Despite of the ideal number of visits, the quality of care has been classified as intermediate or inadequate, besides that, precarious access to the orientation for the childbirth during the prenatal care has been evidenced.

Background: The bariatric surgery may have negative repercussions on oral conditions. Aim: To evaluate the impact of oral health educational/preventive program developed with patients submitted to gastroplasties. Method: The sample consisted of 109 patients randomly allocated to two groups: intervention group (IG), where they participated in the oral health promotion program that include multiple educational-preventive approaches; control group (CG), where they received usual care from the bariatric clinic staff, without participation in the program. The oral conditions investigated in the pre-operative and postoperative periods of one month (1M) and six months (6M) were: dental caries, periodontal disease, tooth wear, dental plaque and salivary flow. Results: After bariatric surgery, patients in IG presented: fewer changes in enamel (6M: p=0.004), dentin (6M: p=0.005) and gingival bleeding (6M: p<0.0001), reduction in plaque index (1M, 6M: p<0.0001) and increased salivary flow (6M: p=0.039), when compared with CG. Incipient tooth wear was recorded in both groups (6M: p=0.713). Conclusion: There was a positive impact of the implemented program in the prevention of the main oral health problems in patients who underwent gastroplasties, contributing to their quality of life.

Objective: To evaluate the sweetness taste preference levels and their relationship with the nutritional and dental caries patterns among preschool children. Material and Methods: The participants of this cross-sectional study were 191 children aged 4 to 5 years, who were regularly attending public Child Education Centers of a city southern Brazil. Children's preference for sugar was evaluated by the Sweet Preference Inventory; caries prevalence, according to the World Health Organization criteria, and nutritional status, by anthropometric weight and stature measurements, in accordance with child growth standards of the World Health Organization. Results: High levels of sweetness preference were identified. The majority of children (67.5%) opted for the most concentrated sucrose solutions. Excess weight was recorded in 27.7% of the preschoolers. The prevalence of caries was 51.8%, with the mean dmf-t equal to 1.92 (± 2.72) and the decayed (c) component responsible for 94.2% of the index. No significant association between sweetness preference and the nutritional or the oral health patterns could be established. In addition, no association between excess weight and dental caries was identified. The diseases studied were only associated with sociodemographic variables. Excess weight was associated with maternal age (p=0.004) and caries experience with family income (p=0.013). Conclusion: No significant associations could be stablished between the sweetness taste preference and the diseases studied, nor between excess weight and dental caries. However, the findings of high patterns of sweet preference, excess weight and untreated caries experience, highlight the need for the implementation of integrated public policies aimed at controlling both nutritional and of oral health problems in the studied population.

O objetivo desse estudo transversal foi identificar o padrão de saúde bucal de idosos portadores de Diabetes Mellitus tipo 2 e compará-lo ao de idosos sem a doença. A amostra incluiu 504 idosos independentes, acima de 60 anos, do município de Londrina, sul do Brasil. As condições bucais foram avaliadas pelos índices CPO-D (dentes permanentes cariados, perdidos e obturados), CPI (Índice Periodontal Comunitário) e PIP (Índice de Perda de Inserção Periodontal), adotando-se critérios da Organização Mundial de Saúde. A presença de diabetes foi avaliada por meio de informações autorreferidas, medicação utilizada e níveis sanguíneos de hemoglobina glicada (HbA1C). Os idosos foram classificados em três grupos: diabéticos controlados (CD), diabéticos não- controlados (NCD) e não-diabéticos (ND). Os dados foram analisados pelos testes Qui- Quadrado e Kruskal Wallis, α=5%. Do total de idosos, 69%, 23% e 8% foram classificados nos grupos ND, NCD e CD, respectivamente. Considerando-se a condição periodontal, foi observada diferença estatística entre os grupos de idosos com relação à presença de cálculo (p=0,021) e perda de inserção (p=0,041). O grupo NCD apresentou maiores prevalências de cálculo (90,9%) e de perda de inserção severa (20%) que as apresentadas pelos outros grupos: ND (74,2%; 6,3%) e CD (66,7%; 4,8%). Não houve diferença estatística nos valores médios do Índice CPO-D entre os três grupos.  Os resultados apontaram para piores indicadores de saúde bucal entre idosos diabéticos não controlados. Por seu importante papel no controle glicêmico de idosos com diabetes, a realização de procedimentos clínicos, com atenção especial à doença periodontal, faz-se necessária.   PALAVRAS-CHAVE: Diabetes Mellitus. Idoso. Saúde Bucal.                                                                                                                     

ResumoA cárie precoce repercute, negativamente, na vida da criança. Este estudo avaliou o nível de conhecimento, práticas maternas e o padrão de saúde bucal de crianças assistidas pela rede pública de saúde de um município do Sul do Brasil. Foram analisados 279 prontuários de crianças que estavam sendo atendidas na clínica de bebê de uma Unidade Básica de Saúde. O conhecimento, as práticas nos cuidados com a saúde bucal infantil e o perfil sócio demográfico das famílias foram identificados em entrevistas realizadas com as mães no início do atendimento. Verificou-se os procedimentos clínicospreventivos realizados, número de consultas e faltas e se avaliou a condição de saúde bucal da criança na última consulta. Foram aplicados os testes Mann-Whitney e Kruskal-Wallis, fixando-se o nível de significância em 5%. As mães apresentaram um conhecimento razoável, porém suas práticas, principalmente, com cuidados alimentares das crianças eram precárias. Procedimentos preventivos predominaram na atenção odontológica oferecida, contudo, 20,8% das crianças desenvolveram cárie dentária, sendo o índice ceo-d médio igual a 0,53 (DP=1,35). A maior severidade de cárie se associou à maior idade da criança (<0,001) e da mãe (p=0,006), menor renda familiar (0.036), maior tempo de tratamento (<0,001) e maior número de faltas às consultas (<0,001). A atenção odontológica é importante a partir do primeiro ano de vida, assim como as ações em saúde bucal, com atividades educativas direcionadas aos programas pré-natais, além do desenvolvimento de estratégias para aumentar a adesão das mães/ crianças aos programas promocionais em saúde bucal que são oferecidos pela rede pública de saúde. Palavras-chave: Criança. Saúde Bucal. Mães. Cárie Dentária. Conhecimento.Abstract Early caries has a negative impact on the child's life. This study evaluated the level of knowledge, maternal practices and oral health pattern of children assisted by the public health network of a municipality in the south of Brazil. Information was analyzed from 279 medical records of children treated at the baby clinic of a Basic-Health-Unit. The knowledge, practices in care of children's oral health and sociodemographic profile of families were identified in interviews with mothers at the beginning of care. The clinical-preventive procedures performed, number of consultations, absences were checked and the child's oral health condition was evaluated at the last visit. The Mann-Whitney and Kruskal-Wallis tests were applied, setting the level of significance at 5%. The mothers presented a reasonable level of knowledge, however, their practices,particularly those about care related to feeding their children were precarious. Preventive procedures predominated the offered dental care, however, 20.8% of the children developed dental cariesmean dmf-t index 0.53 (SD = 1.35). The highest level of caries severity was associated with the highest age of both the child (<0.001) and mother (p = 0.006), lower family income (0.036), longer treatment time (<0.001) and higher number absenc...