RESUMO
Changes in tooth color are a common esthetic problem in patients exposed to certain extrinsic or intrinsic factors. Among the extrinsic factors, the heavy metals deserve highlighting. Therefore, this study aimed to verify if there is association between the water consumed by residents from Caapiranga, Amazonas (Brazil) and changes in tooth color. This is a cross-sectional descriptive study. The calculated sample size (n = 350) was based on the prevalence of the phenomenon would be the maximum possible (50%) in a city not to exceed 100,000 people. Residents were examined by a dental surgeon from the Family Health Program staff in regular home visits. The clinical examination was carried out with a wood spatula under natural light. The water samples were collected in resistant plastic bottles. There were three collections in each well, with minimum volume of water (500 mL) to perform the analysis and then assess all metals of the study. There were 30 collections, since 10 wells were analyzed. The analyzed metals were: aluminum, antimony, arsenic, cadmium, lead, copper, cobalt, chromium, iron, magnesium, mercury, nickel, selenium, and zinc. Descriptive statistics were used and the measure of Odds Ratio (OR) for association checking. It was found that the only metal in excess was iron (0.4 to 4.3 mg/L) in water samples and 16.9% of staining in the teeth of residents of this sample (n = 332). There was an association between the staining and the presence of iron in the supply water (p = 0.015), presenting OR = 2.16(1.10 û 4.23). The quality of the water supply in some points of Caapiranga was in disagreement with the tolerable level for the presence of iron in water (0.33 mg Fe/L). As for the other metal the levels were within the limits of tolerance. It is suggested that teeth stain needs further studies because they can be an important indicator of the presence of iron and/or other metals in the water
Assuntos
Cor , Esmalte Dentário , Estética Dentária , Saúde Bucal , Controle da Qualidade da Água , Abastecimento de ÁguaRESUMO
Ten species of Culicoides Latreille are reported for the first time from Peruvian Departments of Amazonas, Cajamarca, Loreto, Madre de Dios, Piura and San Martin. The synonymy and distribution of the species in the New World are given.
Dez espécies de Culicoides Latreille são reportadas pela primeira vez para os departamentos peruanos de Amazonas, Cajamarca, Loreto, Madre de Dios, Piura e San Martin. A sinonímia e a distribuição das espécies para o novo mundo são fornecidas.