Background/Aim Combat sports might result in injuries to the face and teeth. However, it is unclear how often they occur and which sports presents the highest rates. The aim of this study was to investigate the prevalence of dentofacial injuries in combat sports participants. Material and Methods A systematic review was performed. Six main electronic databases and three grey literature databases were searched. Studies were blindly selected by two reviewers based on pre‐defined eligibility criteria. Studies that evaluated the prevalence of dentofacial injuries (teeth, alveolar bone, jaw, lips, and/or cheekbones) among combat sports participants were considered eligible. Risk of bias was assessed using the Joanna Briggs Institute Critical Appraisal Checklist. The software r statistics version was used to perform all meta‐analyses. Cumulative evidence of the included articles was evaluated using GRADE criteria (Grading of Recommendations Assessment, Development and Evaluation). Results From 1104 articles found on all databases, 27 were finally included. Eighteen studies were judged at low, seven at moderate, and two at high risk of bias. The following sports were investigated: boxing, capoeira, fencing, jiu‐jitsu, judo, karate, kendo, kickboxing, kung fu, muay thai, sumo, taekwondo, wrestling, and wushu. Results from the meta‐analysis suggested a dental pooled prevalence of 25.2% (12.3%‐40.8%, i2 = 100%) and dentofacial pooled prevalence of 30.3 (18.1%‐44.1%, i2 = 100%). Considering the sports' categories individually, jiu‐jitsu had the highest pooled prevalence of dentofacial injuries (52.9% [37.9%‐67.8%, i2 = 92%]), while judo was the sport with the lowest pooled prevalence (25.0% [7.6%‐48.2%, i2 = 98%]). Among Panamerican sports, boxing had the highest prevalence of dental injuries (73.7% [58.7%‐86.3%, i2 = 0%]). For dentofacial injuries, the GRADE criteria were considered low. Conclusions Overall pooled prevalence of dentofacial injuries in combat sports was approximately 30%. Raising awareness regarding the frequency of these injuries might encourage the use of protective devices and reduce complications related to these incidents.

Na última década, a formação de profissionais de saúde tem sido reformulada com políticas de educação e de saúde promovidas pelos Ministérios da Educação e Cultura e da Saúde. Este artigo apresenta a experiência do Curso de Graduação em Odontologia da Universidade Federal de Santa Catarina (UFSC) na implantação do Programa Nacional de Reorientação da Formação Profissional em Saúde – Pró-Saúde. Como processo indutor, o programa direcionou asmudanças com vistas à integração ensino-serviço e à utilização de novas metodologias de ensino-aprendizagem, enfatizando a atenção básica. Na área de Odontologia, tais movimentos mostram-se necessários tendo em vista que, historicamente, tanto o sistema formador como o mercado de trabalho foram regidos pela iniciativa privada. Na UFSC, as atividades foram estruturadas em conformidade com os três eixos de desenvolvimento do Programa e impulsionaram o movimento de reforma curricular. O Pró-Saúde foi fundamental para a indução desse processo de mudança em uma perspectiva interdisciplinar, trazendo contribuições em todos os eixos.

Background/Aim: Sports practices carry a risk for orofacial injuries and, to avoid them, preventive measures are necessary. The aim of this study was to investigate a web of extrinsic determinants for orofacial trauma in sports. Materials and Methods: Through a scoping review, eight extrinsic risk factors for sports-related orofacial trauma emerged from the thematic analysis. These were sports modality, sports philosophy, competition rules, level of competition, accessory equipment, environmental conditions, acting regimen, pitch conditions, and human resources. The data collection was conducted on seven databases, using terms based on health science descriptors and keywords related to orofacial trauma and sports. Results: From the 1155 articles found, 157 were selected based on eligibility criteria and classified according to the mentioned factors. After the full reading of the articles, the most cited risk factor was sports modality while acting regimen and environmental factors were the least mentioned. Therefore, a scheme following the web of determinants was constructed with the purpose of establishing a risk profile, which was based on the interactions between the determinants and on the frequency that they were mentioned as contributors to injury. From this, it was observed that each traumatic event is possibly a result of the interrelationships among the eight suggested determinants. Conclusion: Sports modality was the most cited extrinsic determinant observed in the literature, while environmental conditions and acting regimen were the least cited. In addition, more than establishing the determinants, it is necessary to comprehend how they relate, once preventive strategies should intercede on these relations, to help reduce sports injuries.

Este trabalho, de natureza exploratória, reúne informações sobre os projetos participantes do Programa Nacional de Reorientação da Formação Profissional em Saúde – PRÓ-SAÚDE, na área de Odontologia. O estudo fundamenta-se nos pressupostos de gestão do conhecimento e da educação em saúde e objetiva analisar fatores relevantes para mudança na formação em Odontologia através da aplicação da ferramenta de mineração de textos. Traz subsídios à avaliação do caminho das mudanças vivenciadas no âmbito das Instituições de Ensino Superior (IES) e dos serviços de saúde advindas com a implementação das Diretrizes Curriculares Nacionais (DCN) e do Programa PRÓ-SAÚDE. A coleção textual analisada é composta por 20 relatórios parciais (80% do universo) referentes aos dois anos de vigência do Programa. Três categorias são analisadas utilizando técnicas de descoberta do conhecimento: relação ensino-serviço; características organizacionais e filosofia pedagógica. Considerando os eixos de avaliação propostos pelo PRÓ-SAÚDE, o eixo B, Cenários de Prática, parece ser o fator que mais contribui no desenvolvimento dos projetos, em especial o vetor B1, integração ensino-serviço, que se mostra como grande impulsionador da mudança na formação em nível de Graduação em Odontologia em direção ao Sistema Único de Saúde - SUS. A descoberta do conhecimento e suas ferramentas de análise mostram-se importantes para aplicação em futuros trabalhos acadêmicos na área da saúde, em especial na Odontologia.

Playing sports with strong physical interactions with other players increases the risk for orofacial trauma. 1 The intensity and speed of sports movements are likely to be related to orofacial trauma incidence, 2-4 whereas both the incidence and the type of orofacial trauma may differ according to the sport. 5 Faster, high-impact sports result in more facial trauma, while slower, low-impact sports may cause dental trauma. Falls, collisions, contact with rigid surfaces, and equipment from each sport may cause particularly dangerous consequences. 6-8