of the adapted version was evaluated using a pretest applied to 20 municipal oral health coordinators in Minas Gerais State. The results showed good conceptual, functional, item, semantic, and operational equivalence between the instruments. The oral health version was well understood and proved adequate for testing its psychometric properties. The latter stage is under completion.

Adaptation of the oral health version of an instrument for diagnosing the healthcare network’s stage of development

A implantacao de redes de atencao a saude bucal e um processo recente e necessita de ser avaliado. Este estudo objetivou descrever as etapas de adaptacao da versao saude bucal de um instrumento para avaliar o estagio de desenvolvimento da rede de atencao a saude no Sistema Unico de Saude do Brasil. O instrumento original, denominado Instrumento de Diagnostico do Estagio de Desenvolvimento da Rede de Atencao a Saude, foi desenvolvido por Mendes (2011). Foi realizada a avaliacao formal dos significados geral e referencial do instrumento original, chegando-se a versao adaptada. Para isso, o instrumento foi analisado por um comite de especialistas da area em questao. A compreensao da versao adaptada foi avaliada em um pre-teste aplicado para 20 coordenadores municipais de saude bucal de Minas Gerais. Constatou-se uma boa equivalencia conceitual, funcional, de itens, semântica e operacional entre os instrumentos. A versao saude bucal foi bem compreendida, apresentando-se adequada para ser testada quanto as suas propriedades psicometricas. Essa etapa se encontra em fase de conclusao.The implementation of oral healthcare networks is a recent process that requires evaluation. The current study aimed to describe the stages in the adaptation of the oral healthcare version of an instrument to evaluate the stage of development in the healthcare network under the Unified National Health System (SUS). The original instrument, called Instrument for the Diagnosis of Developmental Stages in the Healthcare Network, was developed by Mendes (2011). A formal evaluation was made of the general and referential meanings from the original instrument, producing the adapted version. The instrument was analyzed by a committee of oral health experts. Comprehension of the adapted version was evaluated using a pretest applied to 20 municipal oral health coordinators in Minas Gerais State. The results showed good conceptual, functional, item, semantic, and operational equivalence between the instruments. The oral health version was well understood and proved adequate for testing its psychometric properties. The latter stage is under completion.

Indicadores socioeconômicos associados à cárie dentária: uma revisão crítica

A implantacao de redes de atencao a saude bucal e um processo recente e necessita de ser avaliado. Este estudo objetivou descrever as etapas de adaptacao da versao saude bucal de um instrumento para avaliar o estagio de desenvolvimento da rede de atencao a saude no Sistema Unico de Saude do Brasil. O instrumento original, denominado Instrumento de Diagnostico do Estagio de Desenvolvimento da Rede de Atencao a Saude, foi desenvolvido por Mendes (2011). Foi realizada a avaliacao formal dos significados geral e referencial do instrumento original, chegando-se a versao adaptada. Para isso, o instrumento foi analisado por um comite de especialistas da area em questao. A compreensao da versao adaptada foi avaliada em um pre-teste aplicado para 20 coordenadores municipais de saude bucal de Minas Gerais. Constatou-se uma boa equivalencia conceitual, funcional, de itens, semântica e operacional entre os instrumentos. A versao saude bucal foi bem compreendida, apresentando-se adequada para ser testada quanto as suas propriedades psicometricas. Essa etapa se encontra em fase de conclusao.The implementation of oral healthcare networks is a recent process that requires evaluation. The current study aimed to describe the stages in the adaptation of the oral healthcare version of an instrument to evaluate the stage of development in the healthcare network under the Unified National Health System (SUS). The original instrument, called Instrument for the Diagnosis of Developmental Stages in the Healthcare Network, was developed by Mendes (2011). A formal evaluation was made of the general and referential meanings from the original instrument, producing the adapted version. The instrument was analyzed by a committee of oral health experts. Comprehension of the adapted version was evaluated using a pretest applied to 20 municipal oral health coordinators in Minas Gerais State. The results showed good conceptual, functional, item, semantic, and operational equivalence between the instruments. The oral health version was well understood and proved adequate for testing its psychometric properties. The latter stage is under completion.