Bianca Marques Santiago

Social capital and dental pain in Brazilian northeast: a multilevel cross-sectional study

BackgroundThere is limited evidence on possible associations between social determinants and dental pain. This study investigated the relationship of neighborhood and individual social capital with dental pain in adolescents, adults and the elderly.MethodsA population-based multilevel study was conducted involving 624 subjects from 3 age groups: 15–19, 35–44 and 65–74 years. They were randomly selected from 30 census tracts in three cities in the State of Paraíba, Brazil. A two-stage cluster sampling was used considering census tracts and households as sampling units. The outcome of study was the presence of dental pain in the last 6 months. Information on dental pain, demographic, socio-economic, health-related behaviors, use of dental services, self-perceived oral health and social capital measures was collected through interviews. Participants underwent a clinical examination for assessment of dental caries. Neighborhood social capital was evaluated using aggregated measures of social trust, social control, empowerment, political efficacy and neighborhood safety. Individual social capital assessment included bonding and bridging social capital. Multilevel logistic regression was used to test the relationship of neighborhood and individual social capital with dental pain after sequential adjustment for covariates.ResultsIndividuals living in neighborhoods with high social capital were 52% less likely to report dental pain than those living in neighborhoods with low social capital (OR = 0.48, 95% CI = 0.27-0.85). Bonding social capital (positive interaction) was independently associated with dental pain (OR = 0.88, 95% CI = 0.80-0.91). Last dental visit, self-perceived oral health and number of decayed teeth were also significantly associated with dental pain.ConclusionsOur findings suggest that contextual and individual social capital are independently associated with dental pain.

The relationship between neighborhood empowerment and dental caries experience: a multilevel study in adolescents and adults

OBJECTIVE To investigate the relationship of contextual social capital (neighborhood empowerment) and individual social capital (social support and social network) with dental caries experience in adolescents and adults. METHODS A population-based multilevel study was conducted involving 573 subjects, 15-19 and 35-44 years of age, from 30 census tracts in three cities of Paraíba, Brazil. A two-stage cluster sampling was used considering census tracts and households as sampling units. Caries experience was assessed using the DMFT index (decayed, missing and filled teeth) and participants were divided into two groups according to the median of the DMFT index in low and high caries experience. Demographic, socioeconomic, behaviors, use of dental services and social capital measures were collected through interviews. Neighborhood empowerment was obtained from the mean scores of the residents in each census tract. Multilevel multivariate logistic regression was used to test the relationship between neighborhood empowerment and caries experience. RESULTS High caries experience was inversely associated with neighborhood empowerment (OR = 0.58; 95%CI 0.33-0.99). Individual social capital was not associated with caries experience. Other associated factors with caries experience were age (OR = 1.15; 95%CI 1.12-1.18) and being a female (OR = 1.72; 95%CI 1.08-2.73). CONCLUSION The association between neighborhood empowerment and caries experience suggests that the perception of features of the place of residence should be taken into account in actions of oral health promotion.

Condições de Saúde Bucal, Acesso aos Serviços Odontológicos e Autopercepção de Saúde Bucal em Escolares de 12 anos

Resumen pt: Objetivo: Avaliar a condicao de saude bucal em escolares de 12 anos, na cidade de Joao Pessoa-PB, e identificar informacoes sobre acesso aos servicos odo...

AVALIAÇÃO DO EFEITO EROSIVO EM MICROSCOPIA ELETRÔNICA DE VARREDURA E PROPRIEDADES FÍSICO-QUÍMICAS DE BEBIDAS GASEIFICADAS DE BAIXA CALORIA

Objective: To evaluate the pH, the amount of total soluble solids (°Brix), electrical conductivity and the surface of bovine enamel, by Scanning Electronic Microscopy (SEM), subjected to the action of low-calorie soft drinks. Materials and Methods: The products tested were: Aquarius® Fresh lemon, H2OH!® lemon, Aquazero® lemon, Viver Light® lemon, Coca- Cola® (positive control) and deionized water (negative control). The pH evaluation was performed by using digital pH meter. Electrical conductivity was determined by a workbench conductivimeter and for quantification of °Brix was used a specific refractometer of field. For each analysis were made three measurements and the arithmetic mean was calculated. The adamantine surface was made from the extraction of healthy maxillary incisors from bovine animals for slaughter, resulting in the end, in 3x3mm enamel blocks (n = 12), which were submitted to contact for 5 minutes with the drinks and then washed and stored for subsequent analysis by SEM. Results: The pH values †ranged from 2.56 (positive control) to 6.00 (negative control), while the remaining beverages showed pH bellow than 3.46. The results for electrical conductivity ranged from 001 mS.cm-1 (negative control) to 1071 mS.cm- (Coca-Cola®). Considering the TSS, all beverages had a value of 0° Brix, excepting Coca-Cola® (6.5° Brix). It was observed that the beverages analyzed proved to be potentially erosive. The enamel surface exposed to fizzy drinks had microstructural features indicative of erosion. Conclusion: Fizzy drinks analyzed have proved to be potentially erosive for the adamantine surface exposed for a short period of time to the action of those products, presenting no cariogenic potential. DESCRIPTORS Tooth Erosion. Carbonated Beverages. Drinking. Diet.

Atividade antimicrobiana de produtos naturais frente a bactérias formadoras do biofilme dentário

Resumen pt: Objeti vo: Verifi car, in vitro, o efeito anti microbiano do polen e dos extratos alcoolico e aquoso da propolis em suas formas pura e diluidas sobre cep...

Incidência de neoplasias malignas orais nas regiões brasileiras e capitais do Nordeste

Introducao: O câncer oral e um problema de saude publica e apresenta altas taxas de morbidade e mortalidade. Objetivo: Este estudo analisou a incidencia de câncer bucal, segundo sexo, nas regioes brasileiras (2000-2013) e capitais nordestinas (2001-2013). Metodologia: Utilizou-se abordagem indutiva com procedimento comparativo-estatistico por meio de tecnica de documentacao indireta. Os dados foram obtidos mediante consulta ao DATASUS e analisados atraves de estatistica descritiva e inferencial (Kolmogorov-Smirnov, ANOVA e Tuckey p-valor<0,05). Resultados: A media de incidencia do câncer bucal no sexo masculino nas regioes foi de 8,30 (±4,90) e 8,54 (±3,72) nas capitais do NE. Para as mulheres, a incidencia foi de 2,93 (±1,51) e 3,69 (±1,71), nas regioes e capitais nordestinas respectivamente. O sexo masculino foi o mais acometido pelo câncer bucal. O Sudeste obteve os maiores valores de incidencia, sendo estatisticamente superiores as demais regioes, e o Norte demonstrou ser estatisticamente inferior a todas as regioes. O Nordeste obteve taxa semelhante ao Centro-Oeste. Para o sexo masculino, Salvador foi estatisticamente superior as demais capitais, exceto para Natal e Recife. Sao Luiz apresentou-se estatisticamente inferior a todas as capitais, exceto para Teresina e Fortaleza. Para as mulheres, Natal mostrou-se estatisticamente superior a todas as capitais, exceto para Salvador. Conclusao: No Brasil, a incidencia de câncer bucal difere substancialmente nas diferentes regioes e capitais nordestinas, assim como, entre os sexos. Descritores: Neoplasias Bucais; Indicadores; Saude Publica.

In Vitro Adherence of Oral Bacteria to Different Types of Tongue Piercings

The purpose of this work was to verify in vitro adherence of E. corrodens and S. oralis to the surface of tongue piercings made of surgical steel, titanium, Bioplast, and Teflon. For this, 160 piercings were used for the count of Colony Forming Units (CFU) and 32 piercings for analysis under scanning electron microscopy. Of these, 96 (24 of each type) were individually incubated in 5 mL of BHI broth and 50 μL of inoculum at 37°C/24 h. The other 96 piercings formed the control group and were individually incubated in 5 mL of BHI broth at 37°C/24 h. Plates were incubated at 37°C/48 h for counting of CFU/mL and data were submitted to statistical analysis (p value <0.05). For E. corrodens, difference among types of material was observed (p < 0.001) and titanium and surgical steel showed lower bacterial adherence. The adherence of S. oralis differed among piercings, showing lower colonization (p < 0.007) in titanium and surgical steel piercings. The four types of piercings were susceptible to colonization by E. corrodens and S. oralis, and bacterial adhesion was more significant in those made of Bioplast and Teflon. The piercings presented bacterial colonies on their surface, being higher in plastic piercings probably due to their uneven and rough surface.

Use of the Chronological Dental Mineralization Table of Nicodemo, Moraes and Medici Filho (1974) to Estimate Age by Undergraduate Dentistry Students

Objective: To evaluate the agreement and applicability of the Chronological Dental Mineralization Table of Nicodemo, Moraes and Medici Filho (1974) to estimate age held by undergraduate Dentistry students at the Federal University of Paraiba. Material and Methods: Field research applied with a sample of 50 students according to inclusion and exclusion criteria. Sequentially, 3 panoramic radiographs were exposed (actual age known only by teachers), and students were instructed to interpret them from the selection of 2-4 teeth under formation. Data were analyzed using SPSS software (Statistical Package for Social Sciences), version 20.0, adopting significance level of 5%. Results: Most students chose 3 teeth, with percentages of 56.0% (n = 28); 38.0% (n = 19) and 58.0% (n = 29) for radiographs 1, 2 and 3, respectively. Teeth selected with greater frequency were: 47 (20.1%, n = 33) and 45 (19.5%, n = 32) - radiography 1; 38 (22.7%, n = 32) and 18 (13.4%, n = 19) - radiography 2; and 47 (17.9%; n = 26) and 36 (13.7%; n = 20) - radiography 3. The agreement between estimated and actual ages was 60.0% for radiography 1, 12.0% for radiography 2 and 32.0% for radiography 3. Age was underestimated in 40.0% (n = 20) and 88.0% (n = 44) in radiographs 1 and 2, respectively. Overestimation of the actual age occurred only in radiography 3 (68.0%; n = 34). The linear regression analysis revealed that it is possible to estimate the actual age from the maximum age stipulated by training students with 88.1% success rate. Conclusion: The method is applicable; however, the correlation between estimated and actual ages varied considerably among radiographs, and maximum estimated values were closer to the actual age than minimum values.

Social capital and self-perceived need for complete denture use or exchange

Purpose: to analyze self-perceived need for complete denture use or exchange in the population aged 35-44 and 65-74 years, as well as to carry out the association between that self-perception with social capital in the municipalities of Conde and Pedras de Fogo, Paraiba. Methods: a total of 134 adults and 54 elderlies participated in this sectional study. The outcome of interest was self-perceived need for complete denture use or exchange. Data were analyzed descriptively and association between variables was performed by means of statistical tests and regression models (=5%). Results: self-perception regarding the need for complete denture use or exchange was observed for 61.2% (n=82) of adults and 59.2% (n=32) of elderlies, and it was found to be statistically associated with dental prosthesis use (X² test; p-value<0.05). According to logistic regression, scholarity (OR=0.83, IC: 0.74-0.94), poor oral health self-perception (OR=19.22, IC: 1.29-286.45) and global use of dental prosthesis (OR=0.16, IC: 0.07-0.40) were found to be associated to the outcome. Conclusion: that self-perceived need for complete denture use or exchange was more frequent among adults that made use of dental prosthesis comparatively to the elderlies. In addition, individuals with lower scholarity level, unsatisfied with their oral health and users of dental prosthesis were more inclined to report needing for complete denture use or exchange.

LEVANTAMENTO DAS JURISPRUDÊNCIAS DE PROCESSOS DE RESPONSABILIDADE CIVIL CONTRA CIRURGIÕES-DENTISTAS NOS TRIBUNAIS DE JUSTIÇA BRASILEIROS

Objective: To survey the case law of civil liability undertaken by patients against dentists in Brazilian states between 2006 and 2011. Material and Methods: Data were collected from websites of the Courts of Justice of each state, taking into account: obligation’ nature, its ground, the agent and dental specialties more involved. We carried out the calculation of coefficient of legal experience by dividing the number of cases per number of dentists registered at Federal and Regional Councils. Then, descriptive analysis was conducted. Results: The sample comprised 1046 jurisprudence and Sao Paulo and Rio de Janeiro showed the highest numbers of cases. Regarding the type of obligation assumed by dentists, 9.51% considered the result as the final aim of dentist-patient relation, while in 77.57% this information was not cited. Dentist’s responsibility was defined as subjective in 14.31% of jurisprudence, but in 70.33% it was not classified. The Brazilian coefficient of legal experience was 4.23 and the states that showed the highest values were Rio de Janeiro (11.75) and the Federal District (6.81). Regarding dental specialties, dental implants (11.53%) and prosthetics (9.3%) were the most cited. Conclusion: The Brazilian coefficient of legal experience is high and, despite the lack of information on some jurisprudence, it is clear that the responsibility of the dentist is usually interpreted as subjective, as source contract, with an obligation of result. DESCRIPTORS: Forensic Dentistry. Ethics, Dental. Dentist-Patient relations. Damage liability.