BackgroundThe normative orthodontic treatment need, established by dental professionals during the dental appointment, becomes ineffective when it does not evaluate all the factors that influence the decision-making process, including individuals’ perception and satisfaction with their dental appearance. Therefore, the purpose of this study was to investigate the perception of children and their mothers as regards orthodontic treatment need and satisfaction with dental aesthetics and test if these variables are associated with the objective orthodontic treatment needs, assessed by the Dental Aesthetic Index (DAI).MethodsA cross-sectional study was conducted on 308 children aged 12 years, and their mothers were randomly selected by cluster sampling (primary schools). The variables “orthodontic treatment need,” “satisfaction with chewing,” and “dental appearance” were assessed by means of a questionnaire. The questions were answered individually at school or home, in cases of children or mothers, respectively. DAI was assessed to make an objective clinical assessment. The variables were dichotomized and statistically analyzed by the chi-square and Fisher’s exact tests, contingency coefficient C, and logistic regression.ResultsThe results of the clinical evaluation (DAI) were statistically associated with the perception of orthodontic treatment need and satisfaction with dental appearance in children (p ≤ 0.01). However, no association was observed with regard to satisfaction with chewing and DAI (p = 0.10). The children’s perception of orthodontic treatment need and satisfaction with the appearance of their teeth was statistically associated (p ≤ 0.01) with their mothers’ perception. Maxillary overjet, maxillary and mandibular misalignment, and dental crowding were associated with the orthodontic treatment need by children and their mothers, with p value −0.05 and 5 % level of significance. Maxillary overjet was a significant predictor for the perception of orthodontic treatment need in children (OR 1.86, 95 % CI 0.98–3.55) and mothers (OR 3.02, 95 % CI 1.54–5.92).ConclusionsChildren and parents realize the need for orthodontic treatment according to the different types of malocclusion, as noted in the association between orthodontic treatment need and dental appearance perceived by children and their mothers, which was also observed—with low correlation—with regard to DAI.

This research aimed to determine the influence of fluoridated groundwater and 1,100 ppm fluoride dentifrice on biomarkers of exposure to fluoride in preschoolers. A cross-sectional study was performed on thirty preschoolers recruited from naturally fluoridated and non-fluoridated areas (n=15). Total Daily Fluoride Intake (TDFI) from diet and dentifrice, and Daily Urinary Fluoride Excretion (DUFE) was measured over 24 h. Nails samples were collected twice during 30 days. Fluoride analyses were performed using a fluoride-ion-specific electrode. Data were evaluated using the Student and paired t-test, Pearson correlation analysis, multiple linear regression analysis (α≤0.05). Fluoridated groundwater and dentifrice were the dominant sources (r2 > 0.83) of TDFI in children from a naturally fluoridated and a non-fluoridated area, respectively. A positive correlation between TDFI and DUFE (r=0.50), and between [F] in fingernails and toenails (r=0.60) were found in children from a naturally fluoridated area. The [F] in nails of finger and toe were not correlated to TDFI. The consumption of fluoridated groundwater influenced the fluoride concentration in urine. In addition, the use of 1,100 ppm fluoride dentifrice did not influence the fluoride concentration in urine and fingernails.

OBJECTIVE: This study aimed to determine the factors associated with dental caries on primary and permanent dentition of a pediatric dental school clinic users. METHODS: A retrospective study of information collected from 313 dental records obtained from 2011 to 2013. The prevalence of tooth decay on primary (dmft) and permanent dentition (DMFT). Sociodemographic factors, dietary and hygiene habits were analyzed, as well Data were analyzed using Chi-square or Fisher exact test (α = 0.05). RESULTS: Average dmft was 3.47 ± 3.78 and 3.46 ± 3.05 for 0-6 and 7-9 range age, respectively (p = 0.781). Average DMFT was 0.80 ± 1.25 and 3.16 ± 3.72 for the range of 7-9 and ≥ 10 years, respectively (p = 0.00). The restorative treatment need due to dental caries was highly prevalent (78% of dmft and 54% of DMFT). Dmft was associated with paternal education (OR: 0.37, 95% CI: 0.13-1.05) and OHI-S (OR: 2.39, 95% CI: 1.22-4.66). DMFT was associated with gender (OR: 2.36, 95% CI: 1.38-4.01). CONCLUSION: Children assisted in this dental school clinic had a high prevalence of untreated dental caries, mainly associated with paternal education and OHI-S (primary dentition), and gender (permanent dentition).Keywords: Health Services; Epidemiology; Dental caries Cárie dentária na dentição decidua e permanente em uma clínica escola de odontopediatria: prevalência e fatores associados RESUMO OBJETIVO: Este estudo teve como objetivo determinar os fatores associados à cárie dentária na dentição decídua e permanente de usuários de uma clínica pública de Odontopediatria. MÉTODOS: Foi realizado um estudo retrospectivo com informações coletadas de 313 prontuários odontológicos obtidos entre 2011 a 2013. Foram analisados a prevalência de cárie dentária na dentição primária (ceo) e permanente (CPO-D), assim como fatores sociodemográficos e hábitos dietéticos e de higiene oral. Os dados foram analisados utilizando teste Qui-quadrado ou exato de Fisher (α = 0,05). RESULTADOS: O ceo-d médio foi de 3,47 ± 3,78 e 3,46 ± 3,05 para as faixas etárias de 0-6 e 7-9, respectivamente (p = 0,781). O CPO-d médio foi de 0,80 ± 1,25 e 3,16 ± 3,72 para as faixas de idade de 7-9 e ≥ 10 anos, respectivamente (p = 0,00). A necessidade de tratamento restaurador devido à cárie dental foi altamente prevalente (78% do ceo-d e 54% do CPO-d). O ceo-d foi associado com educação paterna (OR: 0.37, IC 95%: 0.13-1.05) e IHO-S (OR: 2.39, IC 95%: 1.22-4.66). O DMFT foi associado ao gênero (OR: 2.36, IC 95%: 1.38-4.01). CONCLUSÃO: As crianças atendidas nesta clínica escola de Odontopediatria apresentaram alta prevalência de cárie dentária não tratada, principalmente associada à educação paterna e IHO-S (dentição primária) e gênero (dentição permanente).Palavras-chave: Serviços de saúde; Epidemiologia; Cárie dentária 24 Rev Odonto Cienc 2017;32(1): [23][24][25][26][27] Dental caries in children assisted on a dental school clinic | De Sousa et al.

O objetivo do estudo foi conhecer a percepção dos Agentes Comunitários de Saúde sobre capacitações desenvolvidas por estudantes e professores de um curso de odontologia do nordeste do Brasil. É um estudo com abordagem qualitativa em que se utilizou a técnica do grupo focal e para interpretação dos dados, a análise de conteúdo. Nas capacitações foi possível identificar a existência prévia do entendimento sobre a saúde bucal, evidenciando necessidade de ações no sentido de ampliar e ressignificar olhares. A visão de atenção integral, não meramente clínica, foi um ponto marcante, demonstrado em falas que retratam a importância dos equipamentos sociais existentes e da execução de atividades. Os agentes comunitários de saúde relataram que as ações em parceria com a universidade são importantes para a ampliação das atividades desenvolvidas. Percebe-se que as capacitações foram espaço de diálogo que geram reflexos no processo de trabalho dos agentes, apontando caminhos possíveis para serem trilhados.