Renata de Souza Coelho Soares

Negative self-perception of smile associated with malocclusions among Brazilian adolescents.

This study estimated the prevalence of negative self-perception of smile because of occlusion abnormalities and investigated their association according to standard clinical criteria. The sample consisted of 1290 randomly selected Brazilian adolescent boys and girls aged 12-16 years. The outcome of interest was dissatisfaction with smile, and data were collected using a standardized questionnaire. Occlusion characteristics were assessed using the dental aesthetic index (DAI). The other study variables were gender, age, and use of dental services. A chi-square test and Poisson multiple regression were used for statistical analysis. Of the 1290 students interviewed and examined, 539 (41.8 per cent) were dissatisfied with their smile; of these, 373 (69.2 per cent) assigned their dissatisfaction to the presence of an occlusal abnormality, and 166 (30.8 per cent) reported reasons other than occlusal abnormalities for their negative self-perception of their smile. In multivariate analysis, the following variables were associated with the outcome of interest: maxillary anterior irregularity [prevalence ratio (PR) = 1.40; 95 per cent confidence interval (CI) = 1.29-1.80], incisal spacing (PR = 1.37; 95 per cent CI = 1.19-1.57), vertical open bite (PR = 1.34; 95 per cent CI = 1.15-1.55), mandibular anterior irregularity (PR = 1.29; 95 per cent CI = 1.14-1.46), permanent anterior teeth missing (PR = 1.21; 95 per cent CI = 1.05-1.39), and incisal diastema (PR = 1.14; 95 per cent CI = 1.01-1.31). The negative self-perception of smile was statistically associated with severity of occlusal disorders according to the DAI scores, which suggests that self-perception should be used together with standard clinical criteria when decisions about orthodontic treatments are made in public health care systems.

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.

Autoavaliação da saúde bucal e fatores associados entre adultos em áreas de assentamento rural, Estado de Pernambuco, Brasil

The aim of this study was to estimate prevalence of negative self-rated oral health and associated factors among adults in rural settlements. The probabilistic sample consisted of 557 adults 20 to 59 years of age in rural settlements in Pernambuco State, Brazil. The dependent variable was self-rated oral health, with the following independent variables: demographic characteristics, predisposition and availability of resources, oral health-related behavior, objective oral health conditions, and subjective oral health conditions. Crude and adjusted prevalence ratios were estimated using a Poisson regression model. Prevalence of negative self-rated oral health was 70.5%. Negative self-rated oral health was associated with younger age, lower schooling, female gender, and black or brown skin color. Predictors of negative self-rated oral health included skin color, self-defined need for dental care, and the impact of oral health problems on quality of life.O objetivo deste estudo foi estimar a prevalencia de autoavaliacao negativa de saude bucal e fatores associados entre adultos em areas de assentamento rural. A amostra probabilistica consistiu de 557 adultos entre 20 a 59 anos em areas de assentamento rural no Estado de Pernambuco, Brasil. A variavel dependente foi autoavaliacao da condicao de saude bucal e as independentes foram: caracteristicas demograficas, de predisposicao/disponibilidade de recursos, comportamentos relacionados a saude bucal, condicoes objetivas e subjetivas relacionadas a saude bucal. Foram estimadas as razoes de prevalencia bruta e ajustada por meio de regressao de Poisson. A prevalencia de autopercepcao negativa da saude bucal foi de 70,5%. A autoavaliacao negativa da saude bucal foi mais prevalente em individuos mais jovens, de baixa escolaridade, entre as mulheres, e entre os de cor preta e parda. Os preditores da autoavaliacao negativa da saude bucal foram a cor da pele, a necessidade autorreferida de tratamento odontologico e o impacto das condicoes de saude bucal na qualidade de vida.

Fatores Relacionados ao Impacto das Condições de Saúde Bucal na Vida Diária de Idosos, Campina Grande, Paraíba, Brasil

Resumen pt: Objetivo: Avaliar os fatores associados ao impacto das condicoes de saude bucal na vida diaria de idosos assistidos pela Secretaria Municipal de Assisten...

Additive Manufacturing for Surgical Planning of Mandibular Fracture

Currently, imaging techniques such as Computed Tomography with three-dimensional reconstruction (3D) and Magnetic Resonances are being routinely used in pre-surgical planning in all fields of medicine. Nowadays, virtual three-dimensional images, commonly displayed on two-dimensional surfaces, such as the computer screen, can be used to produce rapidly prototyped models, with excellent dimensional accuracy and fine reproduction of anatomical structures, providing professionals with the ability to use the biomodel in planning and simulating medical and dental procedures (oral and maxillofacial surgery, making individualized facial implants and prostheses, measurements and previous adaptations of prefabricated fixation plates), thus contributing to considerable reductions in surgical time and consequently the duration of anesthesia, minimizing infection risks and reducing hospital costs. In this report, we describe a case of surgical planning and treatment of bilateral atrophic mandibular fracture, in which, for surgical planning, authors used Rapid Prototyping as an adjunct tool, considering the advantages already outlined.

Steps for biomodel acquisition through addtive manufacturing for health

ABSTRACT The use of rapid prototyping in medical and dental fields consists of three-dimensional models using Computer Aided Design systems and Computer Aided Manufacturing systems. Such systems focus specifically on enhanced 3D visualization tools that provide a precise preoperative planning opportunity through three-dimensional printing, to the professional. The objective of this study was to describe the main steps in the biomodel manufacturing using an Objet 3D printer (CONNEX 350), whose raw material is a light-curing resin. The steps are adopted by researchers from three-dimensional technologies laboratory (LT3D), of the Center for Strategic Technologies in Health (NUTES), from the State University of Paraiba (UEPB), Brazil. It begins with the acquisition of tomographic images that are processed through specific software and exported to the digital Stereo lithography (STL) format. The additive manufacturing technique is Stereo lithography, which consists in the construction of biomodel by photopolymerization of a liquid epoxy resin using ultraviolet radiation. The biomodel that comes from this process was brought to a pressurizing machine to remove the resin support, washing it with water jets. After this step, this bi omodel was sent to the health professional in charge. The use of biomodels constitutes a major breakthrough in the area of Dentistry, allowing more precise diagnosis by professionals, simulation and surgical planning, previous adaptation of biomaterials and orthoses, as well as int eraction between the surgeon and the patient, thus obtaining more satisfactory aesthetic results and decreased surgical time.Indexing terms: Delivery of Health Care. Dentistry. Three-dimensional printing.

Intracanal pain remission in child with amelogenesis imperfecta. Case report

BACKGROUND AND OBJECTIVES: Amelogenesis imperfecta is characterized by enamel structural defects, which may severely affect dental structure in both dentitions. When accompanied by severe decay, it may impair the pulp complex requiring endodontic treatment and in case of incomplete root formation treatment becomes more complex due to pulp volume and anatomic conditions. This study aimed at reporting a clinical case of patient with amelogenesis imperfecta and with multiple incomplete root formation as a consequence. CASE REPORT: Female patient, 12 years old, leucodermic, with painful symptoms, who has looked for dental assistance. At intraoral clinical evaluation teeth presented with shape and size changes, yellowish color, covered by a thin enamel layer with roughened surface and absent in some areas, with anterior vestibular sulcus fistula and without edema. At radiographic evaluation, both dentitions were affected by the abnormality with delayed chronology of permanent teeth eruption. At the end of all evaluations, patient was diagnosed with amelogenesis imperfecta, and periodontal treatment was started, followed by endodontic treatment. CONCLUSION: Amelogenesis treatment is complex, especially when in more advanced stages of dental structure destruction. However, it is possible to reestablish patient’s functionality and esthetics with good planning and multidisciplinary approach.

Condição de Saúde de Mulheres Privadas de Liberdade: Uma Revisão Integrativa

Objective: To verify how health condition of imprisoned women has been approached over the past five years. Material and Methods: This was an integrative review on the health status of women deprived of freedom over the last five years. This study was based on a basic protocol with three steps performed by two researchers and one examiner. Bibliographical searches of full articles were carried out in the databases SciELO, PubMed and LILACS. Results: A total of two articles were found in LILACS, 0 in Scielo, and 38 in PubMed. In the final step, eight articles addressing the health conditions of women in closed prisons were fully analyzed. All articles were indexed in the Medline database. The studies have addressed the health conditions of imprisoned women and characterized their profile. Both health condition and health issues were approached by the authors. Conclusion: Similar results were found in the studies concerning the health condition of imprisoned women. We observed that women deprived of freedom are more affected by health issues than the general female population and have less access to care, which is frequently provided in an improper way. Mental health diseases are evident, and biopsychosocial conditions prior to imprisonment influence the overall health condition of prisoners. DESCRIPTORS Womens Health. Prisons. Prisoners.

Self-rated oral health and associated factors among adults in rural settlements, Pernambuco State, Brazil

The aim of this study was to estimate prevalence of negative self-rated oral health and associated factors among adults in rural settlements. The probabilistic sample consisted of 557 adults 20 to 59 years of age in rural settlements in Pernambuco State, Brazil. The dependent variable was self-rated oral health, with the following independent variables: demographic characteristics, predisposition and availability of resources, oral health-related behavior, objective oral health conditions, and subjective oral health conditions. Crude and adjusted prevalence ratios were estimated using a Poisson regression model. Prevalence of negative self-rated oral health was 70.5%. Negative self-rated oral health was associated with younger age, lower schooling, female gender, and black or brown skin color. Predictors of negative self-rated oral health included skin color, self-defined need for dental care, and the impact of oral health problems on quality of life.O objetivo deste estudo foi estimar a prevalencia de autoavaliacao negativa de saude bucal e fatores associados entre adultos em areas de assentamento rural. A amostra probabilistica consistiu de 557 adultos entre 20 a 59 anos em areas de assentamento rural no Estado de Pernambuco, Brasil. A variavel dependente foi autoavaliacao da condicao de saude bucal e as independentes foram: caracteristicas demograficas, de predisposicao/disponibilidade de recursos, comportamentos relacionados a saude bucal, condicoes objetivas e subjetivas relacionadas a saude bucal. Foram estimadas as razoes de prevalencia bruta e ajustada por meio de regressao de Poisson. A prevalencia de autopercepcao negativa da saude bucal foi de 70,5%. A autoavaliacao negativa da saude bucal foi mais prevalente em individuos mais jovens, de baixa escolaridade, entre as mulheres, e entre os de cor preta e parda. Os preditores da autoavaliacao negativa da saude bucal foram a cor da pele, a necessidade autorreferida de tratamento odontologico e o impacto das condicoes de saude bucal na qualidade de vida.

Autoevaluación de la salud bucal y factores asociados entre adultos en áreas de asentamiento rural, estado de Pernambuco, Brasil

The aim of this study was to estimate prevalence of negative self-rated oral health and associated factors among adults in rural settlements. The probabilistic sample consisted of 557 adults 20 to 59 years of age in rural settlements in Pernambuco State, Brazil. The dependent variable was self-rated oral health, with the following independent variables: demographic characteristics, predisposition and availability of resources, oral health-related behavior, objective oral health conditions, and subjective oral health conditions. Crude and adjusted prevalence ratios were estimated using a Poisson regression model. Prevalence of negative self-rated oral health was 70.5%. Negative self-rated oral health was associated with younger age, lower schooling, female gender, and black or brown skin color. Predictors of negative self-rated oral health included skin color, self-defined need for dental care, and the impact of oral health problems on quality of life.O objetivo deste estudo foi estimar a prevalencia de autoavaliacao negativa de saude bucal e fatores associados entre adultos em areas de assentamento rural. A amostra probabilistica consistiu de 557 adultos entre 20 a 59 anos em areas de assentamento rural no Estado de Pernambuco, Brasil. A variavel dependente foi autoavaliacao da condicao de saude bucal e as independentes foram: caracteristicas demograficas, de predisposicao/disponibilidade de recursos, comportamentos relacionados a saude bucal, condicoes objetivas e subjetivas relacionadas a saude bucal. Foram estimadas as razoes de prevalencia bruta e ajustada por meio de regressao de Poisson. A prevalencia de autopercepcao negativa da saude bucal foi de 70,5%. A autoavaliacao negativa da saude bucal foi mais prevalente em individuos mais jovens, de baixa escolaridade, entre as mulheres, e entre os de cor preta e parda. Os preditores da autoavaliacao negativa da saude bucal foram a cor da pele, a necessidade autorreferida de tratamento odontologico e o impacto das condicoes de saude bucal na qualidade de vida.