Among patients with -developmental disabilities, boys and psychotropic drug users had a greater chance of being mouth breathers.

Objective: To investigate factors associated with gingivitis in children aged one to 13 years with developmental disabilities. Material and Methods: A total of 408 dental records were used to recover the data. Gingivitis was measured based on the Modified Gingival Index. Other variables were also analysed: gender, age, International Classification of Diseases (ICD) code, mouth breathing, history of gastroesophageal reflux, use of psychotropic drugs, reports of dry mouth, history of asthma, use of medications to treat asthma, oral hygiene, dental caries, and filled or missing teeth in deciduous or permanent dentition. For the purposes of this analysis, the individuals were categorized as with and without gingivitis. Variables with a p-value < 0.25 in the bivariate analysis were incorporated into the logistic regression models (ICD, reflux, oral hygiene, primary tooth decay or filling, mouth breathing, dry mouth and use of psychotropic drugs). Results: We found a 14.67% prevalence of gingivitis. Individuals with mouth breathing had a 2.574-fold (95% CI: (1.113-5.950) greater chance of exhibiting gingivitis. Individuals with moderate oral hygiene had a 2.763-fold (95% CI: 1.066 to 7.160) greater chance of exhibiting gingivitis, and individuals with poor oral hygiene had a 15.029-fold (95% CI: 3.705-60.965) greater chance of exhibiting gingivitis than those with good oral hygiene. Conclusion: Moderate or poor oral hygiene and mouth breathing are factors associated with gingivitis in a group of patients with developmental disabilities at a dental service in Belo Horizonte.

Objective: To investigate the factors that influence oral health of girls, with developmental disabilities, attended by a dental service. Material and Methods: A Cross-sectional epidemiological study was carried out using information collected from 171 dental charts of children aged one to 13 years, with developmental disabilities who were treated between 1998 and 2013. Studied variables were: dental caries, gingivitis, bruxism, xerostomia, ingestion of cariogenic food and oral hygiene. Statistical analysis was performed using proportion calculations of each variable and by cluster analysis. Results: Three types of clusters were formed from girls based on three variables (presence of dental caries, gingivitis and bruxism). The choice of two clusters was due to a better understanding of the phenomenon (oral conditions). There was an average of 0.77 of deciduous and 0.21 permanent decayed teeth. Cluster 1 is composed of younger children with lower caries and gingivitis experiences; lower proportion of xerostomia and ingestion of cariogenic food, higher proportion of good oral hygiene and more bruxism experience. Conclusions: Dental caries and gingivitis among girls with developmental disabilities are influenced by factors whose relation of cause and effect has been discussed in the literature. Bruxism is a protective factor against these diseases.Results reinforce the need for early preventive interventions in this population.

Involuntary movements, mouth breathing, using anticonvulsant drugs, and using pacifier are factors associated with anterior open bite in patients with developmental disabilities.

Objective: To evaluate errors in dental prescriptions of antibiotics for therapeutic purpose. Material and Methods: This was a descriptive study using a random and calculated sample of 366 prescriptions (July1 2011 to June 30 2012), from a total of 31 105 dental prescriptions, was surveyed in an important drugstore chain in a large Brazilian city. Data was validated by double entry in Epi-data (EpiData Assoc, Odense M, Denmark) and then analysed in SPSS (version 19.0, Chicago, IL, USA). Statistical analyses included the calculation of proportions with a 95% confidence interval (CI). Results: We identified 272 prescriptions for therapeutic purpose. Prescription errors involved spelling of the antibiotic name, dose, dosing intervals and duration of treatment. A total of 116 prescriptions (42.6%; 95% CI 36.9%-48.6%) were considered to be totally correct with regard to the generic name, dose, dosing interval and duration of the antibiotic therapy. Most of the antibiotics prescribed by dentists showed errors related to the name, dose, intervals and duration of treatment. Conclusion: These errors may compromise the effectiveness of drug therapy, contribute to microbial resistance and increase the risk of adverse events and costs of treatment.

As experiências do projeto de extensão “Atendimento Odontológico a Pacientes com Necessidades Especiais” foram analisadas, a partir do enfoque da humanização do atendimento. Para isso, foram abordados os obstáculos relacionados ao estabelecimento de vínculos com o usuário e sua família, aos sistemas de referência e contra-referência à atenção secundária, à infra-estrutura e ao exercício profissional. A partir dos problemas detectados, foram propostas soluções relacionadas à formação do cirurgião-dentista, à prática clínica, à comunicação verbal e não verbal e ao uso de alternativas específicas para este grupo. Observa-se que as consultas periódicas e sistematizadas aos serviços de atenção básica ajudam no controle dos processos de adoecimento e permitem uma atenção mais humanizada aos pacientes com necessidades especiais. Palavras-chave: humanização da assistência, assistência odontológica para pessoas com deficiências, deficiências do desenvolvimento.     Considerations on the Humanization of Assistance in the dental care to patients with special needs from an outreach project Abstract: The experiences of the extension project "Dental Care for People with Special Needs" were analyzed from the perspective of the humanization of assistance. For this purpose, the barriers related to the establishment of connections with the patient and his family were addressed, with the systems of referral and counter-referral for secondary care, and with the organization, infrastructure and professional practice. From the detected problems, solutions have been proposed which are related to the formation of the dentist, with the clinical practice, verbal and nonverbal communication and the use of specific alternatives for this group. It has been observed that the periodic return visits and systematic attention to basic services could help in the control of the illness processes and allow more humane care for people with special needs. Keywords: humanization of assistance, dental care for disabled people, developmental disabilities. Consideraciones acerca de la humanización de la atención dental a pacientes con discapacidades del desarrollo desde un proyecto de extensión Resumen: Se analizaron las experiencias del proyecto de extensión "Cuidado Dental para Personas con Necesidades Especiales", desde el punto de vista de la humanización de la atención. Para esto, los obstáculos se abordaron en relación con el establecimiento de vínculos con el usuario y su familia, la referencia y sistema de contra-referencia a la atención secundaria, la infraestructura y la práctica profesional. De los problemas detectados, soluciones se han propuesto en relación con la formación (capacitación) de los dentistas, práctica clínica, la comunicación verbal y no verbal y el uso de alternativas específicas a este grupo. Se observa que las consultas periódicas y sistemáticas a la atención primaria ayudan en el control de los procesos de la enfermedad y permiten una mayor atención humanizada para personas con necesidades especiales. Palabras-clave: humanización de la asistencia, atención dental para personas con discapacidades, las discapacidades del desarrollo.

The aim of this study is to investigate the relationship between the epidemiological and clinical profiles of patients before and after hematopoietic stem cell transplantation (HSCT) and the need for endodontic treatment. The subjects included 188 individuals enrolled in the dental care program for transplanted patients of the School of Dentistry, Federal University of Minas Gerais (Faculdade de Odontologia da Universidade Federal de Minas Gerais, FO-UFMG) from March 2011 through March 2016. The patients were subjected to an HSCT conditioning dental regimen based on a thorough clinical and radiographic evaluation. Intraoral periapical and bite-wing X-rays were obtained, and after evaluation, specific dental treatment was planned and performed. The following demographic and clinical data were collected from the patients' medical records: age, gender, transplantation stage, primary disease, transplant type, medication used, complete blood count at the time of visit, and need for endodontic treatment. The Kolmogorov-Smirnov and the chi-square tests were used. Leukemia (31.3%) and multiple myeloma (17.9%) were the most prevalent primary diseases. Most patients were subjected to allogeneic-related transplantation (83.6%). Most patients exhibited platelet counts and hemoglobin concentrations below the reference values in the pre-transplantation stage, while the neutrophil and platelet counts and the hemoglobin levels were within the reference ranges in the post-transplantation stage. The proportions of individuals requiring endodontic treatment were similar between the pre-and post-transplantation groups: 24.3% and 24.7%, respectively. The systemic conditions of the patients referred for dental treatment were compromised.

Resumo Introdução O uso de psicotrópicos por cirurgiões-dentistas é permitido por lei no Brasil para casos clínicos específicos. São poucos os estudos sobre a sua utilização na odontologia. Objetivo Este estudo investigou a prescrição de psicotrópicos por cirurgiões-dentistas inscritos no Conselho Regional de Minas Gerais e seu conhecimento sobre a Portaria 344/1998. Método Foram enviados aos 15.250 cirurgiões-dentistas um questionário eletrônico com 13 questões abordando a prescrição de psicotrópicos, e foram respondidos 969 questionários. Foram estudados: o tempo de formado, tipo de instituição de graduação, tipo de pós-graduação, medicamentos mais prescritos, conhecimento sobre a Portaria 344/1998 e público mais frequente que recebe a prescrição. Resultados 257 profissionais prescrevem psicotrópicos e 223 conhecem a legislação. Um preocupante percentual de profissionais que prescreve esses medicamentos não conhece o teor da Portaria 344/1998. Os analgésicos opioides são os medicamentos mais prescritos. Os especialistas são os que mais prescrevem psicotrópicos (p=0,015), e aqueles que prescrevem ansiolíticos conhecem a legislação com maior frequência (p=0,003). Os cirurgiões bucomaxilofaciais (p=0,02) e os especialistas em distúrbios da articulação temporomandibular (0,03) são os que mais conhecem a legislação e prescrevem medicação psicotrópica. A dor forte e o medo são as duas principais razões para a prescrição. Conclusão Ser especialista e conhecer a Portaria 344/1998 são fatores associados à prescrição de psicotrópicos entre cirurgiões-dentistas.