ObjectiveTo investigate the association between maternal anemia and low/insufficient birth weight.DesignA prospective cohort study of pregnant women who underwent prenatal care at the healthcare units in a municipality of northeast Brazil together with their newborn infants was carried out. The pregnant women were classified as having anemia when the hemoglobin level was below 11 g/dl. Infants who were born full term weighing less than 2500 grams were classified as low birth weight, and those weighing between 2500 and 2999 grams were classified as insufficient weight. The occurrence of maternal anemia and its association with birth weight was verified using crude and adjusted Relative Risk (RR) estimates with their corresponding 95% confidence intervals (95%CIs).ResultsThe final sample was comprised of 622 women. Maternal anemia was considered a risk factor for low/insufficient birth weight, after adjusting the effect measurement for maternal age, family income, urinary infection, parity, alcoholic beverage consumption during pregnancy and gestational body mass index: RRadjusted = 1.38 [95% CI: 1.07 to 1.77].ConclusionsMaternal anemia was associated with low/insufficient birth weight, representing a risk factor for the gestational outcomes studied.

Objective The objective of this study was to investigate an association between obesity (exposure) and periodontitis (outcome) in pregnant women. Background This association was investigated and only five studies were identified as showing a positive association. However, some of these studies had limitations such as reduced sample sizes, inadequate exposure criteria and outcome measures, which question the internal validity of these investigations. Methods A cross‐sectional study was carried out with a sample of 644 pregnant women of the public health service of the municipality of Santo Antônio de Jesus, Bahia, Brazil. Data were obtained by collecting of socioeconomic‐demographic information, health behavior, health conditions, and reproductive history through an interview. Obesity was evaluated using body mass index adjusted for gestational age and expected weight gain. The diagnosis of periodontitis followed two criteria: (a) Center for Disease Prevention and Control and American Academy of Periodontology (CDC/AAP); (b) Gomes‐Filho et al (2018) using criterion that also evaluated bleeding upon probing; Prevalence ratios and respective 95% confidence intervals were obtained by Poisson regression analysis. Results In accordance with the outcome diagnostic criterion, the frequency of periodontitis was 17.24% (Gomes‐Filho et al) and 66.92% (CDC/AAP). The participants were classified as low weight (19.72%), adequate weight (42.39%), overweight (24.84%), and obesity (13.04%), based on the exposure diagnostic criterion. The low weight and overweight groups were excluded from the data analysis, giving a final sample of 357 pregnant women. The association between obesity in pregnant women and periodontitis was not statistically significant, after adjusting for confounders such as age, schooling level, alcoholic beverage consumption, alimentary and nutritional orientation, urinary infection, and dental flossing. Conclusions The findings showed a high frequency of periodontitis, obesity, and overweight in the studied population but no association between obesity and periodontitis in pregnant women was found.

Justificativa e Objetivo: Estudos apontam que a maior adesão ao pré-natal esteja diretamente ligada a redução do baixo peso ao nascer (BPN), sendo que, a deficiência do primeiro seja uma das maiores causas do segundo. Dessa forma, este estudo objetivou medir a associação entre qualidade do pré-natal (QPN) e BPN em usuárias de um hospital em Feira de Santana/BA. Métodos: Realizou-se um estudo caso-controle com 144 mulheres internadas na maternidade para realização de parto. Para coleta de dados foi utilizado o cartão da gestante, prontuário hospitalar e aplicação de questionários. Foram obtidas odds ratio (OR) para comparação dos grupos e procedida análise multivariada para estimar o efeito da QPN no BPN. Resultados: Foi encontrada uma prevalência de 18,8% de recém-nascidos < 2500g. Após o ajuste para confundimento, a QPN mostrou um efeito independente para BPN (ORajustada= 2,56; IC 95%: 1,05 – 6,20, p = 0,02). Conclusão: A pesquisa reafirma a importância da priorização de um pré-natal eficaz, como um fator que pode contribuir na redução do BPN.

ResultsThe following clinical parameters were used to establish the diagnosis criteria: probing depth, the distance between gingival margin and cementum enamel junction measurement, clinical attachment AbstractThis article in an updated of its original version was published in the journal intitled "Jornal Brasileiro de Clínica Odontológica Integrada", volume 9, pages 88 and 89, in 2005. Due to improved knowledge concerning human health, and changes in the clinical diagnostic criteria for periodontal diseases that occurred after the study period, the need for some updates became evident.The frequency of periodontitis in the sample varied from 17.24% to 66.92%. Conclusions:the results of the present study indicate the need to use different diagnostic criteria of periodontal diseases depending on the type of study to be developed and population investigated. Taking care to use the appropriate diagnostic criteria, besides allowing the standardization of the definition of the diseases, contributes to improving the comparability between the findings of scientific studies in this field of health, since a diversity of clinical criteria exist.

Introdução: A prevenção de doenças bucais em crianças é a prioridade na odontologia moderna e a saúde bucal de um indivíduo começa a se desenvolver na primeira infância. Uma influência das doenças cárie e fluorose dentária na qualidade de vida relacionada à saúde bucal se destaca, além de ser observada uma relação direta entre a alta concentração de fluoretos na água de consumo e a redução da cárie dentária, entretanto, uma provável relação com o aumento da prevalência e gravidade da doença fluorose pode estar agregada, principalmente pela existência da ingestão de flúor a partir de outras fontes. Objetivo: Verificar se existe relação entre a cárie e a fluorose dentária, através de uma revisão da literatura. Revisão de Literatura: É inquestionável a ação protetora do flúor contra a cárie, mas foi associada na literatura um aumento na ocorrência e gravidade da fluorose já que o teor de flúor pode estar sendo além do recomendado em relação à água, associado a ingestão de alimentos, bebidas e dentifrícios também fluoretados. Percebeu-se o baixo nível de conhecimento das crianças e cuidadores a respeito da etiologia da fluorose e a importância dos programas de promoção da saúde bucal.  Considerações Finais: É notória a relação existente entre cárie e fluorose dentária mesmo que, de forma indireta, exista o efeito duplo que o flúor pode ocasionar, tanto benéfico quanto “maléfico”, necessitando assim de uma atuação mais eficiente e rigorosa dos gestores.