O objetivo deste estudo foi verificar a utilização de serviços odontológicos e idade da primeira visita odontológica em pré-escolares do Município de Canela, Rio Grande do Sul, Brasil. Um levantamento epidemiológico em crianças menores de cinco anos de idade foi realizado durante a Campanha Nacional de Multivacinação Infantil no município. Um questionário contendo informações a respeito da idade da primeira consulta odontológica e características demográficas da criança foi respondido pelos responsáveis. Os dados foram analisados utilizando-se modelo de regressão logística. Um total de 1.092 crianças foram examinadas. Do total da amostra, 13,3% já haviam consultado o cirurgião-dentista, e somente 4,3% realizaram algum tipo de consulta odontológica até o primeiro ano de vida. O número de crianças que já haviam recebido atendimento odontológico aumentou com a idade. Crianças do sexo feminino apresentaram maior chance de ter recebido atendimento odontológico do que as do sexo masculino (OR = 1,46; IC95%: 1,01-2,1). Conclui-se que é necessário o estabelecimento de políticas públicas de promoção de saúde e reorientação de serviços que facilitem a utilização dos serviços odontológicos e possibilitem o atendimento às crianças de pouca idade.

Increased overall exposure of the Brazilian population to fluoridated water and fluoridated dentifrices has been identified as the main factor in the reduction of caries prevalence. Thus, the objective of the present study was to evaluate the distribution of caries in a group of 437 children ranging from 6 to 12 years of age, residing in a city without a water supply fluoridation system and without a preventive dentistry program, with the aim of orienting future health measures towards improved cost-effectiveness. Clinical examination was performed on all the children, focusing on the indices defs (decayed, extracted, and filled primary dentition surfaces) and DMFS (decayed, missing, and filled permanent dentition surfaces), representing the number of dental surfaces that were either decayed, missing or with extraction indicated, or restored. Analysis of accumulated disease frequency in relation to the population showed that 37% of the children presented 70% of all the tooth disease, with a mean defs + DMFS of 28.6. This distribution demonstrates the phenomenon of polarization, in which most of the disease and treatment needs are concentrated in a small portion of the population.

No abstract

he present research has made a comparison between three distinct methods to evaluate carious activity in a community basis. The studied method was based in a modified DMFS/dmfs index including non-cavitated lesions. Two factors were analyzed: the possible reproduction of the inclusion of carious activity criteria and the presence of bacterial plaque. Thus, the three study groups presented with plaque, after supervised self-performed plaque removal with dental toothbrush and without plaque after professional prophylaxis, which corresponded to three diagnostic methods. The three exams took place one week apart from each other. For this analysis, a modified DMFS/dmfs index was proposed with alterations in diagnostic criteria due to the inclusion of carious activity parameters. The study was performed in a group of 30 children aged 11 years old. According to the results, the diagnostic method for carious activity in the three situations was reproducible and can be considered a proper approach to perform caries diagnosis in a community basis. Uniterms: Dental caries, diagnosis; Pediatric dentistry. ste trabalho realizou uma comparação entre três métodos distintos para avaliação da atividade cariosa em âmbito coletivo. Os métodos estudados foram baseados em um CPOS/ceos modificado, com inclusão de lesões não cavitadas. Os fatores estudados foram a possibilidade de reprodutibilidade da inclusão de critérios de atividade cariosa, bem como a presença de placa

Objectives Our aim was to evaluate the qualitative profile of carbohydrate (CHO) and fat intake and the modification in 10-year period according to demographic and socioeconomic variables. Methods Data from two Brazilian National Dietary Survey with nationally representative sample of individuals ≥10 years old. The dietary Carbohydrate Quality Index (CQI) is a score ranging from 4 to 20 calculated from dietary fiber intake, global glycemic index, solid CHO to total CHO ratio and CHO from wholegrains to CHO from total grains ratio. Lipid Quality Index (LQI) was estimated by dividing the sum of the dietary content of monounsaturated and polyunsaturated fatty acids by the sum of saturated with trans fatty acids. Both indexes were categorized in quintiles in ascending order for best quality. Information about sex, age (categorized in adolescents, adults and elderly), income (quartiles), urban and rural area and lastly body mass index (categorized in obesity, overweight and normal/underweight) was collected. The estimates were generated separately for each survey and their 95% confidence intervals were compared to identify changes in time. Results CQI reduced in the Brazilian population, but was not significant. There was a significant reduction in the quintile of greater CHO quality over time for adolescentes (2,8%), first quartile of income (3,3%) and people living in rural área (5,3%). Otherwise the frequency of people that have better dietary quality for CHO increased for the last quartile of income (3,2%) over time. It was observed an increase for the population and for several categories at the second quintile for CQI, including men, adolescents, people in lowest quartile for income and people living in rural area. >The LQI raised 1,6% across 10 years in Brazilian population. It also increased between women (3,2%), adults (2,1%), last quartile of income (4,2%), urban area (2,2%) and obese (4,1%). Additionally, the frequency of people in the lowest quartile for income that presented the best quality in their diet for fats decreased 3,7% in 10 years. Conclusions Strategies to improve the dietary carbohydrate quality should be taken into consideration; particular attention should be given to dietary quality of carbohydrates and lipids of people with lowest income values in the Brazilian population. Funding Sources Not applicable.