Andreia Medeiros Rodrigues Cardoso

Dental Caries and Periodontal Disease in Brazilian Children and Adolescents with Cerebral Palsy

The aim of the present study was determine the prevalence and factors associated with dental caries and periodontal disease in Brazilian children and adolescents with cerebral palsy (CP). This is a cross-sectional study conducted with 80 patients ranging in age from 2 to 18 years old. Oral exams were conducted by an examiner with records of DMFT, dmft, Gingival Bleeding Index (GBI) and Community Periodontal Index (CPI). The statistical analysis used Poisson Regression with robust variance estimation (α = 0.05). The prevalence of dental caries was 59.3%, with DMFT and mean dmft of 1.71 ± 2.42 and 2.22 ± 3.23, respectively. The mean GBI was 22.44%, and in the CPI, the prevalence of gingival bleeding, calculus, shallow and deep pockets were 94.73%, 79.62%, 12.90% and 3.22%, respectively. The caregiver’s educational level of less than eight years were associated with the dental caries experience (PR = 1.439; 95%CI = 1.09–1.89). The periodontal alterations were associated with female sex (PR = 0.82; 95%CI = 0.69–0.97), caregiver’s educational level of less than eight years (PR = 1.15; 95%CI = 1.03–1.29), poor oral perception (PR = 0.89; 95%CI = 0.80–0.98), serious communication problem (PR = 0.87; 95%CI = 0.76–0.99) and athetoid type of CP (PR = 0.85; 95%CI = 0.75–0.97). The patients with CP presented high dental caries experience and periodontal alterations, which were associated with their demographic, socioeconomic, oral health perception and systemic information.

O acesso ao cuidado em saúde bucal para crianças com deficiência motora: perspectivas dos cuidadores

Resumen pt: Objetivo: Avaliar o acesso e identificar as barreiras ao cuidado em Saude Bucal de Criancas com Deficiencia Motora (CDM) em Joao Pessoa - PB, a partir da...

ATIVIDADE ANTIFÚNGICA DE ANTISSÉPTICOS BUCAIS SOBRE CANDIDA SPP.

Objective: To verify the in vitro antifungal activity of the mouthwashes Malvatricim® (P1), Colgate Plax® (P2), Oral B®(P3) and Colgate Periogard® (P4) on Candida albicans (ATCC 40277), Candida albicans (ATCC 289065), Candida krusei(ATCC 40147), Candida tropicalis (ATCC 13803) and Candida tropicalis (ATCC 40042). Material and Methods: Fungal suspensions were prepared (106 microrganisms / mL) and seeded on Petri dishes containing Sabouraud Dextrose Agar 4%. It was followed the agar diffusion method by means of the wells technique. Into each well were inserted 50 μL of the products as in their commercial formulation. Nystatin 1:100.000 IU (P5) was used as positive control. The plates were incubated in bacteriological incubator at 37oC for 48h. Tests were performed in triplicate and compared to positive control. The mean diameter of growth inhibition halos (MDGI)promoted by the substances was calculated and represented the antimicrobial activity. Results: P4 has showed the most potent activity against C. albicans (ATCC-289065), C. krusei(ATCC-40147), C. tropicalis (ATCC-40042), and C. tropicalis(ATCC-13803), with MDGI of 15.0mm; 15.0mm; 18.0mm and 14.3mm, respectively. C. albicans strain (ATCC-40277) was the only one susceptible to P1 (MDGI=25.3mm) and resistant to P5. The mouthwashes P2, P3 and P4 have presented antimicrobial activity against all strains assessed. Conclusion: It is concluded that the products under study, excepting Malvatricim®, have showed inhibitory activity on all strains assayed. Colgate Periogard® has presented the best activity on the strains investigated, followed by Colgate Plax®, Oral B® and Malvatricim®. DESCRIPTORS Dental prophylaxis. Microbiology. Fungi.

Impacto de Programa de Promoção em Saúde Bucal para Cuidadores e Crianças com Paralisia Cerebral

Objective: To report the effect of an oral health promotion program for children with cerebral palsy and their caregivers. Method: An interventional study wi...

Oral Health Status of Brazilian Workers of a Textile Industry

Objective: To evaluate the oral health status of Brazilian workers of a textile industry. Material and Methods: A cross-sectional study including 489 individuals of both sexes was performed. Data on gender, age, schooling, frequency of dentist visits and caries experience (DMFT) were collected by a single trained and calibrated examiner. Data were organized using the Statistical Package for Social Sciences (SPSS) software and presented through descriptive and inferential statistics (Poisson Regression Analysis). The significance level was 5%. Results: There was predominance of female workers (57.7%) aged 30-39 years (44.6%) and with 9-11 years of schooling (79.7%). Almost all of them had visited the dentist at least once in their lifetime (99.6%), and 66.8% had done so in the last 12 months. The mean DMFT value was 11.14 (± 5.64), with higher participation of filled (6.21) and missing components (4.03). There was a statistically significant association between DMFT values (≤ 11 and ≥ 12) and age group (p <0.001), as well as between schooling and number of missing (p <0.001) and decayed teeth (p < 0.001). Conclusion: The mean DMFT of Brazilian workers is high, with a tendency to increase the number of missing teeth as age increases. Schooling was associated with the number of missing and filled teeth.

Loss on drying, calcium concentration and pH of fluoride dentifrices

Introduction: Fluoride dentifrices containing calcium carbonate have advantages such as control of dental plaque and progression of dental caries, also contributing to oral hygiene, represent most dentifrices marketed in Brazil. Aim: To evaluate the physicochemical properties of seven fluoride dentifrices containing calcium carbonate in relation to hydrogen potential (pH), loss on drying and calcium concentration. Materials and Methods: Data collection was performed using the potentiometric method for pH ranges, gravimetric analysis for loss on drying and atomic absorption spectrometry for the concentration of calcium ions. All tests were performed in triplicate and the analysis was performed entirely at random according to one-way analysis of variance at 5% significance level. Results: The pH values were alkaline and ranged from 8.67 (Oral-B 123®) to 10.03 (Colgate Máxima Proteção Anticáries®). The results of loss on drying ranged from 33.81% (Oral-B 123®) to 61.13% (Close Up®), with significant differences between brands tested. In relation to the calcium content, the highest and lowest concentrations were found in dentifrices Even® (155.55 g/kg) and Colgate Ultra Branco® (129 g/kg), respectively, with significant difference (P < 0.05). Conclusion: Fluoride dentifrices analyzed showed alkaline pH and high levels of loss on drying and calcium concentration. However, these physicochemical characteristics differed according to the different brands tested.

Head and Maxillofacial Injuries in Child and Adolescent Victims of Automotive Accidents

Background. Victims of motor vehicle accidents may suffer multiple lesions, including maxillofacial injuries. The aim of this study was to evaluate the prevalence and factors associated with head, facial, and maxillofacial injuries in child and adolescent victims of automobile accidents. A cross-sectional study was carried out with analysis of forensic medical reports from the Legal Medical Institute of Campina Grande, Brazil, between January 2008 and December 2011. Descriptive and inferential statistical analysis was conducted using the chi-square test (α = 0.05). From 1613 medical reports analyzed, the sample is composed 232 (14.4%) reports referring to child and adolescent victims of automobile accidents aged 0–19 years of both sexes. Victims were mostly adolescents aged from 15 to 19 years (64.2%), males (73.7%), and motorcyclists (51.3%). More than half of the victims had single lesions (54.3%) located in the head (20.7%) and face (21.6%). Head injuries occurred more frequently in children aged 0–4 years (53.8%, PR = 5.065, 95% CI = 1.617–5.870) and pedestrians (30.4%, PR = 2.039, 95% CI = 1.024–4.061), while facial and maxillofacial injuries occurred in higher proportion among females (31.1%, PR = 0.489, 95% CI = 0.251–0.954). Our findings suggest that accidents involving motorcyclists are the most prevalent, affecting male adolescents aged from 15 to 19 years, resulting in a high frequency of injuries in the head and face regions.

Programa de Saúde Bucal Domiciliar para Crianças e Adolescentes com Paralisia Cerebral

Resumen pt: Objetivo: avaliar um programa de cuidado em Saude Bucal (SB) domiciliar para Criancas e Adolescentes com Paralisia Cerebral (CAPC) e seus cuidadores. ...

Prevalência de erosão dentária e fatores associados em uma população de escolares

SANTANA, Nubia Maria Santos de. Prevalencia de erosao dentaria e fatores associados em uma populacao de escolares. 2016. 31 p. Trabalho de conclusao de curso (Graduacao em Odontologia)- Universidade Estadual da Paraiba, Araruna, 2016.

Impact of the anatomical location, alcoholism and smoking on the prevalence of advanced oral cancer in Brazil

Background To evaluate the prevalence of oral cancer in Brazil according to the clinical stage, anatomical location, alcoholism and smoking. Material and Methods Data referring to 31,217 cases of oral cancer, from 2000 to 2010, were obtained from the Integrator Module of the Hospital Registry of Cancer. Inconsistent data (“non-classified” cases) was eliminated and 21,160 cases were analyzed. The frequency distribution according to clinical stage, anatomical location, alcoholism and smoking was analyzed descriptively and through a binary logistic regression model (α<0.05). The clinical stage (dependent variable) was dichotomized in early stage (I and II) or advanced stage (III and IV). The year of diagnosis, anatomical location and deleterious habits (alcoholism and smoking) were considered independent variables. Results The most frequent characteristics were: oropharynx location (n=3856, 18.41%), clinical stage IV (n=11924, 56.09%) and combined use of alcohol and tobacco (n=19226; 61.59%). The year 2009 (p<0.01, PR = 1.162, CI-95%=1.053-1.283) and location at the base of tongue (p<0.01, PR = 2.485, CI-95% = 2.182-2.807) presented a higher prevalence ratio for advanced stage oral cancer. The combined use of alcohol and tobacco showed a higher prevalence rate for the advanced clinical stage of cancer (p<0.01, PR =1.449, CI-95%=1.382-1.520) if compared to individuals without habits, or just alcoholics. Conclusions Higher prevalence of advanced stage of oral cancer is related to the localization at the base of the tongue and to the concomitant use of alcohol and tobacco. Therefore, it can be suggested that all these characteristics lead to a worse prognosis of oral cancer. Key words:Oral cancer, neoplasm staging, alcoholism, tobacco use disorder.