The aim of the present study was determine the prevalence and factors associated with dental caries and periodontal disease in Brazilian children and adolescents with cerebral palsy (CP). This is a cross-sectional study conducted with 80 patients ranging in age from 2 to 18 years old. Oral exams were conducted by an examiner with records of DMFT, dmft, Gingival Bleeding Index (GBI) and Community Periodontal Index (CPI). The statistical analysis used Poisson Regression with robust variance estimation (α = 0.05). The prevalence of dental caries was 59.3%, with DMFT and mean dmft of 1.71 ± 2.42 and 2.22 ± 3.23, respectively. The mean GBI was 22.44%, and in the CPI, the prevalence of gingival bleeding, calculus, shallow and deep pockets were 94.73%, 79.62%, 12.90% and 3.22%, respectively. The caregiver’s educational level of less than eight years were associated with the dental caries experience (PR = 1.439; 95%CI = 1.09–1.89). The periodontal alterations were associated with female sex (PR = 0.82; 95%CI = 0.69–0.97), caregiver’s educational level of less than eight years (PR = 1.15; 95%CI = 1.03–1.29), poor oral perception (PR = 0.89; 95%CI = 0.80–0.98), serious communication problem (PR = 0.87; 95%CI = 0.76–0.99) and athetoid type of CP (PR = 0.85; 95%CI = 0.75–0.97). The patients with CP presented high dental caries experience and periodontal alterations, which were associated with their demographic, socioeconomic, oral health perception and systemic information.

The prevalence of dental trauma was high, but not associated with clinical variables and evaluated socioeconomic indicators.

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Avaliar o acesso e identificar as barreiras ao cuidado em Saúde Bucal de Crianças com Deficiência Motora (CDM) em João Pessoa-PB, a partir das perspectivas de seus cuidadores. Metodologia: Utilizou-se abordagem indutiva, procedimento descritivo e técnica de observação direta intensiva, por meio de entrevista. Participaram do estudo 43 dos 59 cuidadores de CDM de 0-12 anos identificados, selecionados por conveniência. As entrevistas, gravadas em áudio, foram transcritas e analisadas descritivamente e qualitativamente (técnica do Discurso do Sujeito Coletivo-DSC). Resultados: Segundo relato dos cuidadores, o diagnóstico das crianças foi Paralisia Cerebral (86%; n=36), Hidrocefalia (4%; n=2), Mielomenigocele (2%; n=2), Síndrome de West (2%; n=1), Síndrome de Down (2%; n=1) e Síndrome de Rett (2%; n=1). O acesso ao dentista foi obtido por 69% (n=30) das crianças, sendo 50% (n=15) no setor privado. Dificuldades para obter o acesso foram encontradas por 65% (n=28), entre elas, baixa oferta de dentistas para atender pacientes especiais (75%; n=21), demora no agendamento (18%; n=5) e indisponibilidade de realizar o procedimento com anestesia geral (7%; n=2). O DSC obtido da percepção sobre o cuidado em saúde bucal foi: O cuidado em Saúde Bucal é medidas de prevenção, promoção e controle, através da higienização e eliminação de hábitos deletérios, além do acompanhamento periódico com o dentista. Conclusão: A partir da percepção do cuidador, o acesso ao cuidado em saúde bucal das CDM é difícil, apresentando como barreiras: baixa oferta de dentistas para atender pacientes especiais, demora no agendamento e necessidade de anestesia geral. Acesso aos Serviços de Saúde. Saúde bucal. Pessoas com necessidades especiais. Objective: To evaluate the access and identify obstacles for oral health care of Children with Motor Disability (CMD) in the city of Joao Pessoa-PB, from caregivers' perspectives. Methods: It was employed an inductive approach, descriptive procedure and intensive direct observation technique by means of interview. The study encompassed 43 out of the 59 caregivers of identified CMD aged 0-12 years, selected by convenience. Audiorecorded interviews were transcripted and analyzed descriptively and qualitatively (Collective Subject Discourse technique-CSD). Results: According to caregivers' reports, children's diagnoses were cerebral palsy (86%; n=36), hydrocephaly (4%; n=2), spina bifida (2%; n=2); West syndrome (2%; n=1), Down syndrome (2%; n=1) and Rett syndrome (2%; n=1). The access to dentist was achieved by 69% (n=30) children, from which 50% (n=15) was in the private practice. Difficulties in getting access were found by 65% (n=28); among those, are: low supply of dentists to support disabled patients (75%; n=21), delay in scheduling (18%; n=5) and unavailability to perform the procedure without general anesthesia (7%; n=2). The CSD gathered from the perception on oral health was: Oral health care is measures for prevention, promotion and control, through cleansing and elimination of harmful habits, besides be...

Objective: To introduce the main theoretical and methodological aspects of the external evaluation of the 1 st cycle National Program for Quality Evaluation (AE-PMAQ/CEO). Material and Methods: This is an evaluative and quantitative research carried out in all Centers for Dental Specialties-CEO of Brazil, and macro-geographical regions were taken into account for analysis. The general AE-PMAQ/CEO coordination was from the Collaborative Centre for Oral Health Surveillance of the

Objective: to analyze the prevalence of bullying victimization and aggression and the typologies associated with the sociodemographic factors and risk behaviors in students.Method: cross-sectional study, developed in municipal schools of elementary education in Campina Grande, Paraíba, Brazil, with the sample being comprised of 678 adolescents enrolled in the 6 th to 9 th school years. The data were processed using the statistical school program Statistical Package for the Social Sciences, considering a significance level of 5% and a confidence interval of 95% for carrying out the Person's chi-squared test.Results: the prevalence of bullying victimization reached 29.5%, with a predominance of psychological bullying, 23.3%, with the majority involved being male. Regarding the practice of bullying, 8.4% of the students said they practiced bullying against their peers.Conclusion: an association between bullying aggressors and risk behavior in school was observed. DESCRIPTORS:Violence. Bullying. Adolescent. Victimization. Aggression. BULLYING: PREVALÊNCIA E FATORES ASSOCIADOS À VITIMIZAÇÃO E À AGRESSÃO NO COTIDIANO ESCOLAR RESUMOObjetivo: analisar a prevalência de vitimização e agressão por bullying e tipologias associadas aos fatores sociodemográficos e comportamentos de risco em estudantes.Método: estudo transversal, desenvolvido em escolas municipais de ensino fundamental em Campina Grande, Paraíba, Brasil, sendo a amostra representada por 678 adolescentes matriculados do 6º ao 9º ano escolar. Os dados foram atualizados com o programa escolar estatístico Statistical Package for the Social Sciences, sendo utilizado nível de significância de 5% e intervalo de confiança de 95% para realização do teste qui-quadrado de Person.Resultados: a prevalência de vitimização de bullying alcançou 29,5%, com predomínio do bullying psicológico, 23,3% e envolvimento majoritário do sexo masculino. Quanto à prática de bullying, 8,4% dos estudantes afirmaram praticarem bullying contra os pares.Conclusão: pode-se observar associação entre agressores de bullying com comportamento de risco na escola. DESCRITORES:Violência. Bullying. Adolescente. Vitimização. Agressão.

Purpose: To evaluate the anti-adherent activity of Rosmarinus officinalis (Rosemary) essential oil on Candida albicans (ATCC289065). Methods: The effect of the essential oil of R. officinalis at concentrations of 0.56 mg/mL, 1.12 mg/mL and 2.25 mg/mL on C. albicans adherence was examined using Scanning Electron Microscopy (SEM) analysis. A test piece of acrylic resin, 2 mL of Sabouraud Dextrose broth, 0.2 mL of fungal inoculum and 2 mL of R. officinalis essential oil in the various test concentrations were combined in sterile glass tubes. Sterile distilled water and nystatin (100.000 IU/mL) were used as controls. The essential oil test products were combined with the fungal samples under two different conditions: at the same time as the other components of the adhesion device (t=0 h) or 24 h after the combination of the other components (t=24 h). The tubes were incubated at 37 °C for 48 h. The specimens were fixed and prepared for SEM analysis. Results: At 0.56 mg/mL, the effect of R. officinalis essential oil was similar to that of nystatin (t=0h and t=24 h). At 2.25 mg/mL, the essential oil caused significant cell disruption and inhibition of adhesion. An intermediate effect was observed at 1.12 mg/mL. Greater inhibition of adhesion was observed at t = 24 h. Conclusion: The essential oil of R. officinalis had an anti-adherent effect on C. albicans. Greater inhibition of adhesion was observed in cultures undergoing cellular aggregation (t=24 h) and at higher concentrations of the natural product.

The purpose of this research was to evaluate the reduction of the VPI (visible plaque index) and of the GBI (gum bleeding index) in children seen at a unit of SUS, in the state of Rio de Janeiro. A comparative and statistical procedure (t-test, by means of the GMC program) was employed in order to assess the variation between initial and final mean VPI and GBI values. Initial values were registered in the beginning of the assistance program, and final values were registered after the children had participated in health promotion activities, which included weekly supervised brushing sessions, individual dietary guidance, collective instructive activities in which parents were present, adjusting of the oral environment, as well as restorative and surgical dental care, during an average period of six months. The studied sample comprised fourty-two children, with an average age of nine years, who presented an average of four teeth affected by caries. The technique of indirect documentation, by means of documental research, was employed. The following results were obtained: initial VPI = 29%; final VPI = 11%; initial GBI = 13% and final GBI = 5%. The observed variations were statistically significant at the level of 1%, which was revealed by the applied statistical test. The program proved efficient as to plaque control, reducing VPI to a more acceptable level. Although GBI presented considerable reduction, the presence of bleeding at the end of the program calls for a better approach in motivating patients as to regular oral hygiene.