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Objetivo: Este estudo teve como objetivo avaliar a percepção de alunos do curso de Odontologia sobre sua experiência no ensino remoto na disciplina de Odontopediatria instituído devido à pandemia da COVID-19. Métodos: Trata-se de um estudo transversal descritivo que incluiu acadêmicos matriculados na disciplina de Odontopediatria, no curso de Odontologia, de uma Instituição Privada de Ensino Superior da cidade de Juiz de Fora, Minas Gerais, Brasil. Os acadêmicos foram convidados a responder a um questionário contendo 14 itens objetivas um mês após o início das atividades de Ensino Remoto Emergencial (ERE). Os itens avaliavam a percepção do acadêmico em relação ao método de ensino adotado. Foi realizada análise descritiva (frequências absolutas e relativas) para todas as variáveis. Resultados: Um total de 64 acadêmicos participaram do estudo com média de idade de 22,3 (+3,5) anos. A soma dos participantes que concordaram e concordaram fortemente que o conteúdo de Odontopediatria proporcionou embasamento teórico para experiências da vida real foi 42 (65,62%). Juntos, os indivíduos que concordaram e concordaram fortemente que o aprendizado no ERE foi comparável ao método tradicional totalizaram 51 acadêmicos (79,68%) e 35 (54,68%) concordaram/concordaram fortemente que a nota da avaliação foi semelhante à nota que receberiam em sala de aula. A explicação do professor foi considerada igual (n = 56; 87,50%) ou melhor (n = 8; 12,50%) ao método convencional. Houve satisfação da maioria dos participantes (n = 41; 64,06%). A quantidade de conteúdo da Odontopediatria ministrado no ERE não foi considerada a mesma que aprenderiam na sala de aula tradicional para muitos dos participantes (n = 51; 79,68%) e a interação entre aluno e professor foi avaliada como pior comparada à sala de aula tradicional (n = 50; 78,12%). Conclusão: O ERE adotado na disciplina de Odontopediatria, no período avaliado, foi satisfatório em diversos aspectos e deve ser aprimorado, levando em consideração as fortalezas e fraquezas apontadas pelos acadêmicos.

Objective: T o evaluate the role of poverty and its related factors on early childhood caries (ECC) experience among deprived children . Material and Methods: This population-based cross-sectional study surveyed 418 children aged one to six years enrolled in Brazilian public preschools from an area of the country known for its high social deprivation. Intraoral examination of children evaluated dental caries experience (dmft). Parents/caregivers answered a questionnaire with sociodemographic indicators. Family income was dichotomized into below or above poverty line. Data analysis used Chi-square test, Mann-Whitney test, and Multivariate Logistic Regression analysis (p

Objective: To assess the knowledge of undergraduate health care students, about avulsion of permanent teeth. Material and Methods: It is a cross-sectional study. The sample consisted of Brazilian undergraduate students of the nursing, medicine, and dentistry degree programs. A structured questionnaire developed by the researchers, containing 18 objective questions about avulsion of permanent teeth was used as the data collection. Data analysis included Pearson's Chi-square and Fisher's Exact. Results: A total of 82.7% dental students, 22.9% nursing students, and 23% medical students had previously received some information about dental trauma. Students in the second half of the dentistry program had a higher percentage of correct answers in all questions (p0.05). Students in the first half of the medical program had a higher percentage of correct answers for six of these questions (p

Objective: To assess the association between dental caries experience, severe dental caries experience and socioeconomic determinants on oral health-related quality of life among children and their families . Material and Methods: This is a cross-sectional study whose sample was composed of children aged 4-12 years, who sought dental care in a dentistry school clinic, and their parents/caregivers. Dental caries experience and severe dental caries experience were assessed according to the DMF-T/dmf-t indexes. Parents/caregivers answered the Parental-Caregiver Perceptions Questionnaire (P-CPQ), the Family Impact Scale (FIS) and a questionnaire on socioeconomic and demographic conditions. Data analysis included the chi-square test and Poisson regression (PR). Results: The sample was composed of 105 children and their parents/caregivers. Severe dental caries experience in children was determinant for negative perception of children's OHRQoL by parents/caregivers (PR = 1.22; CI = 1.05-1.41). Negative impact on OHRQoL perceived by family members was determined by severe dental caries experience in children (PR = 1.22; CI = 1.05-1.42) and family income

Introduction Oral health affects the general health of people with Down syndrome (DS), with repercussions on their ability to chew and to communicate. Objective To evaluate the influence of sociodemographic characteristics and clinical indicators on the perceptions of parents/caregivers regarding the oral health of individuals with DS. Methods Parents/caregivers completed a questionnaire containing sociodemographic information and answered the 20 questions of the Brazilian version of the Oral Health Scale for People with DS. Intra-oral clinical exam of children/adolescents was performed to assess dental caries, periodontal disease, and malocclusion. Descriptive statistics, bivariate analyses, and Poisson regression model analyses were carried out. Results In this study, 55.1% of the parents/caregivers showed a positive perception regarding the oral health of their children/adolescents. Parents/caregivers of individuals between 4 and 9 years old (Prevalence Ratio (PR) = 1.13; Confidence Interval (CI), 1.04 - 1.23; p = 0.003) and parents/caregivers of those with definite malocclusion (PR = 1.14; CI, 1.00 - 1.31; p = 0.047) had a higher prevalence of reporting a more negative perception of their children's/adolescents' oral health. Conclusion DS individuals' age and the severity of malocclusion were indicators of a more negative perception of parents/caregivers regarding their sons'/daughters' oral health.

O objetivo do presente estudo foi avaliar o conhecimento de estudantes dos cursos da área da saúde (Odontologia, Medicina e Enfermagem) de uma instituição pública de ensino superior sobre avulsão de dentes permanentes, bem como sobre as condutas de urgência a serem tomadas frente à lesão. Foram coletadas informações, por meio de um questionário estruturado autoaplicável, sobre dados pessoais, experiências anteriores, conhecimento sobre avulsão dentária e sobre as principais condutas a serem tomadas frente a este tipo de traumatismo. Foi realizada análise descritiva e análise estatística, utilizando o teste de Qui-quadrado de Pearson. O nível de significância adotado foi de 5% (p

Aims To assess the impact of oral conditions among children/adolescents with Down syndrome (DS) on the Oral Health-related Quality of Life (OHRQoL) of their families in comparison with a group without DS. Methods and results Families of 144 children/adolescents with DS aged 4-18 years were compared with families of individuals without DS. Dental caries experience (DMFT/dmft), clinical consequences of untreated dental caries (PUFA/pufa), gingival bleeding (GBI), visible plaque (VPI), and malocclusion were evaluated. Parents/caregivers answered the Family Impact Scale (FIS) and questionnaires on sociodemographic conditions and the health of children/adolescents. Data analysis included chi-square test and Poisson regression. There was no difference between groups regarding the impact of the children's/adolescents' oral condition on their families' OHRQoL for all domains and the total FIS score (P > 0.05). A negative impact on the OHRQoL of families of children/adolescents with DS was determined by dental caries (PR = 3.95, CI = 2.09-7.46), clinical consequences of untreated dental caries (PR = 1.83, CI = 1.18-2.84), defined malocclusion (PR = 2.75, CI = 1.23-6.13), and severe malocclusion (PR = 2.82, CI = 1.02-7.74). Conclusion There is no difference on the OHRQoL of families of children/adolescents with and without DS. Dental caries experience, clinical consequences of untreated dental caries, defined malocclusion, and severe malocclusion determined the negative impact on the OHRQoL of families of children/adolescents with DS.

O objetivo deste estudo foi avaliar a percepção dos pais/cuidadores sobre o impacto das condições bucais na qualidade de vida de crianças/adolescentes com síndrome de Down (SD) e de seus familiares comparados com crianças/adolescentes sem SD. Trata-se de um estudo tranversal comparativo desenvolvido com 144 crianças/adolescentes com SD de quatro a 18 anos pareados por sexo e idade com 144 crianças/adolescentes sem SD, assim como os pais/cuidadores dos indivíduos de cada grupo. Para avaliação do impacto de condições bucais na qualidade de vida de crianças/adolescentes, pais/cuidadores responderam a versão curta do ParentalCaregiver Perceptions Questionnaire (P-CPQ), o qual é composto por três domínios: sintomas bucais, limitações funcionais e bem-estar. Para a avaliação do impacto da saúde bucal das crianças/adolescentes na qualidade de vida de seus familiares foi aplicado o Family Impact Scale (FIS) composto por quatro domínios: atividade dos pais/familiares, emoções dos pais/familiares, conflito familiar e encargos financeiros. Além disso, informações sociodemográficas e de saúde geral das crianças/adolescentes foram coletadas por meio de um questionário estruturado auto-aplicado. Um único examinador avaliou os seguintes indicadores clínicos: cárie dentária (CPO-D/ceo-d), consequências clínicas da cárie dentária não tratada (PUFA/pufa), sangramento à sondagem periodontal (ISS), presença de placa visível (IPV) e má oclusão (IED). A má oclusão foi categorizada pelo Índice Estético Dental (IED) em má oclusão ausente ou leve (IED 25), má oclusão definida (IED de 26 a 30), má oclusão severa (IED de 31 a 35) e má oclusão muito severa (IED 36). A examinadora foi treinada e calibrada para realização do exame clínico. Para cada condição bucal avaliada, foram determinadas as concordância inter-examinador (k = 0,81 a k = 0,92) e intra-examinador (k = 0,89 a k = 0,94). Os coeficientes Kappa mostraram-se satifatórios para realização do estudo epidemiológico. O teste Wilcoxon comparou os domínios e o escore total do P-CPQ e do FIS entre indivíduos com e sem SD. O teste qui-quadrado de Pearson, exato de Fisher e de tendência linear foram empregados para avaliar a associação entre o escore total do P-CPQ e do FIS com os dados sociodemográficos, com os dados de saúde e com os indicadores clínicos das crianças/adolescentes com SD. Os mesmos testes foram empregados para testar a associação entre o escore total do P-CPQ com as variáveis independentes para as crianças/adolescentes sem SD. As variáveis que apresentaram um nível de significância (p < 0,25) na análise bivariada foram incorporadas no modelo final da regressão de Poisson (IC: 95%, p < 0,05). Pais/cuidadores das crianças/adolescentes com SD apresentaram uma percepção mais negativa sobre as repercussões das condições bucais na qualidade de vida de seus filhos quando comparados à percepção dos pais/cuidadores dos indivíduos sem SD (p = 0,02). A mesma tendência também foi observada para o domínio de limitações funcionais (p < 0,01). As variáveis clínicas determinantes para uma percepção negativa dos pais/cuidadores de indivíduos com SD foram conseqüências clínicas da cárie dentária não tratada (RP = 1,72; IC = 1,04 2,84) e presença de placa visivel (RP = 1,48; IC = 1,08 2,03). Inversamente, para o domínio sintomas bucais pais/cuidadores das crianças/adolescentes sem SD apresentaram uma percepção mais negativa do impacto de condições bucais na qualidade de vida de seus filhos quando comparados à percepção dos pais/cuidadores dos indivíduos com SD (p < 0,01). Os determinantes para este resultado foram visita prévia ao dentista (RP = 2,19; IC = 1,32 3,63), conseqüências clínicas da cárie dentária não tratada (RP = 2,43; IC = 1,22 4,83), sangramento à sondagem periodontal (RP = 1,86; IC = 1,29 2,70) e má oclusão severa (RP = 3,33; IC = 1,07 5,00). Não houve diferença entre os grupos com e sem SD quanto ao impacto das codições bucais das crianças/adolescentes na qualidade de vida de suas famílias para os domínios e para o escore total da FIS (p > 0,05). As condições bucais determinantes para o impacto negativo na qualidade de vida das famílias de crianças/adolescentes com SD foram cárie dentária (RP = 3,95; IC = 2,09 7.46), conseqüências clínicas de cárie dentária não tratada (RP = 1,83; IC = 1,18 2,84), maloclusão definida (RP = 2,75; IC = 1,23 6,13) e má oclusão severa (RP = 2,82; IC = 1,02 7,74). O impacto das condições bucais na qualidade de vida de crianças/adolescentes com SD mostrou-se mais negativo quando comparado ao de crianças/adolescentes sem SD. As conseqüências clínicas da cárie dentária não tratada e a presença de placa visível foram determinates para o impacto negativo na qualidade de vida relacionada à saúde bucal das crianças/adolescentes com SD. Experiencia de cárie dentária, conseqüências clínicas da cárie dentária não tratada, má oclusão definida e má oclusão severa foram as condições bucais determinantes para o impacto negativo na qualidade de vida de seus familiares. Impact of oral conditions on the quality of life of children/adolescents with Down syndrome The objective of the study was to evaluate the impact of oral conditions on the quality of life of children/adolescents with Down syndrome (DS) and their family members compared to children/adolescents without DS. This is a comparative cross-sectional study. Participated in the study 144 children/adolescents with DS aged 4 to 18 years matched by sex and age with 144 children/adolescents without DS, as well as the parents/caregivers of individuals in each group. To assess the impact of oral conditions on the quality of life of children/adolescents, parents/caregivers answered the short version of Parental-Caregiver Perceptions Questionnaire (P-CPQ), which consists of three domains: oral symptoms, functional limitations and well-being. The Family Impact Scale (FIS) was used to assess the impact of oral conditions of children/adolescents on the quality of life of their family members. It consists of four domains: parents' activity, parents' emotions, family conflict and financial charges. In addition, sociodemographic and general health information of the children/adolescents were collected through a structured questionnaire. A single examiner assessed the following clinical parameters: dental caries (DMF-T/dmf-t), clinical consequences of untreated dental caries (PUFA/pufa), gingival bleeding (GBI), visible plaque (VPI) and malocclusion were evaluated (DAI). Malocclusion was categorized by Dental Aesthetic Index (DAI) in absent or mild malocclusion (DAI 25), defined malocclusion (DAI of 26 to 30), severe malocclusion (DAI of 31 to 35) and very severe malocclusion (DAI 36). The examiner was trained and calibrated to perform the clinical examination. For each oral condition evaluated, the inter-examiner agreement (k = 0.81 a k = 0.92) and intra-examiner (k = 0.89 a k = 0.94) were determined. The Kappa coefficients were satisfactory for the accomplishment of the epidemiological study. The Wilcoxon test compared the domains and the total score of P-CPQ and FIS between individuals with and without SD. Pearson's Chi-square test, Fisher's exact and linear trend were used to evaluate the association between the total P-CPQ and FIS score with sociodemographic data, health data and clinical indicators of children/adolescents with DS. The same tests were used to test the association between the total P-CPQ score and the independent variables for children/adolescents without DS. The variables that presented a level of significance (p < 0.25) in the bivariate analysis were incorporated into the final Poisson regression model (CI: 95%, p < 0.05). Parents/caregivers of children/adolescents with DS presented a more negative perception about the repercussions of oral conditions on the quality of life of their children when compared to the perception of parents/caregivers of individuals without DS (p = 0.02). The same trend was also observed for the domain of functional limitations (p < 0.01). The determining clinical variables for a negative perception of the parents/caregivers of individuals with DS were clinical consequences of untreated dental caries (RP = 1.72, CI = 1.04 - 2.84) and presence of visible plaque (RP = 1.48, CI = 1.08 - 2.03). Conversely, for the domain of oral symptoms parents/caregivers of children/adolescents without DS presented a more negative perception of the impact of oral conditions on their children's quality of life when compared to the perception of the parents/caregivers of DS individuals (p < 0. 01). The determinants for this result were a previous visit to the dentist (RP = 2.19, CI = 1.32 - 3.63), clinical consequences of untreated dental caries (RP = 2.43, CI = 1.22-4.83), gingival bleeding (RP = 1.86, CI = 1.29 - 2.00) and severe malocclusion (RP = 3.33, CI = 1.07 - 5.00). There was no difference between the groups with and without DS regarding the impact of the children's/adolescents' oral coding on the quality of life of their families for the domains and for the total FIS score (p > 0.05). The oral conditions determining the negative impact on the quality of life of families of children/adolescents with DS were dental caries (RP = 3.95, CI = 2.09 - 7.46), clinical consequences of untreated dental caries (RP = 1.83, CI = 1.18 - 2.84), defined malocclusion (RP = 2.75, CI = 1.23 - 6.13) and severe occlusion (RP = 2.82, CI = 1.02 - 7.74). In general, the impact of oral conditions on the quality of life of children/adolescents with DS was more negative when compared to children/adolescents without DS. The presence of clinical consequences of untreated dental caries and visible plaque were the determining oral conditions for a negative impact on oral health related quality of life of children/adolescents with DS. Dental caries, clinical consequences of untreated dental caries, defined malocclusion and severe malocclusion were the determinant oral conditions for the impact on the quality of life of families of children/adolescents with DS. Key-words: Down Syndrome. Oral Health. Children/Adolescents. Quality of life. Oral Health-Related Quality of Life.

Objetivo: Relatar um caso clínico de paciente infantil com presença de erosão dentária associada ao consumo excessivo de alimentos ácidos. Detalhamento do Caso: Paciente, F.E.R. 11 anos, sexo masculino, compareceu à clínica-escola de odontopediatria, em uma instituição de ensino em Odontologia. Durante exame clínico observou-se lesões generalizadas sugestivas de erosão dentária, com as seguintes características: brilho excessivo, lisura superficial, esmalte hígido ao longo da margem gengival, além de cuppings e halo translúcido ao redor da superfície oclusal/incisal de molares, pré-molares, caninos e lingual/palatina de incisivos permanentes. Afim de descobrir os fatores etiológicos da doença, foi empregado um diário alimentar para a criança, recordatório de 24 horas. O questionário aplicado demonstrou consumo excessivo de alimentos ácidos. Considerações Finais: Diante do exposto, o tratamento proposto foi orientação aos responsáveis e à criança sobre a erosão dentária e sua relação com a dieta de alimentos ácidos e adoção de medidas para o impedimento da progressão da doença, como aplicação de verniz fluoretado. O diagnóstico precoce das lesões minimiza os danos estruturais no elemento dental e favorece o tratamento desta condição bucal.

To correlate the salivary cortisol levels in children attending a university dental clinic with their behavior during the dental appointment.A prospective study was conducted with 43 seven- to 10-year-old children whose behavior during the dental appointment was assessed using the Frankl scale. Participants were divided into two groups: (1) cooperative children; and (2) uncooperative children. All children had four saliva samples collected as follows: prior to the dental examination (S1); shortly after the dental examination (S2); 30 minutes after waking up in the morning after the day of the appointment (S3); and in the afternoon, 24 hours after the dental appointment (S4). Salivary cortisol levels were measured by the chemiluminescent assay method. Statistical analysis included the Friedman and the Wilcoxon signed rank tests.For the cooperative group, salivary cortisol levels were significantly lower at S1 (P=0.004), S2 (P=0.006), and S4 (P=0.001) compared to S3. For the uncooperative group, salivary cortisol levels were significantly higher at S1 compared to S2 (P=0.005).Uncooperative children presented high levels of salivary cortisol prior to and shortly after the dental appointment. The period anticipating the consultation was considered highly stressful.

Streptococcus mutans and Streptococcus sobrinus are strongly associated with dental caries. However, the relationship between oral streptococci and dental caries in children with Down syndrome is not well characterized. Objective To assess and compare dental caries experience and salivary S. mutans, S. sobrinus, and streptococci counts between groups of Down syndrome and non-Down syndrome children and adolescents. Material and Methods This study included a sample of 30 Down syndrome children and adolescents (G-DS) and 30 age- and sex-matched non-Down syndrome subjects (G-ND). Dental caries experience was estimated by the number of decayed, missing, and filled teeth in the primary dentition and the permanent dentition. Unstimulated whole saliva samples were collected from all participants. The fluorescence in situ hybridization technique was used to identify the presence and counts of the bacteria. The statistical analysis included chi-square, Student’s t-test and Spearman’s correlation. Results The G-DS exhibited a significantly higher caries-free rate (p

Background The authors systematically reviewed the scientific evidence of an association between periodontal disease and Down syndrome (DS). Types of Studies Reviewed In this systematic review, the authors included observational studies in which the investigators assessed the prevalence, incidence, or experience of periodontal disease in patients with DS compared with that in healthy patients. The authors used the Population, Exposure, Comparison, Outcome structure. The population was patients of any age, the exposure was the presence of DS, the comparison was the absence of DS, and the outcome was the presence of periodontal disease. The authors conducted an electronic search in 5 databases through March 2017. Two independent reviewers assessed the risk of bias by using the Fowkes and Fulton scale. The authors performed a meta-analysis to compare periodontal disease among patients with DS and those without DS. The authors calculated a summary effect measure—standard mean difference—when evaluating the means of the oral hygiene index. The authors assessed the strength of evidence from the selected studies by using a modified Grading of Recommendations Assessment, Development and Evaluation system. Results The authors included 23 case-control studies in the systematic review and submitted 3 to meta-analysis. In the qualitative analysis, results from most studies showed that the prevalence of some periodontal parameters was higher among patients with DS than among those without DS. Evaluations of the Fowkes and Fulton scale point to many methodological problems in the studies evaluated. Results of the meta-analysis revealed no differences between groups with regard to the oral hygiene index (standard mean difference, 0.05; 95% confidence interval, −0.55 to 0.65; I2 = 0.0%). Conclusions and Practical Implications Further research is required, in particular well-designed studies that avoid the deficiencies identified in the studies in this review.

O objetivo deste estudo foi avaliar a prevalência, extensão e severidade da hipomineralização molar-incisivo (HMI) e suas correlações em pacientes com necessidade de tratamento ortodôntico da FORP-USP de 1999 a 2021. Objetivou-se também caracterizar os aspectos faciais, ósseos e dentários dos pacientes acometidos por esta hipomineralização. Inicialmente foram analisados 2.288 prontuários por meio de registros fotográficos intrabucais para rastrear os pacientes que apresentavam HMI. Foram encontrados 74 (8,45%) pacientes com HMI. Após identificados estes pacientes, foi realizada a classificação da hipomineralização quanto à severidade, dentes acometidos, extensão e superfície. Foram analisados também nos pacientes com HMI o perfil facial e presença de assimetrias na face, classificação esquelética, tipo morfológico facial, perfil ósseo, classificação de Angle, relação de caninos, espaço nos arcos dentários e presença de outras características oclusais. Foram realizadas análises de frequência, teste de Chi-quadrado de Pearson e teste t de Student para amostras independentes e test t pareado. Foi utilizado nível de significância de 5%. Foi encontrada homogeneidade entre os gêneros. O dente com maior prevalência e com maior número de superfícies afetadas de HMI foi o primeiro molar permanente. A maioria dos dentes com HMI apresentaram apenas uma superfície acometida. Na avaliação ortodôntica, os pacientes com HMI apresentaram pelo menos um tipo de má oclusão e a mais prevalente foi o apinhamento. A maioria dos pacientes apresentou Classe I de molares e caninos. A HMI acometeu mais os dentes do arco superior e houve falta de espaço na maioria dos pacientes, independente dos arcos. Não houve associação entre o dente acometido e a extensão da HMI (p=0,293), mas houve entre o dente e a severidade da HMI, assim como, foi observada também correlação positiva moderada (ρ=0,433) entre a extensão e a severidade da HMI (p=0,003). O perfil ósseo convexo apresentou maior ocorrência, assim como a classe I esquelética. Houve um equilíbrio entre pacientes dolico e mesofaciais e o perfil ósseo reto foi o mais presente. The objective of this study was to evaluate the prevalence, extent and severity of molarincisor hypomineralization (MIH) and its correlations in patients in need of orthodontic treatment at FORP-USP from 1999 to 2021. dental care of patients affected by this hypomineralization. Initially, 2,288 medical records were analyzed through intraoral photographic records to track patients who had MIH. We found 74 (8.45%) patients with MIH. After identifying these patients, hypomineralization was classified according to severity, affected teeth, extension and surface. The facial profile and presence of facial asymmetries, skeletal classification, facial morphological type, bone profile, Angle classification, canine relationship, space in the dental arches and presence of other occlusal characteristics were also analyzed in patients with HMI. Frequency analysis, Pearson\'s Chi-square test and Student\'s t test for independent samples and paired t test were performed. A significance level of 5% was used. Homogeneity was found between genders. The tooth with the highest prevalence and the highest number of HMI-affected surfaces was the first permanent molar. Most teeth with HMI had only one affected surface. In the orthodontic evaluation, patients with MIH presented at least one type of malocclusion and the most prevalent was crowding. Most patients had Class I molars and canines. The MIH affected the maxillary arch teeth more and there was a lack of space in most patients, regardless of the arches. There was no association between the affected tooth and the HMI extension (p=0.293), but there was between the tooth and the HMI severity, as well as a moderate positive correlation (ρ=0.433) between the extension and the severity of the HMI. HMI (p=0.003). The convex bone profile showed the highest occurrence, as well as skeletal class I. There was a balance between dolic and mesofacial patients and the straight bone profile was the most present.