Maria Ilma de Souza Côrtes

Aspectos metodológicos do Projeto SBBrasil 2010 de interesse para inquéritos nacionais de saúde

The SBBrasil 2010 Project (SBB10) was designed as a nationwide oral health epidemiological survey within a health surveillance strategy. This article discusses methodological aspects of the SBB10 Project that can potentially help expand and develop knowledge in the health field. This was a nationwide survey with stratified multi-stage cluster sampling. The sample domains were 27 State capitals and 150 rural municipalities (counties) from the countrys five major geographic regions. The sampling units were census tracts and households for the State capitals and municipalities, census tracts, and households for the rural areas. Thirty census tracts were selected in the State capitals and 30 municipalities in the countryside. The precision considered the demographic domains grouped by density of the overall population and the internal variability of oral health indices. The study evaluated dental caries, periodontal disease, malocclusion, fluorosis, tooth loss, and dental trauma in five age groups (5, 12, 15-19, 35-44, and 65-74 years).

Aspectos sociodemográficos e clínicos da qualidade de vida relacionada à saúde bucal em adolescentes

OBJETIVO: Estimar a prevalencia e identificar fatores sociodemograficos e parâmetros bucais associados ao impacto negativo da condicao bucal na qualidade de vida de adolescentes. METODOS: Foram analisados dados de 5.445 adolescentes entre 15 e 19 anos que participaram do inquerito nacional de saude bucal (SBBrasil 2010), considerando a complexidade do desenho amostral. O desfecho foi a qualidade de vida relacionada a saude bucal, avaliada por meio do questionario Oral Impacts on Daily Performance e analisada de forma discreta. As variaveis de exposicao foram sexo, cor da pele, escolaridade, renda familiar, idade, carie nao tratada, perda dentaria, dor de dente, oclusopatias, sangramento gengival, calculo dentario e bolsa periodontal. Foram conduzidas analises de regressao de Poisson e apresentadas as razoes de medias (RM), com respectivos intervalos de 95% de confianca (IC95%). RESULTADOS: Dos pesquisados, 39,4% relataram pelo menos um impacto negativo na qualidade de vida. Apos o ajuste, a media do impacto negativo foi de 1,52 (IC95%1,16;2,00) vez maior no sexo feminino e 1,42 (IC95% 1,01;1,99), 2,66 (IC95% 1,40;5,07) e 3,32 (IC95% 1,68;6,56) vezes maior nos pardos, amarelos e indigenas, respectivamente, em relacao aos brancos. Quanto menor a escolaridade, maior a media de impacto negativo (RM 2,11, IC95% 1,30;3,41), assim como em individuos com renda familiar ate R

Sociodemographic and clinical aspects of quality of life related to oral health in adolescents

500,00 (RM 1,84, IC95% 1,06;3,17) comparados aos de maior renda. Encontrou-se maior impacto na qualidade de vida entre adolescentes com quatro ou mais lesoes de caries nao tratadas (RM 1,53, IC95% 1,12;2,10), uma ou mais perdas dentarias (RM 1,44, IC95%1,16;1,80), com dor de dente (RM 3,62, IC95% 2,93;4,46) e com oclusopatia grave (RM 1,52, IC95% 1,04;2,23) e muito grave (RM 1,32, IC95% 1,01;1,72). CONCLUSOES: Os adolescentes brasileiros relataram alto impacto negativo da saude bucal na sua qualidade de vida. A iniquidade em sua distribuicao deve ser considerada ao planejar medidas de prevencao, monitoramento e tratamento dos agravos bucais nos grupos com maior impacto na qualidade de vida.OBJECTIVE To estimate the prevalence and to identify sociodemographic and oral health factors associated with the negative impact of oral health conditions on the quality of life in adolescents. METHODS Data from 5,445 adolescents aged 15-19, who took part in the Brazilian Oral Health Survey (SBBrasil 2010) were analyzed, using a multistage sampling design. The outcome was quality of life related to oral health, which was assessed using the Oral Impacts on Daily Performance questionnaire and analyzed as a discrete variable. The independent variables were sex, skin color, schooling, household income, age, untreated dental caries, malocclusion.,gingival bleeding, dental calculus, and periodontal pocket. Poisson regression analysis was carried out and mean ratios (MR) with their respective 95% confidence intervals (95%CI) were presented. RESULTS Of the total, 39.4% reported at least one negative impact on their quality of life. After adjustment, the mean negative impact was 1.52 (95%CI 1.16;2.00) times higher in females and 1.42 (95%CI 1.01;1.99), 2.66 (95%CI 1.40;5.07) and 3.32 (95%CI 1.68;6.56) higher in those with brown, yellow, and indigenous skin color, respectively, when compared to those with white skin. The lower the level of schooling, the greater the negative impact (MR 2.11, 95%CI 1.30;3.41), likewise for individuals with household income below R

Perfis epidemiológicos de saúde bucal no Brasil e os modelos de vigilância

500.00 (MR 1.84, 95%CI 1.06;3.17) compared with those with higher incomes. The greatest impact on quality of life was found among adolescents with four or more teeth with untreated dental caries (MR 1.53, 95%CI 1.12;2.10), one or more missing teeth (MR 1.44. 95%CI 1.16;1.80). those with dental pain (RM 3.62, 95%CI 2.93;4.46) and with severe (MR 1.52, 95%CI 1.04;2.23) and very severe malocclusion (MR 1.32, 95%CI 1.01;1.72). CONCLUSIONS Brazilian adolescents reported a high negative impact of oral health on their quality of life. Inequalities in distribution should be taken into account when planning preventive, monitoring and treatment strategies for oral health problems in groups with the highest impact on their quality of life.

Prevalence and risk factors associated with traumatic dental injury among 12-year-old schoolchildren in Montes Claros, MG, Brazil

OBJETIVO: Estimar a prevalencia e identificar fatores sociodemograficos e parâmetros bucais associados ao impacto negativo da condicao bucal na qualidade de vida de adolescentes. METODOS: Foram analisados dados de 5.445 adolescentes entre 15 e 19 anos que participaram do inquerito nacional de saude bucal (SBBrasil 2010), considerando a complexidade do desenho amostral. O desfecho foi a qualidade de vida relacionada a saude bucal, avaliada por meio do questionario Oral Impacts on Daily Performance e analisada de forma discreta. As variaveis de exposicao foram sexo, cor da pele, escolaridade, renda familiar, idade, carie nao tratada, perda dentaria, dor de dente, oclusopatias, sangramento gengival, calculo dentario e bolsa periodontal. Foram conduzidas analises de regressao de Poisson e apresentadas as razoes de medias (RM), com respectivos intervalos de 95% de confianca (IC95%). RESULTADOS: Dos pesquisados, 39,4% relataram pelo menos um impacto negativo na qualidade de vida. Apos o ajuste, a media do impacto negativo foi de 1,52 (IC95%1,16;2,00) vez maior no sexo feminino e 1,42 (IC95% 1,01;1,99), 2,66 (IC95% 1,40;5,07) e 3,32 (IC95% 1,68;6,56) vezes maior nos pardos, amarelos e indigenas, respectivamente, em relacao aos brancos. Quanto menor a escolaridade, maior a media de impacto negativo (RM 2,11, IC95% 1,30;3,41), assim como em individuos com renda familiar ate R

Pulp canal obliteration after traumatic injuries in permanent teeth – scientific fact or fiction?

500,00 (RM 1,84, IC95% 1,06;3,17) comparados aos de maior renda. Encontrou-se maior impacto na qualidade de vida entre adolescentes com quatro ou mais lesoes de caries nao tratadas (RM 1,53, IC95% 1,12;2,10), uma ou mais perdas dentarias (RM 1,44, IC95%1,16;1,80), com dor de dente (RM 3,62, IC95% 2,93;4,46) e com oclusopatia grave (RM 1,52, IC95% 1,04;2,23) e muito grave (RM 1,32, IC95% 1,01;1,72). CONCLUSOES: Os adolescentes brasileiros relataram alto impacto negativo da saude bucal na sua qualidade de vida. A iniquidade em sua distribuicao deve ser considerada ao planejar medidas de prevencao, monitoramento e tratamento dos agravos bucais nos grupos com maior impacto na qualidade de vida.OBJECTIVE To estimate the prevalence and to identify sociodemographic and oral health factors associated with the negative impact of oral health conditions on the quality of life in adolescents. METHODS Data from 5,445 adolescents aged 15-19, who took part in the Brazilian Oral Health Survey (SBBrasil 2010) were analyzed, using a multistage sampling design. The outcome was quality of life related to oral health, which was assessed using the Oral Impacts on Daily Performance questionnaire and analyzed as a discrete variable. The independent variables were sex, skin color, schooling, household income, age, untreated dental caries, malocclusion.,gingival bleeding, dental calculus, and periodontal pocket. Poisson regression analysis was carried out and mean ratios (MR) with their respective 95% confidence intervals (95%CI) were presented. RESULTS Of the total, 39.4% reported at least one negative impact on their quality of life. After adjustment, the mean negative impact was 1.52 (95%CI 1.16;2.00) times higher in females and 1.42 (95%CI 1.01;1.99), 2.66 (95%CI 1.40;5.07) and 3.32 (95%CI 1.68;6.56) higher in those with brown, yellow, and indigenous skin color, respectively, when compared to those with white skin. The lower the level of schooling, the greater the negative impact (MR 2.11, 95%CI 1.30;3.41), likewise for individuals with household income below R

Aspectos sociodemográgicos y clínicos de la calidad de vida relacionada con la salud bucal en adolescentes

500.00 (MR 1.84, 95%CI 1.06;3.17) compared with those with higher incomes. The greatest impact on quality of life was found among adolescents with four or more teeth with untreated dental caries (MR 1.53, 95%CI 1.12;2.10), one or more missing teeth (MR 1.44. 95%CI 1.16;1.80). those with dental pain (RM 3.62, 95%CI 2.93;4.46) and with severe (MR 1.52, 95%CI 1.04;2.23) and very severe malocclusion (MR 1.32, 95%CI 1.01;1.72). CONCLUSIONS Brazilian adolescents reported a high negative impact of oral health on their quality of life. Inequalities in distribution should be taken into account when planning preventive, monitoring and treatment strategies for oral health problems in groups with the highest impact on their quality of life.

Aplicação clínica do laser em endodontia

Inqueritos nacionais sao importantes ferramentas no campo da vigilância em saude e elementos fundamentais no monitoramento das condicoes de saude e do desempenho do sistema. Na saude bucal, tais inqueritos surgem a partir do primeiro levantamento em saude bucal de 1986 e, posteriormente, o de 1996 e o Projeto SBBrasil 2003. A edicao 2010 do SBBrasil se coloca como a principal estrategia de vigilância em saude bucal no que diz respeito a producao de dados primarios. No sentido de contribuir com essa discussao, este artigo se propos a: (a) apresentar e discutir a experiencia brasileira em inqueritos nacionais de saude bucal; (b) discutir a utilizacao dos dados em modelos de vigilância em saude. Pode-se concluir que os inqueritos de saude bucal no Brasil tem grandes possibilidades de se estabelecer como ferramenta para os servicos e para a academia. Ficou evidente sua potencialidade em verificar tendencias no perfil de saude bucal, bem como em produzir indicadores validos para uso em servicos.

Avaliação do selamento cervical pela mudança de pH na presença de materiais clareadores

The scope of this study was to determine the prevalence of trauma in the permanent dentition of 12-year-old schoolchildren and assess associations with demographic factors such as gender and socioeconomic status and overjet and lip coverage clinical factors. A cross-sectional analysis was conducted using a representative sample of 638 students. Data were gathered by means of clinical examinations and self-administered questionnaires. Descriptive analysis was performed, followed by the use of the chi-square test and Poisson logistic regression model for the determination of significant associations. The prevalence of traumatic dental injury was 34.9%. Falls constituted the main etiological factor (49.7%), and occurred in the home (48.2%). The results of the Poisson regression analysis revealed that accentuated overjet (> 5 mm) remained associated with traumatic dental injury irrespective of the other variables [PR = 1.50 (95% CI: 1.41 to 1.61); p = 0.003]. Moreover, a statistically significant association was found between accentuated overjet and dental trauma. No significant associations were found between TDI and socioeconomic status. These findings highlight the need for prevention strategies and orthodontic correction at the onset of the permanent dentition.

Hipertaurodontismo bilateral: relato de um caso

Pulp canal obliteration (PCO) is a frequent finding associated with pulpal revascularization after luxation injuries of young permanent teeth. The underlying mechanisms of PCO are still unclear, and no experimental scientific evidence is available, except the results of a single histopathological study. The lack of sound knowledge concerning this process gives rise to controversies, including the most suitable denomination. More than a mere semantic question, the denomination is an important issue, because it reflects the nature of this process, and directly impacts the treatment plan decision. The hypothesis that accelerated dentin deposition is related to the loss of neural control over odontoblastic secretory activity is well accepted, but demands further supportive studies. PCO is seen radiographically as a rapid narrowing of pulp canal space, whereas common clinical features are yellow crown discoloration and a lower or non-response to sensibility tests. Late development of pulp necrosis and periapical disease are rare complications after PCO, rendering prophylactic endodontic intervention useless. Indeed, yellowish or gray crown discoloration may pose a challenge to clinicians, and may demand endodontic intervention to help restore aesthetics. This literature review was conducted to discuss currently available information concerning PCO after traumatic dental injuries (TDI), and was gathered according to three topics: I) physiopathology of PCO after TDI; II) frequency and predictors of pulpal healing induced by PCO; and III) clinical findings related to PCO. Review articles, original studies and case reports were included aiming to support clinical decisions during the follow-up of teeth with PCO, and highlight future research strategies.