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ObjectiveThis study aimed to verify whether the saddle seat provides lower ergonomic risk than conventional seats in dentistry.MethodsThis review followed the PRISMA statement and a protocol was created and registered in PROSPERO (CRD42017074918). Six electronic databases were searched as primary study sources. The "grey literature" was included to prevent selection and publication biases. The risk of bias among the studies included was assessed with the Joanna Briggs Institute Critical Appraisal Tool for Systematic Reviews. Meta-analysis was performed to estimate the effect of seat type on the ergonomic risk score in dentistry. The heterogeneity among studies was assessed using I2 statistics.ResultsThe search resulted in 3147 records, from which two were considered eligible for this review. Both studies were conducted with a total of 150 second-year dental students who were starting their laboratory activities using phantom heads. Saddle seats were associated with a significantly lower ergonomic risk than conventional seats [right side (mean difference = -3.18; 95% CI = -4.96, -1.40; p < 0.001) and left side (mean difference = -3.12; 95% CI = -4.56, -1.68; p < 0.001)], indicating posture improvement.ConclusionThe two eligible studies for this review provide moderate evidence that saddle seats provided lower ergonomic risk than conventional seats in the examined population of dental students.

Objective: This study aimed to assess the oral impact on daily performance and its association with sociodemographic characteristics, tooth pain, need for prosthesis, and periodontal disease of adults in the state of São Paulo, Brazil. Methods: This was a cross-sectional epidemiological study with secondary data obtained from the Oral Health Conditions Project– 2015 conducted in 163 municipalities in the state of São Paulo with the participation of 17,560 individuals. This study evaluated adults in the age-range between 35–44 years (n = 5,855), selected by means of probabilistic cluster sampling in two stages. The outcome variable was the OIDP (Oral Impacts on Daily Performances), obtained by using this instrument to assess daily activities (eating, speaking, oral hygiene, relaxation, sports practice, smile, study/work, social contact, and sleep). The independent variables were collected and grouped into three blocks: Block 1 (sex, age group, and ethnic group); Block 2 (household income and education); and Block 3 (tooth pain, need for prosthesis, bleeding, calculus, and periodontal pockets). A hierarchical multiple logistic regression analysis was performed considering the complex cluster sampling plan. Each observation was assigned a specific weight, depending on the location, which resulted in weighted frequencies adjusted for the effect of outlining. Results: the female sex (p<0.0001), ethnic group black/mulatto (p<0.0001), low household income (p = 0.0112), up to 8 years of education (p<0.0001), tooth pain (p<0.0001), presence of bleeding (p<0.0001), and presence of periodontal pockets (p<0.0001) had greater oral impact on daily performance. Conclusion: sociodemographic characteristics, tooth pain, and presence of periodontal disease were associated with oral impact on daily performance of the adult population in the state of São Paulo, Brazil.

Objective: To evaluate the influence of anteroposterior position of the soft tissue on facial attractiveness in black people, and compare the perception of aesthetics and satisfaction between orthodontists and black laypersons. Methods: The sample was composed of 69 orthodontists and 69 laypersons of black ethnicity (n=138). Facial profile photographs of two black volunteers, a man and a woman, were digitally manipulated to change the position of the lips and chin, by making gradual changes of 4mm in relation to the true vertical line, simulating advance or retrusion of the soft tissues by -2, -6, -10, +2, +6, +10mm, totalling six images per sex. The photographs were classified by the research participants using a visual analogue scale (VAS), from 0 (unpleasant) to 100 (pleasant). The results were analyzed by generalized linear model and by the Fisher’s exact test, considering the level of significance of 5%. Results: The orthodontists and black laypersons considered straight profiles the most pleasant. The two groups classified the male profile as being more unpleasant in comparison with the female facial profile, which was concave. When evaluating all the images together, the image most indicated as being the most pleasant, once again, was the one with the straight profile, for both sexes. Conclusion: The influence of orthodontists’ and laypersons’ aesthetic perception on evaluating the facial profile of blacks was similar. The straight profile was classified as the most pleasant and the concave, as the most unpleasant.

O presente estudo teve por objetivo avaliar técnicas de comunicação utilizadas pelos graduandos de odontologia, incentivando-os a refletirem sobre seu atendimento, bem como analisar a maneira que os pacientes creem ser atendidos. Foram coletados dados de 164 estudantes do terceiro, quarto e quinto ano por meio do instrumento Student Communication Assessment Instrument (SCAI) e de 164 pacientes atendidos na clínica de odontologia do Centro Universitário da Fundação Hermínio Ometto (FHO), por meio do instrumento Patient Communication Assessment Instrument (PCAI). Ambos os instrumentos apresentam 28 questões relacionadas a 3 categorias (1-sendo atencioso e respeitoso, 2- compartilhando informações, 3- cuidando do seu bem-estar). O PCAI apresenta mais uma categoria com 3 questões relacionadas a experiência com o tratamento odontológico. Todas as questões contendo uma escala de comunicação (ruim/médio/bom/muito bom/excelente). Os resultados mostraram concordâncias superiores a 98% na categoria 1,93% na categoria 2 e na categoria 3, e 96% de concordância na escala bom/muito bom/excelente. Em relação a categoria 4, exclusiva aos pacientes, mais de 92% apontaram como muito bom e excelente em relação a sua experiência com o tratamento odontológico oferecido. Conclui-se que, estudantes e pacientes avaliaram as técnicas de comunicação, sobre atendimento clínico, de forma análoga na escala bom/muito bom/excelente, o que refletiu na satisfação do paciente com o tratamento odontológico.