RESUMO
Aim: to evaluate the prognosis of root cariestreatment with non-invasive methods, as well as to compare non-invasive therapies as viable alternatives for clinicians, indicating their cost-effectiveness.Literaturereview: Data collected were number of active lesions at baseline(BL) and in the last clinical assessment after follow-up(FL), and the follow-up period in months(P). The outcome was the monthly progression rate of the lesions that was calculated by (FLBL)/P. A negative progression rate means the arrestment of the lesions. A cost-effectiveness rate was calculated. Results: From 596 titles retrieved in the search, 8 studies were included in a qualitative synthesis after assessed for eligibility. The monthly progression rate of lesions of home-based treatments (toothpastes, mouth rinses, supplemented milk intake) was an average of -0.79 (-3.68 to 2.3), while the office-based treatments (varnish, topic solutions) was 0.07 (-0.01 to 0.51), suggesting a better prognosis of the home-based treatments. The lowest monthly progression rate was -3.97 (toothpaste 5000ppm/F) while the highest was 2.31 (conventional toothpaste). The cost-effectiveness rate was better for treatments with toothpastes with 5000ppm/F (BRL21.78) when compared to mouthwashes (BRL579.47). Discussion: A better prognosis was found for toothpastes with a high fluoride concentration (5000ppm/F) compared to other therapies, as well as a better cost-effectiveness when compared to mouthwashes. Conclusion: Home-based therapiesrepresented the highest rates of good prognosis for treating root caries lesions within the available scientific evidence. Although 5000ppm/F toothpastes have a very high cost for the Brazilian market, this treatment presented the highest cost-effectiveness when compared to mouthrinses(PROSPERO:CRD42019136035).
Objetivo: avaliar o prognóstico do tratamento da cárie radicular com métodosnão invasivos, bem como comparar as terapias não invasivas como alternativas viáveis para os clínicos, indicando seu custo-efetividade. Revisão deliteratura: os dados coletados foram o número de lesões ativas no início do estudo(BL) e na última avaliação clínica após o acompanhamento(FL), e o período de acompanhamento em meses(P). O desfecho foi a taxa de progressão mensal das lesões calculada por (FLBL)/P. Uma taxa de progressão negativa significou a inativação das lesões. Uma taxa de custo-efetividade foi calculada.Resultados: Dos 596 títulos recuperados na busca, 8 estudos foram incluídos em uma síntese qualitativa após avaliação de elegibilidade. A taxa de progressão mensal das lesões dos tratamentos caseiros (dentifrícios, enxaguatórios bucais, ingestão de leite complementado) foi em média -0,79 (-3,68 a 2,3), enquanto os tratamentos de consultório (verniz, soluções tópicas) foi de 0,07 (-0,01 a 0,51), sugerindo um melhor prognóstico dos tratamentos domiciliares. A menor taxa de progressão mensal foi de -3,97 (dentifrício 5000ppm/F), enquanto a maior foi de 2,31 (dentifrício convencional). A taxa de custo-efetividade foi melhor para tratamentos com dentifrícios com 5000ppm/F(R$21,78) quando comparados aos bochechos (R$579,47). Discussão: Foi encontrado melhor prognóstico para dentifrícios com alta concentração de flúor(5000ppm/F) em comparação com outras terapias, bem como melhor custo-efetividade quando comparados aos bochechos. Conclusão: As terapias domiciliares representaram as maiores taxas de bom prognóstico para o tratamento de lesões de cárie radicular dentro das evidências científicas disponíveis. Embora dentifrícios de 5000ppm/F tenham um custo muito alto para o mercado brasileiro, este tratamento apresentou o maior custo-efetividade quando comparado aos enxaguatórios bucais(PROSPERO:CRD42019136035).
Assuntos
Humanos , Prognóstico , Dentifrícios , Análise de Custo-EfetividadeRESUMO
RESUMO Esta pesquisa do tipo exploratória descritiva objetivou analisar a execução do Programa Saúde na Escola (PSE) no Distrito Federal, no período anterior e durante a pandemia da Covid-19. Os dados foram produzidos de fevereiro a abril de 2022 mediante pesquisa documental e aplicação de questionário on-line a profissionais das equipes de Atenção Primária à Saúde (APS), no âmbito do Programa de Qualificação da Atenção Primária do Distrito Federal (QualisAPS). Foram acessados os bancos de dados do Instituto Nacional de Estudos e Pesquisas Educacionais Anísio Teixeira, do Sistema de Informação para a Atenção Básica e da Plataforma QualisAPS sobre as ações desenvolvidas de 2018 a 2021, a estruturação do programa e a sua inclusão nos planos de ação das equipes de saúde da família e saúde bucal. Por meio de estatística descritiva e análise de conteúdo, evidenciaram-se ampliação da adesão das escolas ao Programa e predominância de registros referentes à temática saúde bucal e verificação vacinal nos dois períodos, mas com redução quantitativa em decorrência da pandemia. A realidade do Distrito Federal desvela que a inter-relação do PSE com a APS e o apoio do QualisAPS favorecem um processo contínuo de planejamento trazendo perspectivas de fortalecimento das ações.
ABSTRACT This exploratory descriptive research aims to analyze the implementation of the School Health Program in the Federal District, in the period before and during the COVID-19 pandemic. The data were produced from February to April 2022 through documentary research and application of an online questionnaire with professionals from the Primary Health Care (PHC) teams within the scope of the Primary Care Qualification Program of the Federal District-QualisAPS. The databases of the National Institute of Educational Studies and Research Anísio Teixeira, the Information System for Primary Care and the QualisAPS Platform were accessed on the actions developed from 2018 to 202, the structuring of the program, and its inclusion in the action plans of family health and oral health teams. Through descriptive statistics and content analysis it was evident an increase in the adhesion of schools to the PSE and a predominance of records related to oral health and vaccine verification, in both periods, with quantitative reduction due the pandemic period. The reality of the Federal District reveals that the interrelation of the Program with PHC and the support of QualisAPS enable a continuous planning process, bringing prospects for strengthening the actions.
RESUMO
This cross-sectional study aimed to determine the seroprevalence of SARS-CoV-2 infection among Brazilian dentists and its associated factors. Stratified random sampling of dentists from 33 administrative regions of the Federal District (Brazil) was performed. The presence of antibodies was verified by the OnSite COVID-19 IgG/IgM Rapid Test. Participants answered a survey about sociodemographic characteristics, exposure to COVID-19, and professional practice. A chi-square test was performed between serostatus and exposure variables. Mann-Whitney tests were carried out for quantitative variables. Odds ratio (OR) and 95% confidence intervals (95%CI) were calculated. A series of binomial logistic regression models was performed. The seroprevalence of SARS-CoV-2 infection among 324 selected dentists was 19.1%. There was a statistically significant association between seropositivity and previous confirmed diagnosis of COVID-19, loss of taste or smell, diagnosis of COVID-19 in a household member, and treatment of a patient with fever. Dentists with a previous confirmed diagnosis of COVID-19 had 29.5 [12.7-68.4] higher odds to exhibit positive serology test results. Dentists with confirmed diagnosis of COVID-19 in a household member had 2.5 [1.1-5.3] times higher odds to exhibit positive serology test results. Professionals with loss of taste or smell in the last 15 days had 5.24 [1.1-24.1] times higher odds to exhibit positive serology test results, and, for those who had treated patients with fever, there were 2.99 [1.03-8.7] times higher odds to exhibit negative serology test results. There was a similar prevalence rate of infection among dentists and in the general population. Nevertheless, this finding applies to the epidemiological situation in 2020, before the development of vaccines and the emergence of SARS-CoV-2 Delta variant.
Assuntos
COVID-19 , SARS-CoV-2 , Brasil/epidemiologia , COVID-19/diagnóstico , COVID-19/epidemiologia , Estudos Transversais , Odontólogos , Humanos , Estudos SoroepidemiológicosRESUMO
Abstract: This cross-sectional study aimed to determine the seroprevalence of SARS-CoV-2 infection among Brazilian dentists and its associated factors. Stratified random sampling of dentists from 33 administrative regions of the Federal District (Brazil) was performed. The presence of antibodies was verified by the OnSite COVID-19 IgG/IgM Rapid Test. Participants answered a survey about sociodemographic characteristics, exposure to COVID-19, and professional practice. A chi-square test was performed between serostatus and exposure variables. Mann-Whitney tests were carried out for quantitative variables. Odds ratio (OR) and 95% confidence intervals (95%CI) were calculated. A series of binomial logistic regression models was performed. The seroprevalence of SARS-CoV-2 infection among 324 selected dentists was 19.1%. There was a statistically significant association between seropositivity and previous confirmed diagnosis of COVID-19, loss of taste or smell, diagnosis of COVID-19 in a household member, and treatment of a patient with fever. Dentists with a previous confirmed diagnosis of COVID-19 had 29.5 [12.7-68.4] higher odds to exhibit positive serology test results. Dentists with confirmed diagnosis of COVID-19 in a household member had 2.5 [1.1-5.3] times higher odds to exhibit positive serology test results. Professionals with loss of taste or smell in the last 15 days had 5.24 [1.1-24.1] times higher odds to exhibit positive serology test results, and, for those who had treated patients with fever, there were 2.99 [1.03-8.7] times higher odds to exhibit negative serology test results. There was a similar prevalence rate of infection among dentists and in the general population. Nevertheless, this finding applies to the epidemiological situation in 2020, before the development of vaccines and the emergence of SARS-CoV-2 Delta variant.
RESUMO
The aim of this cross-sectional study was to analyze user satisfaction in relation to Primary Health Care services in the Federal District and its associated factors. A total of 4,476 users of the 62 existing Family Health Strategy Teams from the Eastern Health Region were included; a pre-tested questionnaire with open and closed questions was applied. As for the "General Satisfaction Level" 54.9% of users were Satisfied and 23.0% Very Satisfied. For this outcome there was less satisfaction in cases that the user didn´t receive the care he sought for (OR 12.1 p=0.01); did not receive a home visit (OR 1.7 p=0.01); is female (OR 1.2 p=0.01) and declared to be non-white (OR 0.77 p=0.021). The "Chance to recommend the Health Unit" was: High (43.4%) and Very High (17.7%). Similarly, the lower chance to recommend was associated with no care received (OR 5.1 p=0.01) and absence of home visit (OR 1.5 p=0.01); there was no association with sociodemographic variables. Evidence showed that health services are satisfactory for most users. The study provides evidence regarding the importance of having the complete Family Health Strategy team and of expanding home visit.
Assuntos
Visita Domiciliar , Satisfação Pessoal , Estudos Transversais , Feminino , Humanos , Masculino , Satisfação do Paciente , Atenção Primária à SaúdeRESUMO
Este estudo teve como objetivo analisar a autopercepção da saúde bucal de universitários adultos jovens, correlacionando-a com status tabágico. Foi um estudo transversal com universitários entre 18 e 21 anos. Cada estudante, ao concordar em participar da pesquisa, preencheu um questionário sobre suas experiências com o tabagismo, percepção de saúde bucal e necessidade de tratamento odontológico. Em seguida, cada participante expirou em um monoxímetro, aparelho que avalia a presença de monóxido de carbono na respiração, para confirmação do status tabágico autorreferido. Foram aplicados 103 questionários, dos quais 4 foram excluídos devido a discrepâncias entre o status tabágico autorreferido e o resultado do monoxímetro, restando 99 participantes (49 do sexo feminino e 50 do masculino), idade média 18,7±1,1 anos. Quanto ao status tabágico confirmado pelo monoxímetro, 54 (54,5%) participantes nunca fumaram nem experimentaram cigarros; 29 (29,3%) não fumavam, mas experimentaram cigarros; 6 (6,1%) não fumavam, mas fumaram no passado; e 10 (10,1%) eram fumantes. Quanto à exposição ao tabagismo passivo, 38 (38,4%) participantes se declararam expostos. Em relação à autopercepção da saúde bucal, 1,9% dos participantes não fumantes, 10% dos fumantes e 3,2% dos fumantes passivos classificaram sua saúde bucal como ruim; 5,6%, 10% e 6,4% classificaram sua necessidade de tratamento odontológico como muita, respectivamente (diferenças estatísticas não significativas, alpha=0,05). Concluiu-se que a prevalência do tabagismo observada entre participantes desta pesquisa ficou abaixo da média nacional entre universitários. Quanto à autopercepção de saúde bucal e necessidade de tratamento, não houve diferença em relação ao status tabágico.
This study aimed to analyze the self-perception of oral health of young adult university students, correlating it with smoking status. It was a cross-sectional study with university students between 18 and 21 years old. Each academic, after agreeing to participate in the research, completed a questionnaire about their experiences with smoking, perception of oral health and need for dental treatment. Then, each participant expired on a monoximeter, equipment that measures the presence of carbon monoxide in the breath, to confirm the self-reported smoking status. There were administered 103 questionnaires, which 4 were excluded due to discrepancies between the self-reported smoking status and the monoximeter result, totaling 99 participants (49 were female and 50 male), mean age 18.7±1.1 years. About the smoking status confirmed by the monoximeter, 54 (54.5%) participants had never smoked or tried cigarettes; 29 (29.3%) did not smoke but tried cigarettes; 6 (6.1%) did not smoke but smoked in the past; and 10 (10.1%) were smokers. About the exposure to passive smoking, 38.4% declared themselves exposed. About the self-perception of oral health, 1.9% of non- smoking participants, 10% of smokers and 3.2% of passive smokers reported having bad oral health and 5.6%, 10% and 6.4% reported much need for dental treatment, respectively (statistical differences not significant, alpha=0,05). It was concluded that the prevalence of smoking observed among participants of this study was below the national average for university students. About the self-perception of oral health and the need for dental treatment, no difference was observed in smoking status.
RESUMO
Com os programas de prevenção à cárie dentária, a população está mantendo maior número de dentes até idades mais avançadas. Estes ficam sujeitos a alterações fisiológicas e patológicas da cavidade bucal, como alterações do fluxo salivar, capacidade tampão da saliva e/ou exposição radicular por retração da margem gengival. As superfícies radiculares expostas, devido à sua composição química, são mais susceptíveis ao desenvolvimento da cárie, assim, o diagnóstico e o tratamento das lesões instaladas e a prevenção de futuras torna-se extremamente importante. O objetivo deste trabalho é discutir os fatores associados ao desenvolvimento da cárie radicular, bem como sua distribuição nas populações com mais de 40 anos.
Assuntos
Cárie Radicular/prevenção & controle , Epidemiologia/estatística & dados numéricos , Cárie Radicular/terapia , PrevalênciaRESUMO
O propósito deste estudo foi verificar a influência da distância da ponta polimerizadora, sobre a dureza Knoop em diferentes profundidades, dos compósitos Z100 e Silux Plus. Os corpos-de-prova medindo 5 mm de diâmetro por 2,5 mm de altura foram preparados em matriz metálica, coberta com tira de celulose, com a ponta polimerizadora colocada nas seguintes distâncias: 0, 6 e 12 mm, utilizando o aparelho XL 3000, com potência de 750 mW/cm². Após a armazenagem a 37°C por 24 horas, a dureza dos corpos-de-prova foi medida com microdurômetro calibrado com carga de 50 g por 30 segundos. Os resultados foram submetidos à análise de variância e ao teste de Tukey (5 por cento), indicando que: 1) No compósito Z100, quanto maior a distância da ponta polimerizadora, menor os valores de dureza Knoop; 2) No Silux Plus, o aumento da distância da ponta polimerizadora não mostrou diferença estatística significativa nos valores de dureza Knoop; entretanto, nas distâncias 6 e 12 mm as camadas mais profundas mostraram menor dureza Knoop quando comparadas com aquelas da superfície; 3) O produto Z100 foi estatisticamente superior ao Silux Plus nas 3 distâncias da ponta polimerizadora em todas as profundidades