Objective: To evaluate the association between oral health of babies aged 6-36 months and the Mother's Sense of Coherence (SOC). Material and Methods: A cross-sectional pilot study was conducted in the city of Diamantina -MG with a convenience sample of 32 mothers and their babies, attended at the Dental Clinic for Babies at the Federal University of the Vales do Jequitinhonha and Mucuri. The survey included the filling of dental records of babies, a questionnaire given to the mothers about sociodemographic and oral hygiene of their babies, and self-administered SOC-13. Babies were submitted to a clinical intra-oral examination for the detection of dental caries and initial lesions according to World Health Organization (WHO) criteria. Data were analyzed by the t test and Pearson's correlation (p<0.05). The size effect calculation proposed by Cohen was used to test the clinical significance of results. Results: The prevalence of dental caries was 40.0%. Maternal SOC had a variation between 35 and 59, with mean score of 47.7 (SD = 6.09). The monthly family income was more than two minimum wages for 51.6% of families. There was no statistically significant association between dental caries and maternal SOC (p = 0.646). Regarding monthly family income, there was a statistically significant association with maternal SOC (p = 0.005). Maternal SOC was also significantly associated with nocturnal oral hygiene of babies (p = 0.008). Conclusion: The mother's sense of coherence was not associated with dental caries and was associated with nocturnal oral hygiene of babies and with family monthly income.
The present findings demonstrate that restorations with established and active lesions at the margins when visually inspected often require removal and retreatment.
STELLA, P. E. M.; FALCI, S. G. M.; COELHO, V. S. & DOS SANTOS, C. R. R.Hemodynamic behavior in third molar surgeries using lidocaine or articaine. Int. J. Odontostomat., 12(1):76-85, 2018.
SUMMARY:The aim of this research was to assess the hemodynamic variations during the extraction of impacted lower third molars using lidocaine 2 % or articaine 4 %, as local anesthetics. Fourteen patients with a mean age of 22.4 (SD=3.25), were submitted to the bilateral extraction of lower third molars, with an interval of three to four weeks between the two extractions. Systolic blood pressure, diastolic blood pressure, mean arterial pressure, heart rate and oxygen saturation in the blood were assessed at seven specific time points: baseline; anesthetic puncture; two minutes after anesthesia; osteotomy; suture and five minutes after the procedure had been completed. The statistical analysis involved descriptive analysis, the Shapiro-Wilk test, the Mann-Whitney test, the t-test and the repeated measurements test. No significant differences were found for any of the hemodynamic behavior variables when comparing lidocaine 2 % and articaine 4 %. Significant differences were found between the time points assessed within each group, particularly in relation to the variable heart rate. In the articaine group, systolic blood pressure exhibited a significant decrease five minutes after the procedure. There were no significant variations in hemodynamic behavior between the two different anesthetic groups (articaine 4 % and lidocaine 2 %).
This study assessed impact of socio-environmental, individual and biologic factors on the worsening and severe worsening of oral health-related quality of life (OHRQoL) among preschoolers and their families. A cohort study was conducted in Diamantina, Brazil, with 151 children between one and three years of age and their mothers, who were evaluated at baseline (2014) and re-evaluated after three years (2017). The children were clinically examined to assess the presence of dental caries, malocclusion, dental trauma and enamel defects. The mothers answered the Early Childhood Oral Health Impact Scale (B-ECOHIS) and a questionnaire addressing individual characteristics of the child and socio-environmental factors. Extensive caries found in the follow-up (RR= 1.91; 95% CI= 1.26-2.91) and failure to undergo the dental treatment recommended at baseline (RR= 2.49; 95% CI= 1.62-3.81) were associated with worsening of OHRQoL over three years. An increase in the number of children in the household (RR= 2.95; 95% CI= 1.06-8.25), occurrence of extensive caries in the follow-up (RR= 2.06; 95% CI= 1.05-4.07) and failure to undergo the dental treatment recommended at baseline (RR= 3.68; 95% CI= 1.96-6.89), were associated with a severe worsening of OHRQoL. In conclusion, the risk of worsening and severe worsening of OHRQoL was higher in preschoolers with extensive caries at follow-up and among those who did not undergo dental treatment. Furthermore, severe worsening of OHRQoL was also impacted by an increase in the number of children in the household.
This study evaluated the association between socioeconomic factors and stages of dental caries in children one to five years of age. A cross-sectional study was conducted involving 759 children enrolled in preschools in Diamantina, Brazil. The parents/caregivers filled out a form addressing socioeconomic factors. Add to the end of this sentence: and categorized in caries free (code 0 and 1), no obvious decay (code 2 and 3) and obvious decay (code 4, 5 and 6). Statistical analysis was performed using the Mann-Whitney test and multinomial regression. The prevalence of "no obvious decay" was higher among children from families with a larger number of income-dependent individuals (OR: 2.47; 95%CI: 1.41-4.31). The higher prevalence of "obvious decay" was associated with the child's age (
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