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O estudo analisou a produção atual do conhecimento científico em saúde bucal nos cursos de pós-graduação em Odontologia (stricto-sensu) sul-brasileiros, relacionando-a às diretrizes traçadas pela Agenda Nacional de Prioridades de Pesquisa em Saúde (ANPPS). Trata-se de uma pesquisa de abordagem quanti-qualitativa, de natureza exploratório-descritiva a partir de análise documental. Os dados, coletados de sítios eletrônicos oficiais no primeiro semestre de 2015, consistem em teses e dissertações produzidas entre 2011 e 2015, pelos programas de pós-graduação stricto-sensu em “Odontologia” ou “Ciências Odontológicas”, de Universidades Federais do Sul do país. Após leitura dos títulos e resumos, procedeu-se a classificação quanto à aderência das produções aos eixos da ANPPS, com posterior organização, tabulação, análise quantitativo-descritiva e análise qualitativa, discutindo-se possíveis lapsos entre políticas públicas e práticas, na implementação da ANPPS. A maior parte da produção de teses e dissertações analisadas não apresentou aderência aos tópicos da ANPPS (56,13%) relacionados à saúde bucal, sendo que as áreas de Odontopediatria e Saúde Coletiva detiveram as maiores médias de produção vinculadas (40,8%). Embora existam movimentos de assimilação e incorporação à ANPPS na pesquisa em saúde bucal, disciplinas clínicas tradicionais ainda não referenciam à Agenda e sua prioridade em estudos voltados às necessidades populacionais e interesses do Sistema de Saúde. A incorporação da ANPPS à pesquisa odontológica pode transformar a Odontologia brasileira em nova referência de construção de conhecimento para além do contexto nacional.

The study aimed to estimate the prevalence, severity, and inequality in the distribution of dental caries in schoolchildren from Florianópolis, Santa Catarina, Brazil, in 2011, and to compare the results with data from previous studies carried out since 1971. All 12- and 13-year-old schoolchildren enrolled in a public school were eligible. Dental caries were assessed according to the World Health Organisation diagnostic criteria. Decayed, missing and filled surfaces and teeth (DMFS/DMFT) indexes, the Significant Caries Index (SiC) and the Gini coefficient (to assess inequalities in the distribution of dental caries) were estimated. The response rate was 82.3% (n = 130). The prevalence of dental caries decreased from 98.0% (95% CI 96.0-100.0) in 1971 to 36.9% (95% CI 28.5-45.3) in 2011. The mean DMFT ranged from 9.2 in 1971 to 0.7 in 2011. The mean DMFS index was 1.2 (95% CI 0.8-1.6) in 2011. The Gini coefficient was 0.624 in 2002 but increased to 0.725 in 2011; the Lorenz curve showed that 70-75% of dental caries attacks was restricted to 20% of the population in 2011. A reduction of 41.2% in the mean SiC index was observed between 2002 (3.4, 95% CI 3.0-3.8) and 2011 (1.9, 95% CI 1.6-2.1). An effective decline in the prevalence and severity of dental caries in schoolchildren was observed throughout 40 years of monitoring. However, a small proportion of the population has experienced most of the caries burden in the recent years studied.

Background This study aimed to investigate the effect of metabolic syndrome (MetS) on tooth loss in adults from a population‐based sample. Methods Cross‐sectional analysis based on data from a cohort study (2009 to 2014) with adults from Southern Brazil. MetS (exposure), lack of functional dentition and number of lost teeth (outcomes) were assessed using self‐reported, laboratory and clinical data. Possible confounders included sex, age, family income, education level, smoking status, and sugar consumption. The effect of MetS on the outcomes was estimated using conventional logistic or negative binomial regression models. Marginal structural modeling (MSM) with stabilized weights (a counterfactual analytical method) was also used to enhance group comparability and estimate causal effects. Results A total of 1,283 participants had available information for the outcomes. Individuals with MetS were more likely to experience a lack of functional dentition than those without MetS (odds ratio [OR] from logistic regression, 1.7; 95% CI, 1.0 to 2.9; OR from MSM, 3.2; 95% CI, 2.3 to 4.6). Moreover, the number of teeth lost was 20% higher in participants with MetS compared with those without MetS in conventional analysis (mean ratio [MR], 1.2; 95% CI, 1.1 to 1.3). The MR increased to 1.7 (95% CI, 1.5 to 2.0) when using MSM. Conclusion Our findings provide evidence on the effect of MetS on tooth loss.

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