Purpose To evaluate the stability of interdental papilla filling using hyaluronic acid (HA) to treat black triangles in esthetic regions. Methods The protocol was registered in PROSPERO. Six databases (PubMed, Scopus, Embase, Lilacs, SciELO, and Web of Science) were used as primary search sources, and OpenGrey and OpenThesis were used to capture the “gray literature.” Only before‐after studies were included. The JBI Checklist assessed the risk of bias. Only four studies met the inclusion criteria and were considered for the analyses. The studies were published from 2010 to 2016. All studies presented a low risk of bias. Considering the studies do not have control groups, a weighted average by sample size was calculated to obtain a general estimate of the percentage of papillary filling after 6 months and the number of HA applications. Results The studies showed the percentage of papillary reconstruction after 6 months of application, the weighted average by sample size was 77.41% (SD = 20.68), with an average number of applications of 3.17 (SD = 0.31). Conclusion The application of HA may be used to repair anesthetic defects in the papilla. Clinical significance Interdental papilla reconstruction with injectable HA is an option of nonsurgical treatment for interdental papilla deficiencies. However, there is still concern about the quality of the evidence available, considering that studies with different experimental designs can produce contradictory results. Moreover, further understanding is required on the stability of tissue gain promoted by HA in black triangles.
A integração ensino-serviço propõe uma nova forma de pensar a formação. O papel do preceptor é fundamental, mediando o aprendizado do estudante a partir de vivências nos serviços. O presente estudo transversal objetivou avaliar o perfil de competências dos cirurgiões dentistas (CD) atuantes na Atenção Primária em Saúde no município de Campina Grande quanto ao exercício da preceptoria, entendendo a importância desses resultados para as instituições repensarem a formação e proporcionar à gestão o conhecimento do perfil de profissionais que integram sua rede de assistência.Os dados foram coletados por meio de questionário e então submetidos a análise estatística descritiva, bem como empregou-se a análise de diferença de proporções (teste qui-quadrado de Pearson ou teste exato de Fisher, quando apropriado) para investigar associações entre as variáveis qualitativas estudadas. A maior parte assinalou que a integração ensino-serviço na formação do CD é extremamente importante (n = 19; 44,2%). Uma parcela expressiva ainda não participou de formação para preceptores (n = 31; 72,1%), constatou-se associação estatisticamente significativa entre já ter participado de alguma formação e relato de sentir-se preparado para a função (p = 0,005). Foram relatadas dificuldades no processo de desenvolvimento da preceptoria (n = 32; 74,4%), destacando-se falta de programa de capacitação (n = 29; 67,4%). Os resultados apontam para a necessidade de processos formativos para os preceptores, que contribuam para uma reflexão consistente sobre o modelo de atenção à Saúde e formação de novos profissionais.
To investigate the socioeconomic, demographic and health needs that influence the access to oral health actions. Material and Methods: The sample consisted of 609 individuals who lived in areas covered by the Family Health Strategy in a city of the Northeast of Brazil. All individuals living in areas covered by the FHS with age equal to or higher than six years were included. Data analysis included descriptive, bivariate and multivariate statistics using decision-tree based Chi-squared automatic interaction detection (CHAID). Results: Most participants were female, aged 25-34 years, ranging in age from 6 to 87 years. It was evidenced that, among the studied variables, the most relevant for understanding the access to oral health actions were: age (p<0.001), educational level (p-value in Node 1 = 0.009; p-value in Node 7 = 0.005) and self-perception of oral health (p=0.001). Conclusion: The results suggest that access to oral health actions is influenced by several social and individual factors, and it is marked by inequalities that favor individuals with higher educational level, better self-perception of oral health and lower age groups.
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