Objectives The purpose of the present study was to investigate the occurrence and clinical features of delayed-onset infections after mandibular third-molar extractions. Method and Materials An observational cohort study was conducted on 179 patients undergoing mandibular third-molar extraction between January 2013 and December 2015, for a total of 217 extractions. Data were recorded at the time of extraction (T0), on suture removal seven days later (T1), and 30 days after the extraction, when patients were contacted and asked about their healing process (T2). The statistical analysis was performed with nonparametric tests. A p value lower than 0.05 was considered statistically significant. Results Eight delayed-onset infections were recorded, amounting to 3.7% of all extractions. The median time elapsing from the extraction to the delayed-onset infection was 35 days (IQR 28–40; min 24–max 49). Younger age and longer surgical procedures seemed to be more often associated with this complication. Conclusion Delayed-onset infections after third-molar extractions are relatively rare postoperative complications characterized by a swelling, usually with a purulent discharge. Patients should be informed of this possibility, which might develop even several weeks after the extraction.

Introdução: Os povos indígenas do Brasil compõem um cenário diversificado do ponto de vista cultural. A garantia de assistência à saúde geral e bucal indígena, atualmente, foi estabelecida pelo Subsistema de Atenção à Saúde Indígena, integrado ao Sistema Único de Saúde. Objetivos: Analisar a política de saúde bucal inserida no subsistema de saúde indígena, evidenciando a sua evolução no processo histórico e legal. Metodologia: Trata-se de um estudo descritivo e exploratório, em que foram consultados decretos, leis e portarias, já com as recentes e respectivas mudanças na legislação. Discussão: Apesar dos avanços, há recorrentes disparidades ao analisarmos a saúde bucal indígena em comparação à população brasileira não indígena. Essa diferença é observada nos perfis de saúde indígena, os quais são relativos aos âmbitos nacionais e regionais, em uma combinação de fatores socioeconômicos, ambientais e políticos. Atualmente, um projeto de lei visa à criação do Instituto Nacional de Saúde Indígena, de modo que pretende simplificar os processos administrativos. Conclusão: A trajetória da saúde bucal indígena brasileira é marcada por dissidências e existem bases jurídicas que garantem o acesso aos cuidados de saúde deste grupo, embora a descontinuidade das políticas impeça a integralidade das ações de saúde bucal.

Introduction: Oral health is related to the systemic health of the pregnant woman and the fetus, highlighting the importance of the oral health approach as a gestational health problem. Objective: To verify the prevalence of periodontal pocket and to analyze the relationship of the condition with sociodemographic factors, medical history, and behavioral profile in high-risk pregnant women. Methods: This cross-sectional, observational and analytical study comprised 800 high-risk pregnant women. Interviews were performed using a structured questionnaire to obtain data on sociodemographic characteristics, medical history and behavioral factors and the periodontal examination was carried out using the Community Periodontal Index (CPI). Statistical analyzes were performed to estimate odds ratio (OR) and 95% confidence interval (CI) between periodontal pocket and variables age group, living area, skin color, housing, marital status, schooling, family income, gestational period, number of children, arterial hypertension, gestational arterial hypertension, diabetes mellitus, gestational diabetes mellitus, smoking habit and alcoholism. Results: Of the total of 800 pregnant women examined, it was observed that 216 (27%) showed periodontal pocket. The condition was associated with age group (35-45 years: OR=2.498; CI=1.297-4.813; p-value=0.006), schooling (≤7 years: OR=1.638; CI=1.017-2.638; p-value=0.042), family income (≤USD$ 400.00: OR=1.431; CI=1.004-2.041; p-value= 0.048), diabetes (OR= 2.508; CI=1.511-4.163; p-value=0.000) and smoking habit (OR=2.211; CI=1.460-3.348; p-value=0.000). Conclusions: The prevalence of periodontal pocket was high and the factors age, low schooling, low family income, diabetes and smoking habit are related to greater chances of occurrence in high-risk pregnant women.