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OBJECTIVE: To evaluate whether the oral functionality and the oral sensorimotor alterations are associated with oropharyngeal dysphagia in community-dwelling older persons and long-term care older residents. METHODS: An exploratory study with 265 independent older persons of the southern state of Brazil. The diagnosis of dysphagia, as well as the condition of the oral sensorimotor system, was assessed by a speech-language therapist and the oral health status by a dentist. Poisson Regression with robust variance was used to calculate the crude and adjusted Prevalence Ratios (PR) and their respective confidence intervals of 95%. RESULTS: The mean age was 73.5 (±8.9) years, women represented 59.2% of the sample. The frequency of dysphagia in the studied population was 45.3% (n = 120), being more frequent in the long-term care older residents (62.5%; n = 75) than in the community-dwelling older persons (37.5%; n = 45). Individuals with four or more oral sensorimotor alterations (PR = 2.01; 95% CI 1.27-3.18), as well as those who presented a non-functional oral status (PR = 1.61; 95% CI 1.02-2.54) presented a higher frequency of dysphagia. Subgroup analysis indicates the same trend of results, when stratified by community-dwelling older persons and long-term older residents. CONCLUSION: A non-functional oral health status and oral sensorimotor alterations are associated with a higher prevalence of oropharyngeal dysphagia.

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The aim of this study was to evaluate the impact of dental caries, traumatic dental injuries (TDI), toothaches, and malocclusion on the oral health-related quality of life (OHRQoL) of the families of Brazilian preschool children. A population-based, matched case-control study involving 415 pre-schoolers aged 3-5 years was conducted. The case (impact on OHRQoL) and control groups (no impact on OHRQoL) were matched for age, gender, and family income at an 1:4 ratio. Impact on the OHRQoL of a family was assessed using the Brazilian version of the Early Childhood Oral Health Impact Scale (B-ECOHIS). Dental caries, TDI, and malocclusion were diagnosed by three calibrated dentists (Kappa: 0.85-0.90). Data analysis involved descriptive statistics and conditional logistic regression analysis (p ≤ 0.05; 95%CI). There were no differences between the cases and controls regarding age, gender, and family income (p > 0.05). The most frequent responses on the B-ECOHIS among cases were "felt guilty" (68.6%) and "been upset" (48.2%). The following variables were significantly associated with negative impacts on family OHRQoL (cases): caries severity (OR = 6.680; 95%CI = 2.731-16.349), a history of toothache (OR = 2.666; 95%CI = 1.492-4.765), parental rating of the child's oral health as poor (OR: 1.973; 95%CI = 1.072-3.634), and parent's/caregiver's age (OR = 2.936; 95%CI = 1.077-3.478). Anterior open bite was positively associated with OHRQoL (OR = 4.050; 95%CI = 1.333-12.314). Caries severity, a history of toothache, parental rating of the child's oral health as poor, and younger parents/caregivers were associated with impact on the OHRQoL of the families of preschoolers.

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Abstract The aim of this study was to evaluate the impact of dental caries, traumatic dental injuries (TDI), toothaches, and malocclusion on the oral health-related quality of life (OHRQoL) of the families of Brazilian preschool children. A population-based, matched case-control study involving 415 pre-schoolers aged 3-5 years was conducted. The case (impact on OHRQoL) and control groups (no impact on OHRQoL) were matched for age, gender, and family income at an 1:4 ratio. Impact on the OHRQoL of a family was assessed using the Brazilian version of the Early Childhood Oral Health Impact Scale (B-ECOHIS). Dental caries, TDI, and malocclusion were diagnosed by three calibrated dentists (Kappa: 0.85-0.90). Data analysis involved descriptive statistics and conditional logistic regression analysis (p ≤ 0.05; 95%CI). There were no differences between the cases and controls regarding age, gender, and family income (p > 0.05). The most frequent responses on the B-ECOHIS among cases were "felt guilty" (68.6%) and "been upset" (48.2%). The following variables were significantly associated with negative impacts on family OHRQoL (cases): caries severity (OR = 6.680; 95%CI = 2.731-16.349), a history of toothache (OR = 2.666; 95%CI = 1.492-4.765), parental rating of the child's oral health as poor (OR: 1.973; 95%CI = 1.072-3.634), and parent's/caregiver's age (OR = 2.936; 95%CI = 1.077-3.478). Anterior open bite was positively associated with OHRQoL (OR = 4.050; 95%CI = 1.333-12.314). Caries severity, a history of toothache, parental rating of the child's oral health as poor, and younger parents/caregivers were associated with impact on the OHRQoL of the families of preschoolers.

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Embora o Brasil possua um dos maiores rebanhos de equinos do mundo, é importante ressaltar que somente uma pequena parcela desses animais recebe algum tipo de cuidado odontológico. Uma maior atenção à saúde bucal desses animais se justifica no fato das patologias orais serem consideradas um dos principais problemas clínicos na casuística da referida espécie. Pressupondo que alterações dentárias podem repercutir em transtornos diversos, este artigo teve como objetivo identificar e caracterizar a presença de patologias orais em equinos das regiões Norte e Noroeste do Estado do Rio de Janeiro. As anomalias mais frequentes, em todas as raças pesquisadas,foram as pontas excessivas de esmalte dentário, com 99,50% de prevalência, seguida pelos ganchos, com 57,50%, e feridas na bochecha, com 55%. A execução de exames orais periódicos e tratamento clínico-cirúrgico apropriado certamente resultará em um equino mais saudável e com uma melhor qualidade de vida.

Although Brazil has one of the world's largest horse herds is important to note that only a small portion ofthose animais receiving some kind of dental care. Greater attention to the oral health of these animais is justified in thefact of oral pathologies are considered a major problem in clinical sample of that species. Assuming that dental changes can reverberate in various disorders, this study aimed to identify and characterize the attendance of oral diseases inhorses the North and Northwest of the State of Rio de Janeiro. The most frequent anomalies in ali races studied were thetips excessive enamel, with 99.50% of prevalence, followed by hooks, with 57.50%, and sores in the cheek, with 55%. Performing periodic oral examinations and appropriate medical and surgical treatment will certainly result in a horse healthier and better quality of life.

Aunque Brasil tiene una de las manadas más grandes dei mundo de caballos es importante tener encuenta que sólo una pequena parte de los animales que recibieron algún tipo de atención dental. Una mayor atencióna Ia salud bucal de estos animales se justifica en el hecho de patologías orales se consideran un problema importanteen Ia muestra clínica de esa especie. Suponiendo que los cambios dentales pueden repercutir en diversos trastornos,este estudio tuvo como objetivo identificar y caracterizar Ia aparición de enfermedades orales en los caballos el nortey noroeste dei Estado de Río de Janeiro. Las anomalías más frecuentes en todas Ias razas estudiadas, fueron Ias puntas esmalte excesiva, con 99,50% de predominio, seguido de ganchos, con 57,50%, y lIagas en Ia mejilla, con un55%. Realizar exámenes periódicos orales y el tratamiento médico adecuado y quirúrgico sin duda dará lugar a uncaballo sano y de calidad de vida mejor.

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Embora o Brasil possua um dos maiores rebanhos de equinos do mundo, é importante ressaltar que somente uma pequena parcela desses animais recebe algum tipo de cuidado odontológico. Uma maior atenção à saúde bucal desses animais se justifica no fato das patologias orais serem consideradas um dos principais problemas clínicos na casuística da referida espécie. Pressupondo que alterações dentárias podem repercutir em transtornos diversos, este artigo teve como objetivo identificar e caracterizar a presença de patologias orais em equinos das regiões Norte e Noroeste do Estado do Rio de Janeiro. As anomalias mais frequentes, em todas as raças pesquisadas,foram as pontas excessivas de esmalte dentário, com 99,50% de prevalência, seguida pelos ganchos, com 57,50%, e feridas na bochecha, com 55%. A execução de exames orais periódicos e tratamento clínico-cirúrgico apropriado certamente resultará em um equino mais saudável e com uma melhor qualidade de vida.(AU)

Although Brazil has one of the world's largest horse herds is important to note that only a small portion ofthose animais receiving some kind of dental care. Greater attention to the oral health of these animais is justified in thefact of oral pathologies are considered a major problem in clinical sample of that species. Assuming that dental changes can reverberate in various disorders, this study aimed to identify and characterize the attendance of oral diseases inhorses the North and Northwest of the State of Rio de Janeiro. The most frequent anomalies in ali races studied were thetips excessive enamel, with 99.50% of prevalence, followed by hooks, with 57.50%, and sores in the cheek, with 55%. Performing periodic oral examinations and appropriate medical and surgical treatment will certainly result in a horse healthier and better quality of life.(AU)

Aunque Brasil tiene una de las manadas más grandes dei mundo de caballos es importante tener encuenta que sólo una pequena parte de los animales que recibieron algún tipo de atención dental. Una mayor atencióna Ia salud bucal de estos animales se justifica en el hecho de patologías orales se consideran un problema importanteen Ia muestra clínica de esa especie. Suponiendo que los cambios dentales pueden repercutir en diversos trastornos,este estudio tuvo como objetivo identificar y caracterizar Ia aparición de enfermedades orales en los caballos el nortey noroeste dei Estado de Río de Janeiro. Las anomalías más frecuentes en todas Ias razas estudiadas, fueron Ias puntas esmalte excesiva, con 99,50% de predominio, seguido de ganchos, con 57,50%, y lIagas en Ia mejilla, con un55%. Realizar exámenes periódicos orales y el tratamiento médico adecuado y quirúrgico sin duda dará lugar a uncaballo sano y de calidad de vida mejor.(AU)

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Most illnesses affecting the oral cavity are proven to have infectious origin. Several categories of chemical agents have been used in the chemical control of dental biofilm through strategies that aim at reducing bacterial adhesion and inhibiting the growth and the proliferation of microorganisms on the tooth surface. The use of plants in folk medicine and in Dentistry, as well as the spread of successful cases, has led to scientific exploration, resulting in chemical-pharmacological knowledge of thousands of plants. The present study aimed to evaluate the anti-adherence activity of Lippia sidoides Cham., comparing the results with those of 0.12% chlorhexidine by means of an in vitro simulation of dental biofilm. The studied bacterial strains were Streptococcus mutans, Streptococcus sanguinis and Lactobacillus casei, main responsible for the biofilm adherence. The studied extract was effective in inhibiting the adherence of Streptococcus mutans up to a concentration of 1:16, compared to Chlorhexidine. Lippia sidoides Cham extract showed anti-adherence effect on the major microorganisms responsible for dental biofilm consolidation.

É fato comprovado que a maior parte das doenças que acometem a cavidade bucal são de origem infecciosa. Várias categorias de agentes químicos têm sido utilizadas no controle químico do biofilme dental através de estratégias que visam a redução da adesão bacteriana, a inibição do crescimento, e a proliferação dos microrganismos na superfície do dente. A utilização das plantas pela medicina popular, seu uso na Odontologia e a divulgação dos êxitos, conduziram a exploração científica resultando no conhecimento químico-farmacológico de milhares de plantas. A presente pesquisa objetivou avaliar a atividade antiaderente da folha da Lippia sidoides Cham. comparando seus resultados com a Clorexidina 0,12%, através de uma simulação, in vitro, do biofilme dental. As linhagens bacterianas utilizadas na pesquisa foram o Streptococcus mutans, Streptococcus sanguinis, e o Lactobacillus casaram, principais responsáveis pela aderência do biofilme. O extrato estudado mostrou-se efetivo na inibição de aderência das bactérias ensaiadas até uma concentração de 1:16, sobre o Streptococcus mutans, sendo comparável à Clorexidina. O extrato da Lippia sidoides Cham. demonstrou efeito antiederente, sobre os principais microrganismos responsáveis pela consolidação do biofilme dental.

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This cross-sectional study assessed the impact of Developmental Enamel Defects (DED) on Child Oral Health-Related Quality of Life (COHRQoL). A sample of 944 11- to 14-year-old Brazilian schoolchildren was examined for the prevalence and severity of DED. The children completed the Child Perceptions Questionnaire (CPQ11-14), and socioeconomic status was also collected using a questionnaire. Poisson regression models were used to assess the association between DED and overall and domain-specific CPQ11-14 scores. The prevalence of DED was 19.7%. In general, children with DED did not indicate any decrease in self-perception. However, this condition was associated with an impact on the functional limitation domain. The presence of DED may cause negative impacts on a child's perception of oral health and on their daily performance.

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This cross-sectional study assessed the impact of Developmental Enamel Defects (DED) on Child Oral Health-Related Quality of Life (COHRQoL). A sample of 944 11- to 14-year-old Brazilian schoolchildren was examined for the prevalence and severity of DED. The children completed the Child Perceptions Questionnaire (CPQ11-14), and socioeconomic status was also collected using a questionnaire. Poisson regression models were used to assess the association between DED and overall and domain-specific CPQ11-14 scores. The prevalence of DED was 19.7 percent. In general, children with DED did not indicate any decrease in self-perception. However, this condition was associated with an impact on the functional limitation domain. The presence of DED may cause negative impacts on a child's perception of oral health and on their daily performance.

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OBJECTIVE: To investigate the most prevalent forms of headache in a tertiary outpatient service, and to assess the frequency of associated parafunctional habits and temporomandibular dysfunction symptoms (TMD). METHOD: All new patients referred to the Headache Outpatient Service in UNIMES during 2008 were prospectively assessed by the neurologist and the dental surgeon. RESULTS: Eighty new patients were assessed; chronic migraine and episodic migraine without aura were the most prevalent conditions, accounting for 66.3% of all cases. There was significantly higher use of analgesics/days for the chronic migraine patients. The prevalence of parafunctional habits was 47.5% and the prevalence of TMD symptoms was 35%. CONCLUSION: The high prevalence of primary headaches, parafunctional habits and TMD symptoms and the inadequate use of analgesic drugs suggest that primary healthcare units need further training in the field of headache and orofacial pain.

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OBJETIVE: To investigate the most prevalent forms of headache in a tertiary outpatient service, and to assess the frequency of associated parafunctional habits and temporomandibular dysfunction symptoms (TMD). METHOD: All new patients referred to the Headache Outpatient Service in UNIMES during 2008 were prospectively assessed by the neurologist and the dental surgeon. RESULTS: Eighty new patients were assessed; chronic migraine and episodic migraine without aura were the most prevalent conditions, accounting for 66.3 percent of all cases. There was significantly higher use of analgesics/days for the chronic migraine patients. The prevalence of parafunctional habits was 47.5 percent and the prevalence of TMD symptoms was 35 percent. CONCLUSION: The high prevalence of primary headaches, parafunctional habits and TMD symptoms and the inadequate use of analgesic drugs suggest that primary healthcare units need further training in the field of headache and orofacial pain.

OBJETIVO: Investigar as formas prevalentes de cefaléia em um ambulatório terciário e analisar a frequência de hábitos parafuncionais e de sintomas de disfunção temporomandibular (DTM) associados. MÉTODO: Todos os pacientes novos encaminhados ao Serviço de Cefaléias da UNIMES durante 2008 foram avaliados de forma prospectiva pelo neurologista e pelo cirurgião dentista. RESULTADOS: Oitenta pacientes novos foram avaliados; enxaqueca crônica e enxaqueca episódica sem aura foram as condições mais prevalentes, perfazendo 66,3 por cento de todos os casos. Houve uso significativamente alto de analgésicos/dias pelos pacientes com enxaqueca crônica. A prevalência de hábitos parafuncionais foi 47,5 por cento e a prevalência de sintomas de DTM foi 35 por cento. CONCLUSÃO: A alta prevalência de cefaléias primárias, hábitos parafuncionais, sintomas de DTM e o uso inadequado de drogas analgésicas sugerem que as unidades básicas de saúde necessitam maior treinamento no campo da cefaléia e da dor orofacial.

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Studing the clinical and radiographic data on the dental conditions of 184 leprous patients from 15 to 75 years of age we have concluding that: 1. The mean DMFT index increased with age, the higher values being always registered for the maxilla, in all the age groups considered. 2. The proportion betweem present and absent teeth and 1:2, that is 10,97 por cento for present teeth and 21,02 por cento for absend teeth. 3. The mean number of carious teeth per individual was of 2.50 por cento, that in almost 3 teeth the mean was of 0.29 por cento, that is less than 1 restaured tooth per individual. 4. For the 2085 absent maxillary teeth, 6 partial and 51 complet dentures were found; for the 1783 absend mandibular teeth, 2 partial and 34 complete dentures were found. 5. The mean number of absent maxillary anterior teeth was always higher for the leprous patients, in all age group considered. 6. As to the necessities of treatment approximately 90.0 por cento of full or partial dentulous leprous pateints needed restaurative and/or periodontal treatment and 46.0 por cento and 27.0 por cento needed surgical and endodontic treatment, respectivelly

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