ObjectivesTraumatic dental injury is defined as trauma caused by forces on a tooth with variable extent and severity. The aim of the present study was to investigate the prevalence of traumatic dental injury and its association with overjet, lip protection, sex, socioeconomic status, social capital and binge drinking among 12-year-old students.Research Design and MethodA cross-sectional study was conducted with a sample of 633 12-year-old students. Data were collected through a clinical exam and self-administered questionnaires. Socioeconomic status was determined based on mother’s schooling and household income. The Social Capital Questionnaire for Adolescent Students and Alcohol Use Disorders Identification Test (AUDIT-C) were used to measure social capital and binge drinking, respectively.ResultsThe prevalence of traumatic dental injury was 29.9% (176/588). Traumatic dental injury was more prevalent among male adolescents (p = 0.010), those with overjet greater than 5 mm (p < 0.001) and those with inadequate lip protection (p < 0.001). In the multiple logistic regression analysis, overjet [OR = 3.80 (95% CI: 2.235–6.466), p < 0.0001], inadequate lip protection [OR = 5.585 (95% CI: 3.654–8.535), p < 0.0001] and binge drinking [OR = 1.93 (95% CI: 1.21–3.06), p = 0.005] remained significantly associated with traumatic dental injury.ConclusionsThe present findings suggest that a high level of total social capital and trust are not associated with TDI in adolescents, unlike binge drinking. The effects of social and behavioral factors on TDI are not well elucidated. Therefore, further research involving other populations and a longitudinal design is recommended.

Background/AimA large proportion of interpersonal violence results in maxillofacial injuries. The monitoring of maxillofacial injuries in the context of gender violence has been little explored. The aim of this study was to analyze trends in cases of maxillofacial injuries resulting from interpersonal physical violence considering the gender of the victim and perpetrator.Materials and MethodsA time‐series study was conducted. Data regarding maxillofacial injury cases due to interpersonal physical violence were collected from reports at a forensic institute of a city in northeastern Brazil, between 2008 and 2014 (84 months). Rates of interpersonal physical violence per 100 000 inhabitants were determined for each gender. A negative binomial regression model was used to evaluate trends. The cycle plot was used to investigate the occurrence of seasonality, considering subseries for each month.ResultsA total of 3561 reports were analyzed, revealing higher rates of female victims and male perpetrators throughout the series. There was no indication of seasonality. The annual percentage of injuries involving male victims reduced significantly by 6.8% (P < .001), while injuries involving female victims increased significantly by 4.5% (P = .002). Regarding perpetrators, rates remained constant over time, following the same pattern for both genders.ConclusionsThe data demonstrate greater victimization involving maxillofacial injuries against women perpetrated more often by men, with a trend toward an increase in female victims and a reduction in male victims.

The aim of the present study was to analyze the spatial pattern of cases of maxillofacial injuries caused by interpersonal violence, based on the location of the victim’s residence, and to investigate the existence of conditions of socio-spatial vulnerability in these areas. This is a cross-sectional study, using the data of victims attended in three emergency hospitals in Belo Horizonte-Brazil between January 2008 and December 2010. Based on the process of spatial signature, the socio-spatial condition of the victims was identified according to data from census tracts. The spatial distribution trends of the addresses of victims were analyzed using Kernel maps and Ripley’s K function. Multicriteria analysis was used to analyze the territorial insertion of victims, using a combination of variables to obtain the degree of socio-spatial vulnerability. The residences of the victims were distributed in an aggregated manner in urban areas, with a confidence level of 99%. The highest densities were found in areas of unfavorable socioeconomic conditions and, to a lesser extent, areas with worse residential and neighborhood infrastructure. Spatial clusters of households formed in slums with a significant level of socio-spatial vulnerability. Explanations of the living conditions in segregated urban areas and analysis of the concentration of more vulnerable populations should be a priority in the development of public health and safety policies.

Traumatismos maxilofaciais como marcadores de violência urbana: uma análise comparativa entre gêneros Maxillofacial injuries as markers of urban violence: a comparative analysis between the genders

Traumatismos maxilofaciais como marcadores de violência urbana: uma análise comparativa entre gêneros Maxillofacial injuries as markers of urban violence: a comparative analysis between the genders

No abstract

Os traumas maxilofaciais decorrentes da violência contra crianças e adolescentes impactam suas vidas, física e psiquicamente, pelas deformidades que podem provocar e pela exposição da lesão na face das vítimas. O objetivo deste trabalho é identificar a prevalência dos traumas maxilofaciais em crianças e adolescentes decorrentes da violência urbana em Belo Horizonte- Brasil. O estudo foi conduzido no Hospital Municipal Odilon Behrens, único hospital municipal de referência nesse tipo de atendimento em Belo Horizonte. Coletaram-se os registros de vítimas atendidas de janeiro a dezembro de 2007. O principal evento de violência sofrido entre crianças e adolescentes foi agressão física, 44,2% e 64,7%, respectivamente. Entre as crianças, o tipo de trauma mais comum foi o trauma dentoalveolar (53,8%), e entre os adolescentes, trauma de tecidos moles (47,5%). O maior número de ocorrências se deu no período noturno: crianças (84,6%) e adolescentes (74,8%). O gênero mais vitimado foi o masculino, crianças (63,5%) e adolescentes (68,3%). Estratégias apropriadas para identificação do evento de violência e do agressor são necessários para que melhor sejam planejados mecanismos de proteção da criança e do adolescente, uma vez que a violência sofrida por crianças e adolescentes no Brasil, considerando a complexidade dessa fase da vida, assume um quadro sombrio, desconstruindo o desenvolvimento, a sociabilidade e comprometendo a visão das vítimas sobre si mesmas e sobre o mundo que as cercam.

O presente estudo buscou verificar a percepção de saúde bucal da população de Coimbra, Minas Gerais, atendida pelo Sistema Único de Saúde. Foram feitas entrevistas semi-estruturadas a partir de perguntas que focavam o que é saúde bucal, sua importância e sua presença na vida do paciente. Percebeu-se que a saúde bucal para os entrevistados está relacionada aos cuidados com os dentes e com a gengiva, à dieta e a ida ao dentista. Sua importância é tanto pela saúde sistêmica quanto pela possibilidade de se relacionar bem com as outras pessoas. A presença da saúde bucal alia-se a manutenção da dentição e o não uso de prótese. Todas as falas retrataram o discurso oficial da odontologia , apesar de antigo e com pouca sustentação científica. Percebeu-se também claramente, a falta de acesso ao tratamento e a autoculpabilização pelo estado de saúde bucal. O trabalho educativo da odontologia necessita mudar de rota para que a população possa compreender mais claramente como é o processo. Talvez deste modo, o autocuidado possa efetivamente acontecer.