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Este é um estudo de revisão que sistematiza achados de pesquisas sobre exposições ocupacionais e seus efeitos na saúde bucal, destacando a importância dos dados epidemiológicos no planejamento de programas de saúde bucal do trabalhador. Existem relatos de associação potencial entre exposições ocupacionais e alterações bucais; entretanto, são escassos os estudos sobre as condições de saúde bucal dos trabalhadores em países em desenvolvimento como o Brasil. Entre as exposições ocupacionais presentes na literatura odontológica, observa-se uma predominância de estudos sobre substâncias ácidas e também exposições relacionadas com o açúcar, como a poeira de açúcar. As alterações bucais podem manifestar-se tanto nos tecidos duros (cárie, erosão dental, etc.) como nos tecidos moles (lesões da mucosa oral, doenças periodontais, etc). Por outro lado, observa-se que os programas de saúde bucal do trabalhador, quando existem, muitas vezes não consideram as especificidades dessa parcela da população que, além de exposta aos fatores de risco mais conhecidos das principais doenças bucais, está submetida a outros fatores relacionados ao ambiente de trabalho. Assim, considera-se relevante a discussão sobre a necessidade de maior produção de conhecimento nessa área, de capacitação de recursos humanos e de implementação de programas mais efetivos, baseados nos princípios da vigilância em saúde do trabalhador. This study is a review of published research findings in occupational exposures and their impact on oral health, emphasizing the relevance of epidemiological studies in the planning of workers' oral health programs. There are some studies reporting potential association between occupational exposures and oral diseases; nevertheless, there are few studies concerning workers oral health conditions in developing countries, as Brazil. In current dental literature related to occupational exposures, there are more publications about acid substances and sugar related exposures, as sugar dust. Oral diseases could arise both in hard tissues (caries, dental erosion) and soft tissues (oral mucous lesions, periodontal diseases, etc). On the other hand, the few existing workers oral health programs don't take into consideration specificities of population not only exposed to main oral health etiologic factors, but also submitted to other risk factors related to work environment. Therefore, it is important to discuss the need of producing more knowledge in this area, capacitating human resources and implementing more effective programs, based on worker's health surveillance.

Este é um estudo de revisão que sistematiza achados de pesquisas sobre exposições ocupacionais e seus efeitos na saúde bucal, destacando a importância dos dados epidemiológicos no planejamento de programas de saúde bucal do trabalhador. Existem relatos de associação potencial entre exposições ocupacionais e alterações bucais; entretanto, são escassos os estudos sobre as condições de saúde bucal dos trabalhadores em países em desenvolvimento como o Brasil. Entre as exposições ocupacionais presentes na literatura odontológica, observa-se uma predominância de estudos sobre substâncias ácidas e também exposições relacionadas com o açúcar, como a poeira de açúcar. As alterações bucais podem manifestar-se tanto nos tecidos duros (cárie, erosão dental, etc.) como nos tecidos moles (lesões da mucosa oral, doenças periodontais, etc). Por outro lado, observa-se que os programas de saúde bucal do trabalhador, quando existem, muitas vezes não consideram as especificidades dessa parcela da população que, além de exposta aos fatores de risco mais conhecidos das principais doenças bucais, está submetida a outros fatores relacionados ao ambiente de trabalho. Assim, considera-se relevante a discussão sobre a necessidade de maior produção de conhecimento nessa área, de capacitação de recursos humanos e de implementação de programas mais efetivos, baseados nos princípios da vigilância em saúde do trabalhador. This study is a review of published research findings in occupational exposures and their impact on oral health, emphasizing the relevance of epidemiological studies in the planning of workers' oral health programs. There are some studies reporting potential association between occupational exposures and oral diseases; nevertheless, there are few studies concerning workers oral health conditions in developing countries, as Brazil. In current dental literature related to occupational exposures, there are more publications about acid substances and sugar related exposures, as sugar dust. Oral diseases could arise both in hard tissues (caries, dental erosion) and soft tissues (oral mucous lesions, periodontal diseases, etc). On the other hand, the few existing workers oral health programs don't take into consideration specificities of population not only exposed to main oral health etiologic factors, but also submitted to other risk factors related to work environment. Therefore, it is important to discuss the need of producing more knowledge in this area, capacitating human resources and implementing more effective programs, based on worker's health surveillance.

Editorial. Envejecimiento. ¿Deletéreo o beneficioso?. ¿Aging. Destructive or Beneficial? Salinas, Pedro José Violencia doméstica contra la mujer en pacientes femeninas del Ambulatorio Belén. Mérida. Venezuela. Domestic violence against the woman in feminine patients of the Belén Ambulatory Hospital. Mérida, Venezuela. Rivas de Mora, Sileny Percepción de los docentes sobre el maltrato infantil en la educación básica de la ciudad de Mérida, Venezuela. Teachers’ perception of child abuse in basic (primary) school in Mérida city, Venezuela. Salinas, Pedro José Campos, Nilda Caries dental y necesidades de tratamiento en escolares de dos zonas de la región nor-occidental de Venezuela. Dental caries and treatment needs in schoolchildren located in the northern area of the Venezuelan country. Morón Borjas, Alexis Rivera Velásquez, Luís Rojas de Rivera, Fanny Leptina y hormonas tiroideas en niñas con diferentes diagnósticos nutricionales y su relación con la menarquia. Leptin and thyroid hormones in girls with different nutritional diagnosis and their relationship with menarche. Marín de López, Gladis López, Zioma Bishop, Walter Molina Viana, Zarela Hernández Yánez, Leonor La progresión de la enfermedad renal y su tratamiento actual. Una revisión. The progression of renal disease and its present treatment. A review. Rondón Nucete, Miguel Rondon Guerra, Ana Verónica Villarreal, Yadira Colecistestomía laparoscópica versus colecistectomía abierta o tradicional. Resultados de una serie de 442 pacientes. Laparoscopic versus open or traditional cholecystectomy. Results of 442 patients. Torres Dugarte, Carlos Geovanny Spinetti R., Demian Uso del misoprostol en la prevención de la hemorragia posparto. Use of misoprostol to prevent postpartum haemorrhage. Morón B., Eduardo Chirinos, Liberio Morón Borjas, Alexis Santana, Yrma Prevalencia de celulitis facial de punto de partida odontológico de acuerdo con el grupo etario, sexo y estatus socioeconómico, en pacientes pediátricos, en el Hospital "Joel Valencia Parparcén", 1997-2000. Prevalence of odontogenic facial cellulitis according to age, sex and socioeconomic group, in pediatric patients, in the "Joel Valencia Parpacén" Hospital, Petare, Venezuela, 1997-2000. Flores, María G. Guerrero, María del V. Salinas, Perla R. González, Maury El trabajo en redes en el sector salud. The network in the health sector. Castillo Trujillo, David J. Lista de los Postgradosde la Facultad de Medicina de la Universidad de Los Andes. List of Postgraduate Coursesat the Faculty of Medicine of the University of The Andes. 15-20 almoron@luz.edu.ve semestral Nivel analítico

Situaciones de salud bucal en personas adultas mayores: problemas y desafíos. El objetivo de esta investigación es identificar el estado de salud bucal, las prácticas de autocuidado, la calidad de las prótesis y el uso de los servicios de salud de las personas adultas mayores que asisten a clubes de interacción social. Mediante un estudio de prevalencia se investigó a 234 personas adultas mayores de ambos sexos. Todos ellos provenientes de 15 clubes estratificados por condiciones geográficas y sociales del entorno donde se localizan los clubes. Los principales resultados del estado de salud bucal fueron: a) El 53% de las personas adultas mayores estudiadas han perdido la totalidad de sus dientes y el 38,4% con pérdida dental parcial que requiere de rehabilitación protésica para satisfacer la capacidad masticatoria. b) De las personas que conservan al menos un diente en boca, la caries activa es prevalente en el 77,7% y las periodontopatías en el 52,9% de esta población y el 83,5% tiene un deficiente control de la placa dental. c) El 63,9% de las prótesis superiores y en el 74,2% de las prótesis inferiores necesitan ser reacondicionadas o renovadas por prótesis bien concebidas. Se concluye que el estado de salud bucal de las personas adultas mayores estudiadas en la presente investigación, puede ser catalogado como un relevante problema de salud pública. La acumulación de daños por problemas buco-dentales de la población estudiada requiere de una ampliación de cobertura por parte de los servicios de salud, así como de las acciones de educación para la salud, que contrarresten los factores de riesgo de las enfermedades odontológicas y estomatológicas prevalentes en la población. Situation of oral health in elderly people: problems and challenges. The goal of the investigation is to identify the condition of oral health on elderly people. The research was developed by the recognition of personal oral health care, also evaluating the quality of dental prosthesis and the use of dental medical services on elderly people who attends clubs of social interaction in Costa Rica. The inquiry was developed through a prevalence study with the participation of 234 elderly people, male and female. All the participants are active members of 15 social clubs. The groups-or social clubs- where stratified by geographic and social conditions, related with the surroundings conditions, especially location. The results reveled by the investigation are: a) From the studied population elderly people, 53% has been lost the totality of their teeth, 38,4% has partial dental loss that requires a rehabilitation dental prosthesis for satisfy the chew capacity, b) From the elderly people who conserve a tooth at least, the active decay is prevalent in 77,7% and 52,9% have periodontal illness, 83,5% have a deficient control of the dental plaque, c) The evaluation of dental prosthesis results are that 63,9% of the superior dental prosthesis and 74,2% of the inferior dental prosthesis, need repairmen or being replaced. The most relevant conclusion of the research is elderly people oral healthcare can be catalogued as serious problem of public health. The accumulation of injuries by oral and dental problems reveled on the research, indicates that elderly adults require an expansion of dental medical service as well as preventing education actions of reduce the factors of risk of the oral diseases and stomatology prevalence in the elderly population.

Se ha realizado un estudio descriptivo, retrospectivo y transversal sobre la patología (pseudopatología) lingual observada en el Departamento de Medicina y Cirugía Bucofacial de la Facultad de Odontología de la UCM y se han comparado los resultados con otros estudios similares. De un total de 1313 historias clínicas revisadas, 54 (4,11%) presentaron una o varias alteraciones linguales. La lengua geográfica fue la entidad más frecuentemente encontrada, en un 2,13% de los pacientes, seguida de la lengua fisurada, 1,07%, y de la hipertrofia de las papilas foliadas con un 0,53%. Las condiciones englobadas en el grupo de pseudopatología, son entidades muy próximas a la normalidad, con un diagnóstico que se solapa en ocasiones con lenguas sanas. El diagnóstico se produjo en un 27,8% de los casos de forma casual, no siendo el motivo de consulta del paciente al acudir al Departamento. A descriptive, retrospective and cross-sectional study based on the lingual pathology (and pseudopathology) observed in the Department of Oral Medicine and Surgery, Dental School, Universidad Complutense, Madrid has been performed, and the results have been compared with other similar surveys. From 1313 clinical histories reviewed, 54 (4,11%) presented one or more lingual alterations. The most frequently found condition was geographic tongue, 2,13% of the patients; followed by fissured tongue, 1,07% and foliate papilae hypertrophy 0,53%. The lingual conditions included in the pseudopathology group are entities very close to normality, and the diagnosis frequently overlaps with healthy tongues. In 27,8% of the cases the diagnosis was fortuitous, with the lesion not being the cause of consultation.

Texto completo: acesso restrito. p. 238–245 Submitted by Edileide Reis (leyde-landy@hotmail.com) on 2013-12-06T12:50:48Z No. of bitstreams: 1 Maria Isabel Pereira Vianna.pdf: 107218 bytes, checksum: fe42b891d270e5fdf5f5ac62246e6a04 (MD5) Approved for entry into archive by Flávia Ferreira (flaviaccf@yahoo.com.br) on 2014-02-19T19:10:06Z (GMT) No. of bitstreams: 1 Maria Isabel Pereira Vianna.pdf: 107218 bytes, checksum: fe42b891d270e5fdf5f5ac62246e6a04 (MD5) Made available in DSpace on 2014-02-19T19:10:06Z (GMT). No. of bitstreams: 1 Maria Isabel Pereira Vianna.pdf: 107218 bytes, checksum: fe42b891d270e5fdf5f5ac62246e6a04 (MD5) Previous issue date: 2004 Background This study examines the hypothesis that acid mist or mixtures of acid mists and acid gases are associated with ulcerative lesions of the oral mucosa. Methods All 665 active male workers of a metal processing factory were the study population. Semi-quantitative measures of exposure were estimated from a job exposure matrix constructed with industrial hygienist scoring and job titles. Ulcerative lesions of the oral mucosa were identified with standardized clinical dental exams. Results Past exposure to acid mists were positively associated with ulcerative lesions of the oral mucosa but only among workers without lip sealing (age- and alcohol consumption-adjusted prevalence ratio (PR), PRadjusted¼3.40; 90% CI: 1.48–7.85). Also in this worker group, the mixture of acid mists and acid gases was associated with ulcerative lesions of the oral mucosa limited to exposure in the past (PRadjusted¼2.83; 90% CI: 1.12–7.17). Conclusions There is a positive association between acid mist or mixtures of acid mists and acid gases and ulcerative lesions of the oral mucosa only in the absence of lip sealing. The evidence of a chronic rather than acute irritative process suggests a possible step on the etiology of oral malignancies, which needs investigation. Am. J. Ind. Med. 45:238– 245, 2004. 2004 Wiley-Liss, Inc.

Texto completo: acesso restrito. p. 238–245 Submitted by Edileide Reis (leyde-landy@hotmail.com) on 2013-12-06T12:50:48Z No. of bitstreams: 1 Maria Isabel Pereira Vianna.pdf: 107218 bytes, checksum: fe42b891d270e5fdf5f5ac62246e6a04 (MD5) Approved for entry into archive by Flávia Ferreira (flaviaccf@yahoo.com.br) on 2014-02-19T19:10:06Z (GMT) No. of bitstreams: 1 Maria Isabel Pereira Vianna.pdf: 107218 bytes, checksum: fe42b891d270e5fdf5f5ac62246e6a04 (MD5) Made available in DSpace on 2014-02-19T19:10:06Z (GMT). No. of bitstreams: 1 Maria Isabel Pereira Vianna.pdf: 107218 bytes, checksum: fe42b891d270e5fdf5f5ac62246e6a04 (MD5) Previous issue date: 2004 Background This study examines the hypothesis that acid mist or mixtures of acid mists and acid gases are associated with ulcerative lesions of the oral mucosa. Methods All 665 active male workers of a metal processing factory were the study population. Semi-quantitative measures of exposure were estimated from a job exposure matrix constructed with industrial hygienist scoring and job titles. Ulcerative lesions of the oral mucosa were identified with standardized clinical dental exams. Results Past exposure to acid mists were positively associated with ulcerative lesions of the oral mucosa but only among workers without lip sealing (age- and alcohol consumption-adjusted prevalence ratio (PR), PRadjusted¼3.40; 90% CI: 1.48–7.85). Also in this worker group, the mixture of acid mists and acid gases was associated with ulcerative lesions of the oral mucosa limited to exposure in the past (PRadjusted¼2.83; 90% CI: 1.12–7.17). Conclusions There is a positive association between acid mist or mixtures of acid mists and acid gases and ulcerative lesions of the oral mucosa only in the absence of lip sealing. The evidence of a chronic rather than acute irritative process suggests a possible step on the etiology of oral malignancies, which needs investigation. Am. J. Ind. Med. 45:238– 245, 2004. 2004 Wiley-Liss, Inc.

Objective: The aim of this study was to evaluate the epidemiological aspects and clinical factors associated with avulsion of permanent teeth. Materials and Methods: The sample consisted of 261 avulsed teeth of 170 patients seen in the Dental School of the Federal University of Goiαs, Brazil, from 2000 to 2008. Result: The highest incidence was found among boys (71.18%) aged 6-15 years (61.18%). The main etiologic factors were falls (51.76%) and traffic accidents (29.41%). Most cases occurred in autumn (March to June; 31.18%) and winter (June to September; 27.65%). Most avulsed teeth were the maxillary central incisor (62.45%), followed by the maxillary lateral incisor (21.46%). A high proportion (67.23%) of injured teeth had a completely formed root apex. Replantation was used to treat 119 teeth (45.59%) in 86 patients. Most replantations were delayed (89.08%). Thirty-eight teeth (31.93%) were stored in dry media. Periodontal healing was found in 41 teeth (34.45%), inflammatory root resorption, in 44 (36.97%) and replacement root resorption, in 22 (18.49%). The most frequent treatments for replanted teeth were endodontic treatment and temporary filling of the root canal with calcium hydroxide (58.92%) and endodontic treatment and definitive root canal filling (26.89%). Conclusion: The epidemiological and clinical aspects of tooth avulsion in this study were similar to those reported in other studies. The number of replantation was low, the number of teeth stored in non-physiological conditions was high, and replantation was often delayed.