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Objective: To identify the sociodemographic factors and the oral health conditions related to the impact on the quality of life of adolescents. Material and Methods: Cross-sectional study with 1,417 students of both sex aged 15-19 years in São Lourenço da Mata -PE, Brazil. The collected information comprised sociodemographic data (gender, age, race / color), oral health status (dental caries, periodontal disease and pain) and impact on oral health-related quality of life of adolescents through the OIDP test. Statistical analysis used the Pearson's chi-square test and multiple logistic regression, with 5% significance level. Results: High impact on oral health-related quality of life was evidenced in 66.1% of adolescents. The prevalence of dental caries, gingival bleeding and pain was respectively 51.29%, 49.60% and 73.6%. The multiple regression analysis found that the high impact on the quality of life was related to the oral health condition and sex of teenagers, showing that girls, who had higher prevalence of dental caries and pain, had greater impact related to oral health. Conclusion: Dental caries and pain of dental origin cause a high impact on the quality of life of adolescents, being higher among girls.

Objective: identifying the parents/guardians’ knowledge about the oral health condition of oncological children assisted at the Pediatric Oncology Department of the Institute of Integral Medicine Professor Fernando Figueira. Methods: A cross-sectional study comprising a sample of 163 parents/guardians of children assisted at the Pediatric Oncology Department of the IIMP in the city of Recife, Pernambuco, applying a semi-structured form, tested with 10% of the sample in a pilot study. Results: Most of the parents/guardians were female subjects (87%) and patients’ mothers (81%), between 25 and 34 years of age (44.8%), with a family income of a minimum wage (47%), educational level until elementary school (51.6%) and from the countryside of the state of Pernambuco (56%). Most of the children were male subjects (58.9%) with average age of 7.57 years, who had attended or stopped primary school (54.6%) and had been diagnosed with Acute Lymphoblastic Leukemia (57.7%) and treated with chemotherapy (92.6%). All parents considered important to have dental surgeons in the oncology department assisting the children in their oral hygiene. More than half of these parents reported knowing about how to avoid caries (63%) and, almost half of the children had never had a consultation with a dentist before (41.1%). Conclusion: Parents/guardians have information about oral health care, but they do not put it into practice.

The aim of this study was to determine the prevalence of Patients with Special Needs seen at the pediatric outpatient clinic of a type III CEO.Method: Descriptive cross-sectional study carried out by surveying 1,384 clinical records of patients from 0 to 19 years of age, with confirmed diagnoses of some special need and attended from June to September 2018.  Information collected from medical records such as: the registration number, sex, age, origin, the type of special needs and the history of caries experience. Then, the classification was applied according to the diagnosed pathology, elaborated by Santos & Haddad. Results: Most patients were male (58.2%) and lived in the Metropolitan Region of Recife (51.4%). Regarding special needs, it was found that the highest percentages correspond to patients with Congenital Defects (27.4%), Chronic Systemic Diseases (21.1%), Special Physiological States (15.2%), Physical Defects (14, 7%), Sensory and Audio-communication Defects (8.5%), Behavioral Deviations (4.8%), Intelligence Deviations (4.3%), Endocrine-Metabolic Diseases (3.6%) and Deviations Psychic (0.2%).

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The goal of this study was to evaluate the association of behavioral and psychosocial factors as mediators of the oral health impact conditions related to the adolescents quality of life. Cross-sectional study with 1417 students, both sexes, 15-19 years old in a Brazilian city. The impact of oral diseases related to the quality of life was assessed by Oral Impact on Daily Performances (OIDP), dental caries by the decay-missing-filled teeth index (DMFT index), periodontal disease by the Community Periodontal Index (CPI index) and the pain at endpoint. Information on the behavioral and psychosocial factors was collected. Statistical analysis was performed using the chi-square test and multiple logistic regression, with 5% significance level. The majority of adolescents considered that the oral health conditions produced high impact on the quality of life (66.1%). It was evidenced that caries, pain of dental origin, birth order, regular dental care, and high sugar consumption significantly associated with high impact on quality of life related to oral health. The decay and the dental origin pain produce a high impact on the quality of life related to oral health, and these impacts are associated with both behavioral and psychosocial factors.

Difficulty of caregivers in performing oral hygiene for Patients with Special Needs, usually leads to demotivation and negligence. In order to adhere to healthy habits, an intervention model was created: Motivational Interview (MI). It consists of a collaborative conversation to strengthen motivation and commitment to change. Objective: To evaluate the effectiveness and legitimacy of MI in a single session on the oral health of children with special needs, unable to perform their hygiene. Methods: Exploratory study with paired randomization, double-blind, including caregivers of patients aged 2 to 19 years treated at the Physical and Motor Rehabilitation Center of IMIP/Recife-Brazil. Caregivers were allocated to a test (Motivational Interview) or control (Traditional Counseling) group. In t0, they answered questionnaires, and the child's dental chart and Visible Plaque Index (VPI) were filled. MI group participated in a 10 min Motivational Interview involving guidance on brushing techniques and making mouth openers. TC group attended a lecture addressing the same theme. In t1, questionnaires were reapplied, followed by a new VPI and dental chart, in addition to a satisfaction survey regarding the methodology used. Results: After 30 days, the MI group showed a decrease in VPI when comparing the medians (14.70 vs. 10.71) and an increase in the frequency of daily brushing to 03 x or more (44.4 % vs. 77.8 %), while the TC group remained practically stable (8.75 vs. 10.71 and 28.6), but with no statistically significant difference between groups (p = 5 %). Both legitimized the workshop as a pleasurable activity (100 %) and felt motivated after completion (TC = 85.7 %, MI = 100 %). Conclusion: A single session of MI reduced VPI from disabled children, however, without proving to be more effective than Traditional Counseling.

Objective: To evaluate the access of adolescents aged 15 to 19 years with heart disease to oral health services at a reference hospital in the city of Recife, Brazil. Material and Methods: A cross-sectional study was conducted at the Cardiology Clinic of Instituto de Medicina Integral Prof. Fernando Figueira (IMIP) from April to September 2015 using a convenience sample of 83 adolescents with heart disease. A questionnaire was administered in interview form to adolescents and/or parents/guardians to collect information on socio-demographic characteristics, the use of dental services and oral health habits. Data analysis was performed using descriptive statistics and association tests (chi-square test and Fisher's exact test), with the significance level set to 5% to identify possible associated factors. Results: Fifty-two adolescents (62.7%) had never been denied dental care due to their condition. Public services accounted for 66.3% of the care offered. Checkup/prevention was the main reason for seeking care (39.8%). Many of the adolescents exhibited inadequate oral hygiene habits. Forty-four (53%) did not brush their teeth regularly at night and 66 (79.5%) did not floss. No statistically significant association was found between access to dental care and social class (p=0.148), with whom the adolescent resided (p=0.607), birth order (p=0.598), race (p=0.068), education level of the head of the household (p=0.828) or scholastic failure on the part of the adolescent (p=0.196). Conclusion: Most adolescents with heart disease obtained dental care, although most did not have adequate hygiene habits. Moreover, socio-demographic, psychosocial and behavioral factors exerted no influence on access to oral health services. Further studies on this issue are needed.