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BACKGROUND: Developmental defects of enamel (DDE) are a result of disturbances during formation and maturation of the enamel. Evaluating the most-cited DDE papers can provide important tools that point to the gaps and strengths of this important topic in dentistry. SUMMARY: This bibliometric study analyzed the 100 most-cited papers on DDE. Using a combined keyword search strategy, the 100 most-cited papers were selected in the Web of Science Core Collection. Papers that addressed any type of DDE were included. The extracted data were title, number of citations, study theme, authorship, journal, type of DDE, type of dentition (primary or permanent), type of diagnosis, study design, year, and country of publication. The bibliometric networks were generated through VOSviewer software. The 100 papers had a range from 78 to 459 citations. The main themes of studies were etiopathogenesis (53%), prevalence and incidence (22%), and diagnosis (8%). The authors with the highest number of citations were Goodman AH and Rose JC (459 citations). Most articles were published in dental journals (47%). The most studied types of DDE were fluorosis and amelogenesis imperfecta in the permanent dentition (47%). Observational (24%) and non-systematic reviews (24%) were the most common study designs and ranged from 1977 to 2019. The country with the highest number of publications was the USA (41%). KEY MESSAGES: Most of the top 100 DDE papers were about fluorosis and amelogenesis imperfecta, with top papers from three continents with English as the native language. This topic is of great importance in dentistry, and the need for further studies is highlighted, especially regarding the diagnosis and treatment of some DDEs.

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Objectives: To evaluate the association of sleep bruxism activity with smartphone addiction and sleep quality among university students during COVID-19 pandemic. Material and Methods: A cross-sectional online survey with 546 university students in social distancing was conducted (May 29th to June 2nd 2020). Participants should be undergraduate and graduate students enrolled in Brazilian public/private universities. A self-completed questionnaire collected sociodemographic characteristics, academic information, and severity of possible sleep bruxism (PSB) activities (grinding, bracing, and thrusting). Students answered the Brazilian version of Pittsburgh sleep quality index (PSQI-BR) and short form of the smartphone addiction scale (SAS-SV). Descriptive statistics and multinomial logistic regression were performed (p=0.05). Results: Sample mean age was 24.9 (±5.5) years. Students with higher scores of PSQI-BR were more likely to present severe PSB-bracing (OR=1.154; 95%CI=1.057-1.260), severe PSB-grinding (OR=1.133; 95%CI=1.048-1.225) and severe PSB-thrusting (OR=1.197;95%CI=1.107-1.294). Students who had children presented 3 times more chance (OR=3.193; 95%CI=1.236-8.250) to report severe PSB-thrusting. Being female increased the chance of reporting moderate (OR=3.315; 95%CI=1.333-8.914) and severe (OR=2.940; 95%CI=1.116-7.747) PSB-thrusting. Students not enrolled in distance learning presented 2 times more chance (OR=2.638; 95%CI=1.233-5.649) of reporting moderate PSB-grinding. Students with higher scores in SAS-SV had a slight increase in the chance of presenting mild (OR=1.042; 95%CI=1.009-1.077) and moderate (OR=1.065; 95%CI=1.018-1.115) PSB-bracing, as well as mild (OR=1.044; 95%CI=1.011-1.078) and moderate (OR=1.041; 95%CI=1.005-1.077) PSB-thrusting. Conclusion: Smartphone addiction, worse sleep quality, having children, female sex and not being enrolled in distance learning were associated possible sleep bruxism during COVID-19 pandemic.

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A highly cited paper is seen as a landmark in any field and can influence both research and clinical practice. This study aimed to quali-quantitatively analyze the 100 most-cited papers in Cariology. A search strategy was first determined using specific keywords related to the field. A comprehensive search was then conducted in the Thompson Reuters Web of Science citation indexing database up to April 2019. Papers focused on any aspect of Cariology were included. A panel of 4 researchers conducted the selection of papers and extracted data on the number of citations, title, authors, country, year, journals, study design, and topic of interest. Scopus and Google Scholar were also searched to compare the number of citations. The VOSviewer software was used to generate bibliometric networks. The number of citations among the top 100 most-cited papers ranged from 168 to 1,961 with a mean of 292,66. Three papers had more than 1,000 citations. The Journal of Dental Research (20%) and Caries Research (17%) had more top papers. The oldest and the most recent papers were published in 1960 and 2015. Literature reviews (35%) and laboratorial studies (31%) were the most common study designs. The countries with the highest number of most-cited papers were the USA (40%), Sweden (10%), and Japan (9%). The most studied fields of interest were etiology/pathogenesis (41%) and prevention (20%). VOSviewer maps revealed collaborative networks between countries and organizations. The top 100 most-cited papers in Cariology were published mainly by European and Anglo-Saxon American authors and were composed mainly of literature reviews with etiology/pathogenesis as the most frequent topic of interest.

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This study aimed to map evidence-based guidelines for oral care of the dependent elders and perform the cross-cultural adaptation to Brazilian Portuguese. Initially, a systematized review was conducted in Medline, Scielo, Scopus, Web of Science, and Google Scholar databases without restrictions in search period or type of study. Articles in English, Spanish, and Brazilian Portuguese describing evidence-based guidelines for oral care, including oral hygiene recommendations, of institutionalized dependent elders were included as long as they presented an evaluation of evident quality. The guideline that met inclusion criteria was submitted to cross-cultural adaptation after obtaining permission from the original authors. Two hundred and nineteen references were found. Three selected articles described evidence-based guidelines for oral care, but the Oral Health Care Guideline for Older People in Long-term Care Institutions (OGOLI), originally developed and implemented in the Netherlands, was selected. It was based on evidence level A2 and consensus of experts and met the quality requirements of the Appraisal of Guidelines for Research & Evaluation (AGREE). This guideline presents oral care recommendations for elders with different levels of dependence in activities of daily living to be performed by caregivers and nursing staff. The adaptation of the OGOLI was mainly on the attributions of care providers, given the differences in professional regulations between Brazil and the Netherlands. The cross-cultural equivalence between OGOLI and its Brazilian Portuguese version was verified.

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Abstract This study aimed to map evidence-based guidelines for oral care of the dependent elders and perform the cross-cultural adaptation to Brazilian Portuguese. Initially, a systematized review was conducted in Medline, Scielo, Scopus, Web of Science, and Google Scholar databases without restrictions in search period or type of study. Articles in English, Spanish, and Brazilian Portuguese describing evidence-based guidelines for oral care, including oral hygiene recommendations, of institutionalized dependent elders were included as long as they presented an evaluation of evident quality. The guideline that met inclusion criteria was submitted to cross-cultural adaptation after obtaining permission from the original authors. Two hundred and nineteen references were found. Three selected articles described evidence-based guidelines for oral care, but the Oral Health Care Guideline for Older People in Long-term Care Institutions (OGOLI), originally developed and implemented in the Netherlands, was selected. It was based on evidence level A2 and consensus of experts and met the quality requirements of the Appraisal of Guidelines for Research & Evaluation (AGREE). This guideline presents oral care recommendations for elders with different levels of dependence in activities of daily living to be performed by caregivers and nursing staff. The adaptation of the OGOLI was mainly on the attributions of care providers, given the differences in professional regulations between Brazil and the Netherlands. The cross-cultural equivalence between OGOLI and its Brazilian Portuguese version was verified.

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Dois estudos foram realizados para impulsionar a visão holística da saúde bucal por meio da validação de instrumentos que abrangem construtos em estágios nascentes na Odontologia. O Positive Oral Health and Well-Being (POHW) é o primeiro, e até então único, instrumento destinado a avaliar especificamente a saúde bucal positiva. O Trait Emotional Intelligence Questionnaire-Short Form (TEIQue-SF) é o único instrumento explicitamente baseado na teoria de traço de inteligência emocional (traço de IE), abrangendo todas as faces do construto. Portanto, os objetivos dos estudos foram adaptar transculturalmente e avaliar as propriedades psicométricas das versões brasileiras do POHW (ESTUDO I) e do TEIQue-SF (ESTUDO II). No primeiro estudo, a versão brasileira do POHW foi administrada em amostra composta por responsáveis que acompanhavam as crianças e adolescentes atendidos nas clínicas de Odontologia das Universidades Federais de Minas Gerais (UFMG) e Santa Maria (UFSM). O ajuste do modelo foi testado em 209 participantes por meio da Análise Fatorial Confirmatória com indicadores categóricos em modelos bifatorial e de estrutura simples. Medidas externas de validação foram representadas por questionários referentes a dados sociodemográficos, hábitos e percepção sobre a saúde bucal, e bem-estar geral. Além disso, a experiência de cárie dentária foi diagnosticada clinicamente. Apesar de semelhanças nas etapas de tradução e adaptação transcultural, a validação da versão brasileira do TEIQue-SF apresentou peculiaridades diante ao do POHW. A Modelagem de Equação Estrutural Exploratória (MEEE) da versão brasileira do TEIQue-SF foi testada em uma amostra de 512 graduandos em Odontologia da UFMG. Em seguida, a invariância de medida foi avaliada em relação aos bancos de dados do Reino Unido e Chile. Os Marcadores Reduzidos da Personalidade, a Escala de Satisfação com a Vida, e a Escala de Felicidade Subjetiva também foram administradas como medidas externas de validação. Os seguintes resultados foram encontrados para a versão brasileira do POHW: a) o modelo bifatorial apresentou o melhor ajuste; b) satisfatória consistência interna (α e ω > 0,8); c) forte correlação de Spearman para o Fator Global no teste-reteste (rs = 0,85); d) representação do construto de acordo com a base teórica da saúde bucal positiva. Quanto a versão brasileira do TEIQue-SF, encontramos: a) Adequado ajuste final da MEEE bifatorial; b) traço de IE global significativamente maior entre os homens (d = 0,27); c) maior consistência interna para o traço de IE global (α = 0,88), apesar do menor α de Cronbach nos níveis fatoriais (0,60−0,85); d) alta correlação (r = 0,89) no teste-reteste; e) significante correlação entre o traço de IE global e a maioria das dimensões dos Cinco Grandes Fatores (r = -0,66−0,46), satisfação com a vida (0,59) e felicidade (0,68); f) evidência da validade incremental do traço de IE para satisfação com a vida e felicidade, além dos Cinco Grandes Fatores; g) equivalência de mensuração entre as versões brasileira, britânica e chilena do TEIQue-SF. Concluímos que as versões brasileiras do POHW e TEIQue-SF são psicometricamente sólidas para uso no contexto brasileiro.

Two studies were developed to boost the holistic view of oral health from the validation of instruments that evaluate constructs still in a nascent stage in Dentistry. The Positive Oral Health and Well-Being (POHW) is the first and, until then, the only instrument developed to evaluate positive oral health specifically. The Trait Emotional Intelligence Questionnaire-Short Form (TEIQue-SF) is the only instrument that is explicitly based on trait emotional intelligence (trait EI) theory, and cover all facets of the construct. Therefore, the aims of the studies were translate, cross-culturally adapt and evaluate the psychometric properties of the Brazilian version of POHW (STUDY I) and TEIQue-SF (STUDY II). In the first study, the Brazilian version of POHW was applied in a sample comprised by caregivers of children and adolescents attended at the Dentistry clinics of the Federal Universities of Minas Gerais (UFMG) and Santa Maria (UFSM). The model fit was tested in 209 participants through Confirmatory Factor Analysis tested model fit with categorical factor indicators in bifactor and simple structure models. External validation measures were represented by sociodemographic status, habits and perception about oral health-related outcomes, and general well-being. Moreover, the dental caries experience was clinically diagnosed. Although similarities in the steps of translation and cross-cultural adaptation, the validation of the Brazilian version of TEIQue-SF presented peculiarities compared to POHW., The bifactor Exploratory Structural Equation Modeling (ESEM) of the Brazilian version of TEIQue-SF was tested in a sample of 512 dental undergraduates from UFMG. Next, measurement invariance was tested against the datasets from UK and Chile. The Big Five Mini-Markers, Satisfaction with Life Scale and Subjective Happiness Scale were also administered as external validation measures. We found the following results for the Brazilian version of POHW: a) bifactor model presented the best model fit; b) satisfactory internal consistency (α and ω > 0.8); c) strong Spearman correlation for the Global Factor of POHW in the test-retest (rs = 0.85); d) construct representation in line with the positive oral health framework. Regarding the Brazilian version of TEIQue-SF, we found: a) final adequate bifactor ESEM model fit; b) a significantly higher global trait EI mean for men (d = 0.27); c) high internal consistency for global trait EI (α = 0.88), despite lower Cronbach's α values at the factor level (0.60−0.85); d) high correlation (r = 0.89) in the test-retest; e) significant correlation between global trait EI and most of the Big Five dimensions (r = -0.66−0.46), life satisfaction (0.59) and happiness (0.68); f) evidence of incremental validity of trait EI for life satisfaction and happiness over and above the Big Five; g) equivalent measurement across the Brazilian, UK and Chilean versions of the TEIQue-SF. We conclude that both Brazilians versions of POHW and TEIQue-SF are psychologically sound for use in the Brazilian context.

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Abstract In the last decades, several instruments have been used to evaluate the impact of oral health problems on the oral health-related quality of life (OHRQoL) of individuals. However, some instruments lack thorough methodological validation or present conceptual differences that hinder comparisons with instruments. Thus, it can be difficult to clinicians and researchers to select a questionnaire that accurately reflect what are really meaningful to individuals. This short communication aimed to discuss the importance of use an appropriate checklist to select an instrument with a good methodological quality. The COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN) checklist was developed to provide tools for evidence-based instrument selection. The COSMIN checklist comprises ten boxes that evaluate whether a study meets the standard for good methodological quality and two additional boxes to meet studies that use the Item Response Theory method and general requirements for results generalization, resulting in four steps to be followed. In this way, it is required at least some expertise in psychometrics or clinimetrics to a wide-ranging use of this checklist. The COSMIN applications include its use to ensure the standardization of cross-cultural adaptations and safer comparisons between measurement studies and evaluation of methodological quality of systematic reviews of measurement properties. Also, it can be used by students when training about measurement properties and by editors and reviewers when revising manuscripts on this topic. The popularization of COSMIN checklist is therefore necessary to improve the selection and evaluation of health measurement instruments.

Resumo Nas últimas décadas, vários instrumentos tem sido utilizados para avaliar o impacto dos problemas de saúde bucal na qualidade de vida relacionada à saúde bucal (OHRQoL) dos indivíduos. No entanto, alguns instrumentos não possuem validação metodológica completa ou apresentam diferenças conceituais que dificultam as comparações com instrumentos. Assim, pode ser difícil para clínicos e pesquisadores selecionar um questionário que reflita com precisão o que é realmente significativo para os indivíduos. Esta comunicação rápida teve como objetivo discutir a importância de usar um checklist apropriado para selecionar um instrumento com boa qualidade metodológica. O COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN) checklist foi desenvolvido para fornecer ferramentas para a seleção de instrumentos baseados em evidências. O COSMIN checklist compreende dez quadros que avaliam se um estudo atende o padrão para uma boa qualidade metodológica e dois quadros adicionais para atender a estudos que usam o método Item Response Theory e os requisitos gerais para a generalização de resultados, resultando em quatro etapas a serem seguidas. Desta forma, é necessário pelo menos alguma experiência em psicometria ou clinimetria para um amplo uso deste checklist. As aplicações do COSMIN incluem seu uso para garantir a padronização de adaptações transculturais e comparações mais seguras entre estudos de mensuração e avaliação de qualidade metodológica de revisões sistemáticas de propriedades de mensuração. Além disso, ele pode ser usado por estudantes ao treinar sobre propriedades de mensuração e por editores e revisores ao revisar manuscritos sobre este tópico. A divulgação do COSMIN checklist é, portanto, necessária para melhorar a seleção e avaliação dos instrumentos de medição da saúde.

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In the last decades, several instruments have been used to evaluate the impact of oral health problems on the oral health-related quality of life (OHRQoL) of individuals. However, some instruments lack thorough methodological validation or present conceptual differences that hinder comparisons with instruments. Thus, it can be difficult to clinicians and researchers to select a questionnaire that accurately reflect what are really meaningful to individuals. This short communication aimed to discuss the importance of use an appropriate checklist to select an instrument with a good methodological quality. The COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN) checklist was developed to provide tools for evidence-based instrument selection. The COSMIN checklist comprises ten boxes that evaluate whether a study meets the standard for good methodological quality and two additional boxes to meet studies that use the Item Response Theory method and general requirements for results generalization, resulting in four steps to be followed. In this way, it is required at least some expertise in psychometrics or clinimetrics to a wide-ranging use of this checklist. The COSMIN applications include its use to ensure the standardization of cross-cultural adaptations and safer comparisons between measurement studies and evaluation of methodological quality of systematic reviews of measurement properties. Also, it can be used by students when training about measurement properties and by editors and reviewers when revising manuscripts on this topic. The popularization of COSMIN checklist is therefore necessary to improve the selection and evaluation of health measurement instruments.

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Objective: To evaluate the in vitro effect of antioxidants on the bond strength between composite resin and enamel subjected to bleaching agents. Methods: Nineteen sound human molars had their roots sectioned, while their surfaces were flattened and filled with composite resin to produce the specimens, which were then divided into seven groups: G1 ­ unbleached and without antioxidant (control); G2 ­ 36% carbamide peroxide; G3 ­ 36% carbamide peroxide and 10% ascorbic acid solution; G4 ­ 36% carbamide peroxide and 10% ascorbic acid gel; G5 ­ 16% carbamide peroxide; G6 ­ 16% carbamide peroxide and 10% ascorbic acid solution; and G7 ­ 16% carbamide peroxide and 10% ascorbic acid gel. The results of microtensile strength were submitted to an analysis of variance (ANOVA) and Tukey's test, with a significance level of 5%. Results: The bond strength between composite resin and enamel was not affected after the use of bleaching agents. In addition, ascorbic acid did not appear to neutralize the oxidative effects of these agents, given that group 3 showed the lowest mean of bond strength (13.85 MPa). In other groups, the mean of bond strength ranged from 24.06 MPa to 32.02 MPa, with no significant differences when compared to the control. Conclusion: The presence of ascorbic acid immediately after bleaching did not increase the bond strength between the resin and the enamel surface.(AU)

Objetivo: Avaliar in vitro o efeito de antioxidantes sobre a resistência de união entre resina composta e o esmalte sujeito a agentes clareadores. Métodos: Dezenove molares humanos hígidos tiveram suas raízes seccionadas e suas superfícies planificadas e restauradas para obtenção dos corposde-prova, os quais foram divididos em sete grupos: G1 - não clareado e sem agente antioxidante (controle); G2 - Peróxido de carbamida a 36%; G3 - Peróxido de carbamida a 36% e Ácido ascórbico 10% solução; G4 - Peróxido de carbamida a 36% e Ácido ascórbico 10% gel; G5 - Peróxido de carbamida a 16%; G6 - Peróxido de carbamida a 16% e Ácido ascórbico 10% solução; G7 - Peróxido de carbamida a 16% e Ácido ascórbico 10% gel. Os resultados da resistência a microtração foram submetidos à análise de variância (ANOVA) e ao teste de Tukey em nível de significância 5%. Resultados: A resistência adesiva entre resina e o esmalte não foi afetada após a utilização dos agentes clareadores, além disto, o ácido ascórbico não se apresentou capaz de neutralizar os efeitos oxidantes destes agentes, tendo em vista que o grupo 3 mostrou menor média quanto a resistência de união (13,85 Mpa). Nos demais grupos, as médias variaram de 24,06 Mpa a 32,02 Mpa, não havendo diferença significante entre essas médias e o controle. Conclusão: A presença do ácido ascórbico logo após o clareamento dentário não aumento a resistência de união entre a resina e a superfície do esmalte.(AU)

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Avaliar o perfil dos odontopediatras e o uso das técnicas aversivas para o controle do comportamento no cotidiano clínico. Sujeitos e método: foi realizado um estudo transversal, censitário, realizado com 33 odontopediatras atuantes na cidade de João Pessoa, regularmente inscritos no Conselho Regional de Odontologia da Paraíba. Os dados foram coletados por meio de questionário, objetivando avaliar: dados sociodemográficos; seleção e indicação das técnicas aversivas; ansiedade do odontopediatra e o consentimento e aceitação das técnicas aversivas pelas crianças/responsáveis. A análise dos dados foi realizada por estatística descritiva. Resultados: os odontopediatras foram representados principalmente pelo sexo feminino (93,9%), graduados há mais de 10 anos (84,8%) e com especialização (45,5%). Entre os profissionais, 84,8% utilizavam as técnicas aversivas, destes, 75,0% utilizavam as técnicas em pelo menos dois a cada 10 pacientes. No entanto, apenas 66,6% consideraram a abordagem do assunto suficiente durante a pós/graduação. A técnica aversiva mais escolhida pelos profissionais foi a contenção de braços, pernas e cabeça sem dispositivos específicos (53,6%), a principal indica- ção foi para crianças birrentas e agressivas (39,3%) e os profissionais relataram baixa ansiedade para execução das técnicas (46,4%). A maioria dos odontopediatras (60,7%) não solicitava a assinatura do termo de consentimento. Além disso, 92,9% afirmaram que a estabilização protetora não era rejeitada pelos pais, como também, 92,9% não consideraram que a estabilização protetora prejudicasse a aceitação do tratamento odontológico posterior da família do paciente. Conclusão: foi comum os odontopediatras utilizarem as técnicas aversivas para o controle comportamental, porém poucos solicitavam a autorização pelo termo de consentimento.

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Verificar a associação entre as condições sociodemográficas e a percepção de gestantes e puérperas sobre a saúde bucal dos seus filhos. Sujeitos e método: estudo transversal, censitário, realizado com 100 gestantes e puérperas, atendidas em Maternidade pública de referência no Nordeste do Brasil. Os dados foram coletados por meio de entrevista. A análise dos dados envolveu estatística descritiva e inferencial, através do teste Qui-Quadrado (α=0,05). Resultado: observou-se, das investigadas, considerável conhecimento sobre a saúde bucal na infância. E, considerando as variáveis sociodemográficas, a escolaridade das mães apresentou associação com a questão relacionada ao momento para início dos cuidados bucais (p=0,03). No que diz respeito à renda familiar, foi encontrada associação dessa com as questões relacionadas à higiene dos dentes antes da erupção dentária (p=0,03) e ao momento para início dos cuidados bucais (p=0,04). A principal dúvida das mães em relação ao tema, foi sobre a adequada forma de higienização bucal das crianças (40,6%). Como sugestão para terem acesso a informações, essas propuseram principalmente a realização de palestras na sala de espera dos serviços de assistência médico-hospitalar (23,0%). Conclusão: as mães apresentaram um considerável domínio do tema. Em relação aos dados sociodemográficos, a escolaridade materna foi associada ao início dos cuidados bucais dos filhos, enquanto a renda foi associada à higiene dos dentes antes da erupção dentária e ao momento para início dos cuidados bucais.

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ABSTRACT Objective To evaluate the approaches used by Family Health Strategy dentists in the city of Campina Grande, Paraíba, Brazil, for management of occlusal caries in primary teeth. Methods In this observational, cross-sectional, census-based, descriptive study, 33 professionals completed a questionnaire designed to evaluate their approach to management of occlusal caries in enamel and dentin of deciduous teeth in different risk situations. Data were analyzed through descriptive and inferential statistics (Fisher's exact test with the level of significance set to 5%). Inter-examiner agreement was evaluated by Cohen's kappa statistic. Results For chronic enamel caries in primary teeth with low risk/activity, the approach of choice was preventive, with fluoride application being the most cited intervention (39.3%). For active carious dentin in primary teeth with high risk/activity and with low risk/activity, invasive approaches were most prevalent (93.9% and 78.8%, respectively), with complete caries removal (74.2%) and glass-ionomer restoration (69.2%) being the most frequent responses. Inter-examiner agreement was moderate (k = 0.44). Conclusion Although a wide range of approaches were adopted by dental practitioners, most preferred invasive interventions, even in situations where preservation of tooth structure was recommended.

RESUMO Objetivo Avaliar a conduta de cirurgiões-dentistas da Estratégia de Saúde da Família do município de Campina Grande, Paraíba, Brasil, frente à cárie oclusal em dentes decíduos. Métodos Foi um estudo observacional, transversal, censitário e descritivo no qual 33 profissionais responderam a um questionário que avaliou suas condutas diante de cáries oclusais em esmalte e dentina de dentes decíduos, em diferentes situações de risco. Os dados foram analisados por meio de estatística descritiva e inferencial (Teste Exato de Fisher com nível de significância de 5%). A concordância inter-examinador foi avaliada pelo Teste Kappa de Cohen. Resultados Para a cárie crônica em esmalte de dentes decíduos com baixo risco/atividade de cárie a conduta de eleição foi preventiva, sendo a aplicação de flúor a mais citada (39,3%). Nos casos de cárie ativa em dentina em dentes decíduos com alto risco/atividade de cárie e de cárie ativa em dentina de dentes decíduos com baixo risco/atividade de cárie, a conduta invasiva foi a mais indicada (93,9% e 78,8%, respectivamente), sendo a remoção total do tecido cariado (74,2%) e restauração com ionômero de vidro (69,2%) as respostas mais frequentes. A concordância inter-examinador foi moderada (k=0,44). Conclusão As condutas adotadas pelos profissionais variaram bastante, havendo uma preferência por condutas caráter invasivo em situações onde a preservação da estrutura dentária era o mais indicado.

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The aim of the study was to evaluate parental influence on children's answers to an oral health-related quality of life (OHRQoL) questionnaire. A cross-sectional study was conducted with a non-probabilistic sample of 84 pairs of 5-year-olds and parents/guardians. The participants were selected from a primary family healthcare center in Campina Grande, Brazil. First, the children and parents answered respective versions of the Scale of Oral Health Outcomes for Five-Year-Old Children (SOHO-5). Seven days later, the children answered their version of the SOHO-5, without the presence of their parents/guardians, and underwent a clinical exam of dental caries, traumatic dental injury and malocclusion, by a previously calibrated researcher. Statistical analysis involved a comparison of mean scores and the calculation of the intraclass correlation coefficient (ICC). Poisson regression models were used to associate the variables (α = 5%). No significant differences were found between the mean SOHO-5 scores of the children when alone or accompanied by parents/guardians (p > 0.05). The ICC between the answers of the children alone or accompanied was 0.84. White spot (PR = 6.32; 95%CI: 1.36 - 29.40) and cavitated lesions (PR = 9.81; 95%CI: 3.22 - 29.85) had an impact on OHRQoL, according to the children's self-report, whereas cavitated lesions (PR = 90.52; 95%CI: 13.26 - 617.74) and anterior open bite (PR = 1.95; 95%IC: 1.07 - 3.53) remained on the final model, according to the parents' version of the SOHO-5. In conclusion, parents did not influence the children's responses, and dental caries are the oral health problem exerting the greatest impact on the children's OHRQoL.

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Abstract The aim of the study was to evaluate parental influence on children's answers to an oral health-related quality of life (OHRQoL) questionnaire. A cross-sectional study was conducted with a non-probabilistic sample of 84 pairs of 5-year-olds and parents/guardians. The participants were selected from a primary family healthcare center in Campina Grande, Brazil. First, the children and parents answered respective versions of the Scale of Oral Health Outcomes for Five-Year-Old Children (SOHO-5). Seven days later, the children answered their version of the SOHO-5, without the presence of their parents/guardians, and underwent a clinical exam of dental caries, traumatic dental injury and malocclusion, by a previously calibrated researcher. Statistical analysis involved a comparison of mean scores and the calculation of the intraclass correlation coefficient (ICC). Poisson regression models were used to associate the variables (α = 5%). No significant differences were found between the mean SOHO-5 scores of the children when alone or accompanied by parents/guardians (p > 0.05). The ICC between the answers of the children alone or accompanied was 0.84. White spot (PR = 6.32; 95%CI: 1.36 - 29.40) and cavitated lesions (PR = 9.81; 95%CI: 3.22 - 29.85) had an impact on OHRQoL, according to the children's self-report, whereas cavitated lesions (PR = 90.52; 95%CI: 13.26 - 617.74) and anterior open bite (PR = 1.95; 95%IC: 1.07 - 3.53) remained on the final model, according to the parents' version of the SOHO-5. In conclusion, parents did not influence the children's responses, and dental caries are the oral health problem exerting the greatest impact on the children's OHRQoL.

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Objetivo: Observar macroscopicamente as condições físicas, higiênico-sanitárias e de acondicionamento das escovas dentais de pré-escolares regularmente matriculados em creches municipais de Campina Grande- PB. Material e Métodos: Foi um estudo transversal com análise de 407 escovas dentais, considerando identificação, condições físicas, presença de elementos residuais sólidos e locais de acondicionamento. Os dados foram coletados por meio de formulário específico e analisados por estatística descritiva. A concordância intraexaminador de diagnóstico das condições físicas das escovas foi aferida pelo teste estatístico Kappa (0,90). Resultados: Verificou-se que 92,6% das escovas apresentaram identificação individual, sendo legível em 83,3%, feitas principalmente, com caneta esferográfica e esparadrapo (32,1%). Grande parte das escovas apresentou resíduos (69,5%), sendo que 84,0% eram sugestivos de dentifrício. Com relação às condições físicas, 44,7% das escovas foram consideradas de pouco uso. O acondicionamento das escovas era realizado, em sua maioria, em porta escovas coletivos (99,5%), de plástico (37,5%) e abertos (52,3%), havendo contato entre as cerdas e os porta escovas (75,4%). Conclusão: A maioria das escovas analisadas apresentou boas condições físicas, no entanto, considerando as condições higiênico-sanitárias, observou-se a necessidade de orientações aos cuidadores das creches quanto ao adequado acondicionamento e controle dos resíduos das escovas.(AU)

Aim: To macroscopically observe the physical, sanitary-hygienic, and packaging conditions of toothbrushes of preschool children enrolled in municipal daycare centers in Campina Grande, PB, Brazil. Methods: This cross-sectional study analyzed 407 toothbrushes, considering identification, physical conditions, the presence of solid waste, and packaging sites. Data were collected by means of a specific form and analyzed using descriptive statistics. The intrarater agreement diagnosis of the physical conditions of the brushes was measured by the Kappa statistical test (0.90). Results: It was found that 92.6% of the toothbrushes presented an individual identification, of which 83.3% were legible, made primarily with a ballpoint pen and medical tape (32.1%). Many of the brushes presented residues (69.5%), and 84.0% were suggestive of toothpastes. Regarding the physical conditions, 44.7% of the toothbrushes were considered to have been used very little. The packaging of the toothbrushes was conducted mostly in collective (99.5%), plastic (37.5%) and open (52.3%) toothbrush carriers, with contact between the bristles and the toothbrush carrier (75.4%). Conclusion: Most of the analysed toothbrushes showed a good physical condition; however, considering the sanitary conditions, there is a need for advice to caregivers of day care centers as regards the proper packaging and control of waste from toothbrushes.(AU)

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PURPOSE: The purpose of this study was to evaluate the influence of oral health problems on the avoidance of smiling among preschool children. METHODS: A cross-sectional study was conducted with 835 three- to five-year-old children. Caregivers answered the Brazilian version of the Early Childhood Oral Health Impact Scale and a questionnaire on sociodemographic data. The avoided smiling item of the child section was the dependent variable. An oral examination was performed by three dentists who had undergone calibration exercises (Kappa=0.85 to 0.90). Poisson hierarchical regression (PR) was used to determine the significance of associations between the avoidance of smiling and oral health problems (α equals five percent). The multivariate model was constructed with two hierarchical levels: (1) sociodemographic aspects and (2) oral health problems. RESULTS: Seven percent of the children avoided smiling, which was associated with cavitated lesions and five years of age (PR=5.070; 95 percent confidence interval=1.57 to 16.39). CONCLUSIONS: Age and cavitated lesions on the maxillary incisors were determinant factors for the avoidance of smiling.

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