BackgroundOver the past few years, the association between metabolic disorders and periodontitis has been widely studied and recognized. However, the relationship between metabolic syndrome (MetS) and periodontitis remains controversial. The aim of the present case‐control (1:3) study is to evaluate the potential association between periodontitis and MetS, as well as the influence of risk variables on this association.MethodsSamples comprised 122 individuals with MetS (cases) and 366 controls. Plaque index, probing depth, clinical attachment level, and bleeding on probing were evaluated through a full‐mouth periodontal examination. The association between risk variables, MetS, and periodontitis was tested through univariate analysis and multivariate logistic regression.ResultsA high prevalence of periodontitis was observed among cases (54.6%) when compared with controls (45.4%). Significant variables associated with the occurrence of periodontitis in the final logistic model were: MetS (odds ratio [OR] = 2.02; P = 0.003), number of teeth ≤14 (OR = 1.78; P = 0.034), and smoking (OR = 2.19; P = 0.001).ConclusionsAn important risk association between MetS and periodontitis was reported, being that individuals with MetS presented worse periodontal status and higher prevalence, severity, and extension of periodontitis.

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Periodontal diseases are infectious inflammatory chronic diseases of a multifactorial nature. They are primarily caused by dysbiotic ecological changes in dental biofilm, which may be influenced by risk factors. The prevention of periodontal diseases may involve different strategies focused on reducing distal, intermediate, and proximal risk factors at both the population and individual levels. Effective prevention depends on interdisciplinary and common risk factor approaches. Also, patient-centered preventive models are more effective than professional-centered models in the management of periodontal diseases. Regular and periodic control of dental biofilm is an essential measure for the different levels of prevention of periodontal diseases. The effectiveness of periodontal disease prevention largely depends on positive modifications of behavior, knowledge, health literacy, patient empowerment, motivation, and compliance.

Objetivo: A capacidade de diagnóstico é fundamental em todas as áreas da odontologia. Na periodontia o diagnóstico deve ser criterioso, exigindo dos estudantes e profissionais conhecimento, habilidade e percepção. A utilização dos recursos disponíveis e interpretação correta dos mesmos resultam em um diagnóstico apropriado e influenciam diretamente do sucesso terapêutico. Diante disso, este estudo teve como objetivo avaliar os conhecimentos e atitudes de acadêmicos da Faculdade de Odontologia da Universidade de Itaúna sobre o diagnóstico em periodontia.Métodos: Participaram do estudo 154 estudantes do 7º ao 10º período que cursavam a disciplina de Clínica Integrada e já tinham passado pela disciplina de periodontia.Resultados: Os resultados revelaram que os estudantes possuem dificuldades para realização do diagnóstico das doenças periodontais. A maior dificuldade aparenta estar na aplicação dos conhecimentos adquiridos durante o curso na prática clínica.Conclusão: A literatura indica que recursos didáticos como o fluxograma, podem beneficiar os estudantes e resultar no aumento de diagnósticos corretos.Descritores: Periodontia – diagnóstico. Serviços de diagnóstico. Diagnóstico – métodos.

AimsData on halitosis among individuals with Down syndrome (DS) are scarce. The aim was to evaluate factors associated with the occurrence of halitosis reported by parents/caregivers (P/Cs) in individuals with DS.Methods and ResultsA cross‐sectional study was conducted in non‐governmental assistance institutions in the State of Minas Gerais—Brazil. P/Cs have answered an electronic questionnaire with sociodemographic, behavioral and oral health data. Factors associated with halitosis were evaluated by multivariate logistic regression. The sample comprised 227 P/Cs (age 48.8 ± 13.2 years; 82.9% mothers) of individuals with DS (age 20.8 ± 13.5 years). The prevalence of halitosis in the total sample was 34.4% (n = 78) and its occurrence was associated: 1) in individuals with DS ≤18 years old (26.2%; n = 27)—negative perception of oral health (OR = 3.91); 2) in individuals with DS > 18 years (41.1%; n = 51)—gingival bleeding (OR = 4.53), absence of tongue brushing (OR = 4.50), negative perception of oral health (OR = 2.72).ConclusionsThe occurrence of halitosis in individuals with DS reported by P/Cs was relevant and associated with dental factors, having a negative impact on the perception of oral health. Oral hygiene practices, especially tongue brushing, should be reinforced to prevent and control halitosis.