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This cross-sectional study aimed to investigate the association between the Sense of Coherence and impact of oral health on the quality of life. Was conducted with a sample of 720 individuals of both sexes, between the ages of 50 and 74 years, selected through multistage proportional random sampling. The data collection instruments used were: short version of the Sense of Coherence Scale (SOC-13), Oral Impacts on Daily Performances (OIDP) questionnaire, oral clinical examination and questionnaire containing socio demographic and use of dental services information. Bivariate and multivariate analyses were performed through Poisson regression adjusted for robust variance, with level of significance p < 0.05. Oral impacts were reported by 416 participants (57.8%). In the adjusted model, those with strong SOC were more likely of not having any impact when compared with individuals with weak SOC (PR=1.30). Need for dental prosthesis was also associated with the outcome, individuals who did not require prosthesis had less impact (PR=1.50). The findings showed that SOC is associated with OIDP, supporting the hypothesis that individuals with strong SOC present a lower impact of oral health on the quality of life, suggesting that SOC is a determinant that can provide protection against that impact. Resumo Este estudo transversal objetivou investigar a associação entre Senso de Coerência (SOC) e o impacto da saúde bucal na qualidade de vida. Foi realizado com uma amostra de 720 indivíduos de ambos os sexos, com idade entre 50 e 74 anos, selecionados por amostragem aleatória proporcional em múltiplos estágios. Os instrumentos de coleta de dados foram: versão curta da Sense of Coherence Scale, questionário Oral Impact on Daily Performance (OIDP), exame clínico bucal e questionário sociodemográfico e de uso de serviços odontológicos. As análises bivariadas e multivariadas foram realizadas por regressão de Poisson ajustada para variância robusta, com nível de significância p < 0,05. O impacto da saúde bucal foi relatado por 416 participantes (57,8%). No modelo ajustado, aqueles com SOC forte foram mais propensos a não ter nenhum impacto, comparados aos indivíduos com SOC fraco (PR=1,30). A necessidade de prótese dentária também foi associada ao desfecho e os indivíduos que não necessitavam prótese tiveram menor impacto (PR=1,50). Os resultados mostraram que o SOC está associado ao OIDP, apoiando a hipótese de que os indivíduos com SOC forte apresentam menor impacto da saúde bucal na qualidade de vida, sugerindo que o SOC é um determinante que pode proporcionar proteção contra esse impacto.

Resumo Introdução Há crescente número de publicações brasileiras envolvendo a escala de Senso de Coerência (SOC), mas o processo de adaptação transcultural ainda não pode ser considerado definitivo. Objetivo Revisar sistematicamente estudos de adaptação transcultural da versão brasileira, sumarizando as propriedades psicométricas. Métodos Foram pesquisadas sete bases de dados eletrônicas até janeiro de 2019: LILACS, BBO, BDENF-Nursing, Index Psychology, PubMed, EMBASE e Scopus, com restrição para o Brasil ou língua portuguesa. Resultados Foram identificadas 78 referências das quais foram incluídos 15 artigos e duas teses. Versões com 13 e 29 itens foram encontradas, que deveriam possuir os seguintes domínios: compreensão, manejo e significado. Verificou-se que até o momento os estudos não consideraram todas as etapas específicas para adaptação transcultural brasileira, apesar de apresentarem etapas metodológicas para validade de conteúdo e confiabilidade. A consistência interna da escala inteira (α de Cronbach) de oito estudos para SOC-13 variou de 0,61 a 0,81, e em quatro estudos, para SOC-29 de 0,77 a 0,87. Um único estudo (SOC-29) mostrou cargas fatoriais baixas para cinco itens nas análises dos componentes principais. Conclusão Há necessidade de aprofundar as pesquisas sobre adaptação da versão brasileira, em português, da escala de SOC. Abstract Background Brazilian publications involving the Sense of Coherence (SOC) scale has increased, however the cross-cultural adaption process is not yet definite. Objective This study aimed to review systematically the cross-cultural adaptation studies of the Brazilian version of the SOC scale, summarizing psychometric properties. Methods Seven electronic databases were searched until January 2019: LILACS, BBO, BDENF-Nursing, Index Psychology, PubMed, EMBASE and Scopus with restriction for Brazil or Portuguese Language. Results It was identified 78 references, which15 papers and 2 thesis were included. Versions with 13 and 29 items were used and items should group in three domains: comprehensibility, manageability and meaningfulness. It was verified that the studies did not consider all specific stages of cross-cultural adaptation to the Brazilian culture, despite presenting methodological steps for content validity and reliability. The internal consistency for the whole scale (Cronbach α) in eight studies for SOC-13 ranged from 0.61 to 0.81 and 4 studies for SOC-29 from 0.77 to 0.87. A single study showed low factor loadings for some items in the main component analysis on SOC-29. Conclusion It is possible to conclude that it is necessary to deepen the research on adaptation of the Brazilian version of the SOC scale.

Objectives: to investigate factors associated with the route of birth delivery in a hospital extending public and private healthcare services, in the Northeast region in the State of Rio Grande do Sul. Methods: a cross-sectional study with 676 postpartum women, conducted from January to May 2017. The data were collected from the hospital records and women were interviewed shortly after childbirth in the maternity. Data analysis was performed by associating the Pearson’s chi-square and the Poisson regression tests with robust variance. Results: the prevalence of cesarean sections was 58.7%, that is, 41.7% in public health-care and 83.9% in private healthcare. The main reason for having a cesarean section was having had a previous one (PR=5.69; CI95%=3.64 - 8.90; p

OBJETIVO: Avaliar a qualidade de vida de cuidadores de idosos dependentes vinculados a uma unidade de saúde de Porto Alegre.MÉTODOS: Trata-se de um estudo quantitativo, analítico, observacional do tipo transversal. A amostra foi composta por 59 cuidadores. Os instrumentos de coleta de dados foram: questionário sociodemográfico, Índice de Independência nas Atividades da Vida Diária (Escala de Katz) e questionário WHOQOL-Bref. As análises foram realizadas através do programa SPSS. A investigação da associação entre os desfechos e o grau de dependência dos idosos nas atividades da vida diária foi realizada através da análise de correlação de Pearson, com nível de significância de 5%.RESULTADOS: Verificou-se predomínio de mulheres, de meia-idade e com algum problema de saúde autorreferido exercendo o cuidado informal. Os maiores escores de qualidade de vida dos cuidadores foram verificados no domínio físico e os menores no domínio meio ambiente.CONCLUSÕES: Não foi encontrada associação estatística significativa entre o grau de dependência dos idosos nas atividades da vida diária e os domínios de qualidade de vida.

The aim of this study was to explore the factorial structure and agreement of two scoring versions of the Oral Impacts on Daily Performance (OIDP) scale, and to compare the fit of the originally proposed factorial structure, as opposed to an alternative model. Exploratory factor analyses (EFA) were conducted to explore the dimensional structure of the OIDP on a convenience sample of 200 adults (S1). Confirmatory factor analyses (CFA) were performed on a random sample of 720 adults (S2). The Cronbach's alpha coefficients for the total and frequency versions of the OIDP scale were, respectively, 0.81 and 0.70 for S1, and 0.82 and 0.79 for S2, with a quadratic Kappa κ = 0.83 (95% CI: 0.75-0.89) in S1 and κ = 0.92 (95% CI: 0.89-0.94) in S2. Exploratory factor analyses showed one factor for the total version and three factors (non-interpretable) for the frequency version. Confirmatory factor analyses showed that the frequency version for the one-factor model (Model 1) had the best fit [Root Mean Square Error of Approximation (RMSEA) = 0.04; Comparative Fit Index (CFI) = 0.98; Tucker-Lewis index (TLI) = 0.97, χ(2) P-value < 0.01]. The one-factor model was not significantly different from the original three-factor model. These findings suggest that the scale captures only one overall quality of life dimension, and that the frequency version was the most parsimonious model of the OIDP scale.

This paper discusses the characteristics of the oral health subprogram ‘Uruguay Trabaja’ (UT), in Montevideo, and identifies finished, unfinished, and abandoned dental treatments from 2008 to 2015. The implementation of the UT, its characteristics, and the subprogram aimed at oral health are described through documentary analysis. The Program is conceptually discussed according to two categorical levels. The first refers to the macro-social context, related to the expansion of dental care coverage integrated into social protection systems, while the second one is based on the systematic observation of the dental care included in social programs. The UT is a nine-month social program which occurs every year for people between 18 and 65 years old, in social and economic vulnerability situations and unemployed for a long term. It aims at improving employment chances and the participants’ social integration. Comprehensive dental care is one of the benefits of the program, as it is not available at the National Integrated Health System. Of the 2.592 dental treatments initiated, 941 (36,3%) were completed. Focused programs such as the UT should be articulated to universal social policies, which must adequately meet the needs of the entire population. Comprehensive dental care should be included into the National Integrated Health System, to ensure the right to oral health. Este trabalho discute características do subprograma da saúde bucal do programa Uruguai Trabaja (UT), em Montevidéu, e identifica os tratamentos odontológicos iniciados, completados e abandonados de 2008 a 2015. Por meio de análise documental, o UT é discutido a partir de dois níveis categóricos. O primeiro refere-se ao contexto macrossocial, relacionando-se à expansão da cobertura da assistência odontológica integrada nos sistemas de proteção social, enquanto o segundo se origina da observação sistemática da assistência odontológica inserida em programas de acompanhamento social. UT é um programa social anual de nove meses de duração dirigido a pessoas de 18 a 65 anos em situação de vulnerabilidade socioeconômica e desempregadas há muito tempo. Seu propósito é melhorar a empregabilidade e a integração social dos participantes. Assistência odontológica integral é um dos benefícios do programa, a qual não é disponibilizada pelo Sistema Nacional Integrado de Saúde. Dos 2.592 tratamentos odontológicos iniciados, 941 (36,3%) não chegaram ao final. Programas focalizados como o UT, enquanto dispositivos de proteção social, devem estar articulados funcionalmente a políticas sociais universais que devem responder adequadamente as necessidades da população. A saúde bucal, nesse contexto, deve ser incluída no Sistema Nacional Integrado de Saúde do Uruguai, garantindo o direito à saúde.

Uruguay Trabaja (UT) é um programa sociolaboral de integração social para adultos desempregados moradores de áreas em situação de vulnerabilidade socioecômica. Durante nove meses, os participantes recebem acompanhamento social de especialistas vinculados às Organizações da Sociedade Civil (OSC), podendo receber assistência odontológica, a qual não é disponibilizada rotineiramente pelo Sistema de Saúde uruguaio. Um terço dos beneficiários do UT inicia o tratamento e o abandona. O fenômeno do abandono ao tratamento odontológico foi estudado a partir da análise de conteúdo de entrevistas dos participantes do UT e especialistas das OSC. Baseados nos conceitos de habitus de Bordieu e individualização das proteções de Castel, a complexidade da vida cotidiana, ausência de vínculo dentistas-participantes e o curto tempo de acompanhamento do Programa para sustentar processos de socialização, são aspectos a serem considerados na compreensão do abandono deste direito ocasional à assistência odontológica. Uruguay Trabaja (UT) is a socio-labor integration program for unemployed adults belonging to households in socio-economic vulnerability. During nine months they receive support from experts from Civil Society Organizations (CSO), and are entitled to comprehensive dental care not routinely provided by the Health System of Uruguay. A third of beneficiaries of UT initiate the treatment, abandoning it afterwards. The phenomenon of dropping out dental treatment was studied based on the content analysis of interviews with participants and experts from CSOs. Based on the concepts of habitus de Bourdieu and Castel’s individualized protections, the complexity of everyday life; absence of dentist-participant bonding and the short time of accompaniment of UT to sustain the processes of socialization, are aspects to be considered in order to understand the abandonment of this transitory right to assistance. Uruguay Trabaja (UT) es un programa socio-laboral de integración social para adultos desempleados pertenecientes a hogares en situación de vulnerabilidad socio-económica. Durante nueve meses reciben acompañamiento de expertos de Organizaciones de la Sociedad Civil (OSC) pudiendo recibir una asistencia odontológica no disponible usualmente en el Sistema de Salud del país. La tercera parte de los beneficiarios de UT inicia el tratamiento y lo abandona. El fenómeno del abandono al tratamiento odontológico fue estudiado a partir del análisis de contenido de entrevistas a participantes y expertos de las OSC. Basados en los conceptos de habitus de Bourdieu y de individualización de las protecciones de Castel, la complejidad de la vida cotidiana; ausencia de vínculo dentistas-participantes y el escaso tiempo de acompañamiento para sostener los procesos de socialización, son aspectos a considerar para comprender los abandonos de este derecho transitorio a la asistencia.

Objetivos: analisar a associação entre a autopercepção e a necessidade clínica de tratamento ortodôntico e investigar a relação entre a necessidade de tratamento ortodôntico e o impacto nas atividades diárias comer, sorrir e falar, em adolescentes. Sujeitos e método: estu­do transversal com 1.630 escolares com idade entre 15 e 19 anos, de 36 municípios do estado do Rio Grande do Sul. Os instrumentos utilizados para determinar a necessidade de tratamento ortodôntico foram o Índice de Estética Dental (DAI) e o Componente Estético (AC) do Índice de Necessidade de Tratamento Ortodôntico (IOTN). Os dados foram analisados com o programa SPSS 21.0, utilizando-se os testes Qui-Quadrado de Pe­arson ou Qui-Quadrado de tendência linear e a regres­são de Poisson. O nível de significância adotado foi de 5%. Resultados: observou-se associação positiva entre o IOTN e o DAI. A proporção de sujeitos que percebe­ram a necessidade de tratamento ortodôntico aumentou com a recomendação feita pelo dentista. Entretanto, a maioria dos adolescentes entrevistados não percebia necessidade de tratamento ortodôntico. Após o ajuste, observou-se associação entre a maloclusão e o desem­penho da atividade diária sorrir (RP = 2,03) e o sexo dos escolares (RP = 1,28). Também se observou associação entre o sexo dos adolescentes (RP = 1,23), a escolarida­de do pai (RP = 1,21) e o impacto na atividade comer. A atividade diária de falar estava associada com a escola­ridade do pai (RP = 2,11). Conclusão: existe associação entre a autopercepção de tratamento ortodôntico e a necessidade clínica. A maloclusão impacta a atividade sorrir entre os adolescentes, entretanto, o mesmo não ocorre com as atividades comer e falar.

O objetivo do presente estudo foi avaliar as competências em relação às Tecnologias de Informação e Comunicação (TICs) de estudantes de Odontologia. Um estudo transversal foi realizado com os estudantes de Odontologia da Universidade Federal do Rio Grande do Sul, Brasil. Os dados foram coletados através de um questionário previamente validado pelo Centro de Ciências de Saúde Oral da Universidade de Malmö e submetido ao processo de adaptação transcultural para o português. Os resultados foram transformados em escores conforme literatura prévia e categorizados para as comparações. Análise descritiva, qui-quadrado e teste exato de Fischer foram utilizados. O escore de competência em relação às TICs foi considerado muito bom e apresentou relação com o nível de escolaridade materno. Já o escore de importância das TICs foi mediano e relacionado à idade. Concluiu-se que os estudantes de Odontologia apresentaram bom domínio das ferramentas de TICs e nível moderado em relação à importância atribuída ao uso odontológico dessas tecnologias.

Aims: To investigate the association in adolescents between toothache and sense of coherence (SOC), a psychosocial construct defined as a global orientation to life. Methods: A school-based cross-sectional study was carried out in 36 municipalities comprising up to 50,000 residents in southern Brazil. The target population was adolescents from 15 to 19 years of age. The sample consisted of 1,150 adolescents chosen by systematic sampling; the final adjusted analysis by Poisson regression included 1,065 individuals. Data were collected using a questionnaire, SOC scale, and the Decayed Missing Filled Teeth (DMFT) index. Results: Of the adolescents in the sample, 29.8% reported experiencing toothache in the previous 6 months. The prevalence of dental caries was 31.0%, and the DMFT index was 3.22. SOC was a significant protective factor for toothache; the prevalence ratio was 0.65 (95% confidence interval [CI] = 0.55–0.75). Girls presented 39% more toothaches than boys (95% CI = 1.15–1.68). Individuals who saw the dentist for reasons other than reviews or check-ups had a toothache prevalence that was 85% higher than their counterparts (95% CI = 1.47–2.34). Adolescents with tooth decay reported up to two times more toothache than those without tooth decay. Conclusion: The results of this study showed that a strong SOC protected against toothache. A health-promotion approach may lead to better patterns of oral health.

Aim To evaluate the correlation between bleeding on marginal probing (BOMP) and bleeding on pocket probing (BOPP), and the correlation of both bleeding indices with plaque. Materials and Methods This cross-sectional study screened 336 participants, from which 268 were eligible for examination and analysis. Bleeding and plaque indices were assessed by single examiners, at six sites per tooth. Results The mean percentage of sites per individual with bleeding on marginal probing, bleeding on pocket probing and dental plaque were 19.9%, 51.2% and 32.2% respectively. In the quadrants where the margin was probed before the pocket, a 4.6 percentage points higher bleeding tendency with BOPP was observed (p < 0.05). At a site level, the correlation coefficients of plaque and bleeding on marginal probing and bleeding on pocket probing were 0.19 and 0.20 respectively. Both bleeding indices were also shown to be correlated (r = 0.89, fixed effect model). Conclusion The prevalence of bleeding upon probing is influenced by the scoring method that is used for the diagnosis. Probing the bottom of the pocket results in significantly more bleeding than running a probe along the margin. © 2015 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

OBJETIVO: descrever a experiência de cárie dentária em adolescentes e sua distribuição espacial-temporal. MÉTODOS: estudo ecológico com 4.205 (2003) e 3.531 (2011) escolares de 12 e 15-19 anos de idade, respectivamente, em 36 municípios do Rio Grande do Sul, em cujas macrorregiões de saúde foram georreferenciados os indicadores de média de dentes cariados, perdidos e obturados (CPOD), prevalência de livres de cárie (CPOD=0) e de cárie não tratada. RESULTADOS: em 2003 e 2011, respectivamente, as médias de CPOD foram de 3,63 e 1,66 (12 anos) e de 7,43 e 3,43 (15-19 anos); aumentaram os adolescentes livres de cárie, de 18,6 para 42,1% (12 anos) e de 7,5 para 22,2% (15-19 anos); reduziu-se a cárie não tratada, de 50,9 para 27,2% (12 anos) e de 56,1 para 32,4% (15-19 anos), diferentemente entre municípios e macrorregiões. CONCLUSÃO: no período, diminuiu a experiência de cárie, permanecendo a distribuição desigual entre municípios e macrorregiões. OBJECTIVE: to evaluate dental caries in adolescents and its spatial and temporal distribution in southern Brazilian municipalities. METHODS: an ecological study was conducted with 4,205 (2003) and 3,531 (2011) students aged 12 and 15-19 in 36 cities in Rio Grande do Sul where macro-regional indicators of the average number of decayed, missing and filled teeth (DMFT), untreated caries prevalence and the percentage of caries-free teeth (DMFT = 0) were georeferenced. RESULTS: in 2003 and2011, respectively, mean DMFT was 3.63 and 1.66 (12 years) and 7.43 and3.43 (15-19 years). Caries-free adolescents increased from 18.6% to 42.1% (12 years) and from 7.5% to 22.2% (15-19 years); untreated caries decreased from 50.9% to 27.2% (12 years) and from 56.1% to 32.4% (15-19). Results varied between municipalities and macro-regions. CONCLUSION: dental caries reduced after 8 years, with uneven distribution between macro-regions and municipalities. OBJETIVO: describir la experiencia de caries dental en adolescentes y su distribución espacio-temporal. MÉTODOS: estudio ecológico con 4.205 (2003) y 3.531 (2011) escolares de 12 y 15-19 años de edad, respectivamente, en 36 municipios de Rio Grande do Sul, en cuyas macro regiones de salud se georreferenciaron los indicadores de media de dientes cariados, perdidos y obturados (CPOD), la prevalencia de libres de caries (CPOD=0) y de caries no tratadas. RESULTADOS: en 2003 y 2011, respectivamente, las medias de CPOD fueron de 3,63 y 1,66 (12 años) y de 7,43 y 3,43 (15-19 aumentaron los adolescentes libres de caries, de 18,6 para 42,1% (12 años) y de 7,5 para 22,2% (15-19 años); se redujo la caries no tratada, de 50,9 para 27,2% (12 años) y de 56,1 para 32,4% (15-19 años), de modo distinto entre municipios y macro regiones. CONCLUSIÓN: en el período, disminuyó la experiencia de caries, permaneciendo la distribución desigual entre municipios y macro regiones.

Objectives To cross-culturally adapt and evaluate the psychometric properties of the oral impact on daily performance (OIDP) in Brazilians aged 50–74 years; to test the impact of oral health on ‘work’ and ‘vigorous physical activity’. Background Clinical oral health indicators do not assess the perceived impact of oral health on people's lives. Methods The study was performed through small group interviews, pilot studies and a main study with 200 people aged 50 and over. Data were collected through interviews in health centres. Results For content validity, ‘eating’ (1.00, p

Resumo A Estratégia da Saúde da Família (ESF) tem demostrado resultados efetivos em indicadores de saúde. Neste estudo transversal foi avaliado o impacto das equipes de saúde bucal (ESB) da ESF na saúde bucal de 2581 adolescentes escolares, com idade de 12 e 15-19 anos de 36 municípios, 19 com e 17 sem ESB/ESF. Quatro dentistas realizaram exames bucais. Situação socioeconômica, uso e acesso aos serviços de saúde foram coletados em questionário estruturado. Presença das ESB na ESF foi a principal variável independente. Os desfechos foram CPOD e seus componentes, dor de dente, sangramento gengival e cálculo dentário. Os dados foram analisados pelas médias das regressões binomiais negativas e Poisson. O efeito da ESB/ESF e de variáveis individuais foi ajustado em modelo multinível. No modelo bruto não houve associação das ESB na ESF com nenhum dos desfechos analisados. Após o ajuste, jovens de áreas não cobertas pela ESB/ESF tiveram quase a metade da perda de dentes dos adolescentes das áreas cobertas (RM = 0,64 IC95%; 0,43-0,94). Abstract The Family Health Strategy (FHS) has produced effective results in health indicators. In this cross-sectional study, the impact of the oral health teams (OHT) of the Family Health Strategy was evaluated on the oral health of 2581 adolescent schoolchildren aged 12 and 15-19 years in 36 municipalities (19 with and 17 without OHT/FHS). Four dentists performed oral examinations. Socioeconomic status, the use of and access to health services were assessed via a structured questionnaire. The presence of the OHT in the FHS were the main independent variables. Outcomes were Decayed, Missing, Filled Teeth (DMFT) and its components, toothache, gingival bleeding, and dental calculus. The data were analyzed by means of negative binomial and Poisson regression. Multilevel analysis was conducted to adjust the outcomes to OHT/FHS and individual variables. In the unadjusted model there was no association between the OHT in the FHS and the outcomes analyzed. After adjustment, young people in areas not covered by the OHT/FHS had almost half of the tooth loss of adolescents from the areas covered (RM = 0.64 CI 95%, 0.43 to 0.94).

Objetivo: estimar o uso e a necessidade de prótese dentária em indivíduos de 50 a 74 anos de idade, residentes em três Distritos Sanitários do Município de Porto Alegre, Estado do Rio Grande do Sul, Brasil, em 2008. Métodos: foi realizado um estudo transversal; os dados foram coletados por meio de entrevista domiciliar e exame clínico. Resultados: em 720 indivíduos, 63,7% usavam algum tipo de prótese superior e 30,0% usavam prótese inferior; mulheres usavam prótese superior e inferior com maior frequência; indivíduos com idade entre 60 e 74 anos fizeram maior uso de próteses, sendo a prótese total a mais usada; entre as categorias de renda, a prótese total superior foi a mais utilizada pelos indivíduos que recebiam menos de 1 salário mínimo. Conclusão: a prevalência do uso e necessidade de prótese foi elevada; a prótese mais usada na arcada superior foi a total, enquanto na arcada inferior foi a parcial removível. Objective: to estimate the use and need of dental prosthesis in individuals aged 50-74 years-old, residents in three Health Districts of the Municipality of Porto Alegre, State of Rio Grande do Sul, Brazil, in 2008. Methods: a cross-sectional study; data were obtained from both socio-demographic interviews and clinical exams. Results: out of 720 individuals, 63.7% were using some type of upper dental prosthesis and 30.0% were using lower prosthesis; women used prosthesis in lower and upper jaw more frequently than men; individuals aged 60-74 years used prosthesis more frequently, and full upper prosthesis was the most used; as for income, full upper prosthesis was used more frequently by those whose income was lower than a minimum wage. Conclusion: there was a high prevalence of need and use of dental prosthesis in the sampled population; full dental prosthesis was more frequently used for the upper jaw, and partial ones for the lower jaw.

Introdução e objetivo: O objetivo deste trabalho foi estudar a prevalência e a severidade da cárie dentária, analisando a influência de alguns fatores socioeconômicos e a fluoretação das águas de abastecimento público. Material e métodos: O delineamento da pesquisa foi transversal de base escolar realizado mediante informações do Levantamento Epidemiológico do Rio Grande do Sul e abrangeu 571 escolares de 12 anos da região norte do Rio Grande do Sul, Brasil. Os resultados foram analisados por intermédio do teste de regressão logística binária. Resultados: Após o ajuste dos dados, os escolares residentes em municípios de pequeno porte tiveram três vezes mais chances de apresentar cárie do que os moradores de cidades de médio e grande porte (RC = 2,94; IC95% = 1,86-4,64). Conclusão:O porte demográfico do município foi o principal fator associado à experiência de cárie dentária nos escolares da região norte do Rio Grande do Sul.

O objetivo deste estudo foi determinar a frequência e a severidade da fluorose dentária, bem como verificar possíveis associações com cárie dentária, sexo, idade, etnia e localização geográfica das escolas, nos escolares de doze e de quinze a dezenove anos de idade do município de Passo Fundo, Rio Grande do Sul. A população estudada foi constituída por 633 escolares, de ambos os sexos, matriculados em vinte e seis escolas municipais de ensino fundamental, nas idades índices citadas. Os exames foram realizados por três examinadores previamente calibrados para a aplicação do Índice de Dean. A prevalência de fluorose dentária no grupo estudado foi de 32,8%. O grau predominante foi o muito leve (78,4%), seguido pelos graus leve (11,1%), questionável (8,7%) e moderado (1,9%). A prevalência de fluorose dentária na população estudada foi expressiva, embora com um baixo grau de severidade. Os fatores idade e índice de cárie dentária mostraram-se relacionados à variável resposta.The objective of this article is to determine the frequency and severity of dental fluorosis, as well as to verify possible associations with dental caries, gender, age, ethnicity and geographic location of schools in schoolchildren of 12 years old and from 15 to 19 years in the city of Passo Fundo, Rio Grande do Sul State, Brazil. A total of 633 schoolchildren of both genders at the cited ages, enrolled in 26 public schools of fundamental teaching were involved in the epidemiological study. The inspection was performed by three examiners previously trained to apply Dean's Index. The prevalence of dental fluorosis in the studied group was of 32.8%. Predominant degree was the very light (78.4%), followed by light (11.1%), questionable (8.7%) and moderate (1.9%). The prevalence of dental fluorosis was expressive in this population, however, with a low degree of severity. Factors such as age and dental caries index showed to be related to the variable response.

The aim of this study was to assess the impact of oral status on the daily performances of civil servants from the Public Works and Waste Management Department of the city of Porto Alegre, located in Southern Brazil. A cross-sectional study was conducted on a representative sample composed of 276 civil servants with ages ranging from 35 to 44 years. The Oral Impacts on Daily Performances index developed was employed to measure impacts caused by oral clinical conditions. Oral examinations were performed after the interviews. Multinomial Logistic Regression Analysis was used. After adjusting for sex and educational level, the results showed that the subjects with high DMFT scores were 5.8 times (95% CI = 2.1-16.1) more likely to have high impacts on their everyday life than those with low DMFT scores. Subjects that presented some coronal caries were 4.3 times (95% CI = 1.9-9.8) more likely to have high impacts on their everyday life than those with no coronal caries. Dental status assessed through the DMFT index and coronal caries are important indicators of impacts on the everyday life of the studied population.

This study aimed at assessing the relationship between dental pain and the reason for using dental services and oral health quality of life in people aged 50 to 74 years in southern Brazil. A cross-sectional population-based study was conducted with 720 individuals aged 50 to 74 years, living in three health districts in the city of Porto Alegre. Dental impacts on daily life and sociodemographic data were assessed using structured interviews. The Oral Impacts on Daily Performance – OIDP instrument was used to measure oral impacts. The information was analyzed by Poisson regression with robust variance adjustment, taking into account cluster sampling. Dental pain was present in 32.5% of those reporting an oral impact on their daily activities. Dental pain most frequently affected talking (37.6%), cleaning teeth and gums (37.0%) and enjoying the companionship of people (36.5%). After adjustments to the multivariate analysis, the reason for dental visits due to dental pain was found to have a high impact on daily activities [RP 1.68 (1.11 - 2.54].

The purpose of this study was to investigate the relationship between Sense of Coherence (SOC) and oral health clinical variables (number of teeth present and absence of need for dental prostheses). The sample consisted of 720 adults and elderly Brazilians. The data were collected at home using the SOC-13 scale – a form of clinical examination for the evaluation of oral conditions – and a questionnaire evaluating socioeconomic aspects and the use of dental services. Statistical analysis, both univariate and multivariate, was performed by Poisson regression with robust variance adjustment. The average age of the participants was 60.2 years, and they were predominantly female (57.8%). Among the participants who had a strong SOC, the absence of the need for dental prostheses was 34% higher than among those with a weak SOC, demonstrating a significant difference between the groups (PR = 1.34, 95%CI = 1.06–1.70; p = 0.015). Individuals who had a strong SOC had a 5% higher prevalence of 14 or more existing teeth than those with a weak SOC, which was statistically significant after adjustment for co-factors (PR = 1.05, 95%CI = 1.01–1.11, p = 0.033). A strong personal Sense of Coherence has a beneficial influence on the oral health of adults and older people in Brazil.

The Family Health Strategy (FHS) has produced effective results in health indicators. In this cross-sectional study, the impact of the oral health teams (OHT) of the Family Health Strategy was evaluated on the oral health of 2581 adolescent schoolchildren aged 12 and 15-19 years in 36 municipalities (19 with and 17 without OHT/FHS). Four dentists performed oral examinations. Socioeconomic status, the use of and access to health services were assessed via a structured questionnaire. The presence of the OHT in the FHS were the main independent variables. Outcomes were Decayed, Missing, Filled Teeth (DMFT) and its components, toothache, gingival bleeding, and dental calculus. The data were analyzed by means of negative binomial and Poisson regression. Multilevel analysis was conducted to adjust the outcomes to OHT/FHS and individual variables. In the unadjusted model there was no association between the OHT in the FHS and the outcomes analyzed. After adjustment, young people in areas not covered by the OHT/FHS had almost half of the tooth loss of adolescents from the areas covered (RM = 0.64 CI 95%, 0.43 to 0.94).

O objetivo deste estudo foi determinar a prevalência e a severidade da fluorose dentária em todos os 259 escolares de 4 a 18 anos de idade do Município de Santa Tereza, Rio Grande do Sul, Brasil, e investigar possíveis fatores associados. Os dados foram coletados por meio de um questionário e de um exame clínico. Para a determinação da fluorose, foi utilizado o índice de Dean. A prevalência de fluorose foi de 63,7%. O grau predominante foi o muito leve (43,6%), seguido pelo grau leve (12,0%), moderado (7,7%), questionável (7,3%) e severo (0,4%). Cerca de 85,0% dos escolares apresentaram acesso atual ou passado a formas tópicas de utilização do flúor. Associações significativas foram encontradas entre local de moradia, prática atual ou passada de bochechos fluoretados e a prevalência/severidade de fluorose, como também entre a prevalência de fluorose e o nível de escolaridade dos pais dos escolares, freqüência de escovação, acesso a bochechos fluoretados e uso do flúor gel (p < 0,05).

This study tested whether there is a relationship between levels of flexibility of working time schedule and the pattern (frequency of tooth cleaning), structure (range of items used in tooth cleaning), and performance (relative effectiveness of tooth cleaning measured by levels of dental plaque) of tooth cleaning. 471 Brazilian workers from both sexes aged 24 to 44 years were selected from factories, offices, banks, shops and hospitals. Behavioural, socio-economic and clinical data were collected through structured interviews and clinical examination. Data analysis included frequency distribution and simple and multiple logistic regression. The response rate was 92.5%. Simple logistic regression showed there was a highly statistically significant relationship between flexibility of the working time schedule and tooth cleaning frequency, the range of oral hygiene aids used and the level of dental plaque. All 3 associations remained highly statistically significant after adjusting for age, sex, socio-economic status and marital status. Socio-economic status was statistically significantly associated with tooth cleaning frequency, the use of oral hygiene aids and the level of dental plaque. It was concluded that high flexibility of working time schedule is related to pattern, structure and performance of tooth cleaning.

Objetivo: investigar a prevalencia de problemas bucais e seu impacto nas atividades diarias, bem como sua relacao com variaveis sociais e demograficas. Metodos: estudo transversal de base populacional avaliando individuos entre 50 e 74 anos (n= 720) residentes em tres distritos sanitarios de Porto Alegre/RS. Utilizou-se uma amostragem por multiplos estagios. Os dados foram co letados nos domicilios, utilizando-se um questionario contendo aspectos sociais (educacao, renda), demo graficos (idade, sexo) e o indicador sociodental Oral Impact on Daily Performances (OIDP). Utilizou-se esta tistica descritiva. Para a analise bivariada entre as varia veis sociodemograficas e o impacto odontologico, foi utilizado o teste qui-quadrado de Pearson. Resultados: mais da metade dos sujeitos (57,8%) relataram pelo menos uma atividade diaria afetada por problemas bucais. Comer (36,8%), sorrir (30,7%) e falar claramente (19,6%) foram as atividades diarias com maior frequencia de impacto. Nao se observou associacao significativa entre o impacto e as variaveis sociodemograficas (p > 0,05). Os principais problemas bucais causadores de impactos foram: dentadura mal ajustada e perda de dentes. Conclusao: a alta prevalencia de impacto encontrada demonstra a influencia dos problemas bucais nas atividades diarias dos individuos.

O objetivo deste estudo é investigar a associação entre estresse no trabalho e a autopercepção de saúde bucal. Os dados foram obtidos por meio de questionário de autopreenchimento de 3.253 funcionários técnicos administrativos da Universidade Estadual do Rio de Janeiro em um Estudo do Pró-Saúde. O estresse no trabalho foi medido por meio de um questionário elaborado por Karasek em 1970 e reduzido por Theorell em 1988. Para a análise dos dados, utilizou-se regressão logística ordinal, posteriormente ajustada para três blocos de variáveis. Trabalhadores expostos a alta exigência e pouco controle no trabalho e ao trabalho passivo, tiveram maiores chances de perceber pior saúde bucal, quando comparados àqueles expostos a baixa exigência no trabalho, não se observando associação com aqueles expostos ao trabalho ativo. Entretanto, no modelo de regressão múltipla, estas estimativas reduziram em magnitude e perderam significância estatística, a saber: alta exigência e trabalho passivo. Funcionários expostos à alta exigência no trabalho apresentaram pior saúde bucal autorreferida que parece ser em parte explicada pelas comportamentais em saúde, presença de problemas de saúde bucal e uso de serviços odontológicos com uma frequência maior do que uma vez ao ano. The scope of this study is to investigate the association between occupational stress and self-perception of oral health. Data were obtained through a self-administered questionnaire filled out in a Pró-Saúde Study by 3253 administrative technical staff from Rio de Janeiro’s State University. Occupational stress was measured by means of a questionnaire elaborated in 1970 by Karasek, duly shortened by Thorell in 1988. Ordinal logistic regression was used for data analysis, subsequently adjusted for three blocks of variables. Workers exposed to high occupational demands and little occupational control and to passive work had higher chances of self-perception of worse oral health, when compared with those exposed to low occupational demands, there being no association observed in those exposed to active work. However, in the multiple regression model the following estimates were reduced in magnitude and lost statistical significance, namely high occupational demands and passive work. Workers exposed to high occupational demands revealed worse self-reported oral health, which seems to be partly explained by health behavior patterns, the presence of oral health problems and seeking dental services at longer intervals than once per year.

Introduction: Access to health services, including those for oral health, depends upon socioeconomic, environmental and individual factors. Moreover, cultural and lifestyle differences also influence the degree to which services are sought. Objective: This study aimed to assess factors associated with the use of dental services among adolescents in the 7th grade of public primary schools from the city of Gravataí, RS, Brazil, in 2005. Methods: A cross-sectional survey was carried out. Data were collected in schools through self-administered questionnaires evaluating demographic, socioeconomic and psychosocial factors, lifestyle, oral health habits and behaviors of 1,170 adolescents, using the Global School-Based Student Health Survey, International Physical Activity Questionnaire and Body Shape Questionnaire. Data analysis was carried out by means of Cox regression modified for cross-sectional studies, using the STATA 6.0 software. Univariate and multivariate analyses were performed from a hierarchical conceptual model supported by the literature on hierarchical models. Results: The use of dental services was less frequent among those who reported concern with body image and involvement in fights; those whose parents did not know where they were in their leisure time, those who brushed their teeth less than twice a day, those who did not use dental floss daily, those who reported seeking dental services for curative treatment and those with a lower socioeconomic status. Conclusions: The results suggest that the use of dental services by adolescents depends upon the interaction of psychosocial and individual factors as well as the family context. Introdução: O acesso a serviços, incluindo os serviços odontológicos, depende de fatores socioeconômicos, ambientais e individuais. Por outro lado, as diferenças, culturais e estilo de vida também influenciam o grau em que os serviços são utilizados. Objetivo: O objetivo deste estudo foi avaliar os fatores associados ao uso de serviços odontológicos entre adolescentes da 7a série de escolas públicas do município de Gravataí, RS, no ano de 2005. Métodos: Foi realizado um estudo analítico transversal. Os dados foram coletados nas escolas, por meio de questionários autoaplicados, investigando fatores sociodemográficos, psicossociais, estilo de vida, hábitos e comportamentos de saúde bucal em uma amostra de 1.170 adolescentes, usando o Global School-Based Student Health Survey , o Questionário Internacional de Atividade Física e o Body Shape Questionnaire . A análise dos dados foi executada no software STATA 6.0, por meio de regressão de Cox modificada para estudos transversais, tendo sido realizadas análises univariada e multivariada a partir de um modelo conceitual hierárquico suportado pela literatura sobre modelos hierárquicos. Resultados: O uso de serviços odontológicos foi menor para aqueles que relataram preocupação com a imagem corporal e envolvimento em brigas, aqueles cujos pais não sabiam onde os filhos estavam em seu tempo livre, que escovavam os dentes menos duas vezes ao dia, aqueles que não usavam fio dental diariamente, que relataram procurar os serviços odontológicos para tratamento curativo, e aqueles com piores condições socioeconômicas. Conclusões: Os resultados sugerem que o uso de serviços odontológicos por adolescentes depende da interação de fatores psicossociais e individuais, bem como do contexto familiar.

Objectives Few studies have assessed the impact that oral health status and prosthetic rehabilitation have on the general quality of life (QoL) of individuals and there is a lack of information about the association between prosthetic status and QoL. Therefore, the objective of this study was to investigate the association between clinical oral health variables and general QoL in individuals aged 50–74 years in Porto Alegre. Methodology This cross-sectional study consisted of 720 participants aged between 50 and 74 years residing in three health districts of Porto Alegre, Southern Brazil. They were selected through multistage proportional random sampling. Data were collected through (i) interview using structured questionnaire on demographic data and the World Health Organization Abbreviated Instrument for Quality of Life Assessment (WHOQOL-BREF) to assess QoL, (ii) oral clinical examination using criteria recommended by the World Health Organization (WHO) and the Epidemiological Survey SB/Brazil in 2000. The interviews and clinical examinations were performed at their homes by four pairs of trained and calibrated researchers. The scores of QoL were categorized by their median into low (≤median) and high (>median). The association between outcomes and the factors studied was analysed by Poisson Regression using multiple backward methods, with adjustment for robust variance, and Svyset function scheduled following the stages of the research. Results The physical domain of WHOQOL-BREF was associated with use of upper prosthesis and educational level. The psychological domain score was related to level of education. The decayed, missing and filled teeth (DMFT), gender and educational level were associated to the social relations domain. In the environment domain, an association with use and need of lower prosthesis, age and educational level was observed. Conclusions Clinical oral health variables such as DMFT and use and need of prosthesis were associated with general QoL in this population.

O objetivo deste estudo foi determinar a frequência e a severidade da fluorose dentária, bem como verificar possíveis associações com cárie dentária, sexo, idade, etnia e localização geográfica das escolas, nos escolares de doze e de quinze a dezenove anos de idade do município de Passo Fundo, Rio Grande do Sul. A população estudada foi constituída por 633 escolares, de ambos os sexos, matriculados em vinte e seis escolas municipais de ensino fundamental, nas idades índices citadas. Os exames foram realizados por três examinadores previamente calibrados para a aplicação do Índice de Dean. A prevalência de fluorose dentária no grupo estudado foi de 32,8%. O grau predominante foi o muito leve (78,4%), seguido pelos graus leve (11,1%), questionável (8,7%) e moderado (1,9%). A prevalência de fluorose dentária na população estudada foi expressiva, embora com um baixo grau de severidade. Os fatores idade e índice de cárie dentária mostraram-se relacionados à variável resposta. The objective of this article is to determine the frequency and severity of dental fluorosis, as well as to verify possible associations with dental caries, gender, age, ethnicity and geographic location of schools in schoolchildren of 12 years old and from 15 to 19 years in the city of Passo Fundo, Rio Grande do Sul State, Brazil. A total of 633 schoolchildren of both genders at the cited ages, enrolled in 26 public schools of fundamental teaching were involved in the epidemiological study. The inspection was performed by three examiners previously trained to apply Dean's Index. The prevalence of dental fluorosis in the studied group was of 32.8%. Predominant degree was the very light (78.4%), followed by light (11.1%), questionable (8.7%) and moderate (1.9%). The prevalence of dental fluorosis was expressive in this population, however, with a low degree of severity. Factors such as age and dental caries index showed to be related to the variable response.

Estudo transversal com 1.170 adolescentes da sétima série da rede pública municipal de Gravataí, Rio Grande do Sul, Brasil, investigando a associação de fatores sócio-demográficos, psicossociais e relacionados ao estilo de vida com hábitos de saúde bucal e utilização de serviços odontológicos. Os dados foram analisados por regressão de Cox modificada para estudos transversais. As meninas tiveram maior freqüência de escovação dentária assim como aqueles que relataram não se sentirem discriminados ou sozinhos. O uso diário de fio dental associou-se à melhor inserção sócio-econômica, à busca por serviços privados, à compreensão dos pais e à ausência de sentimento de solidão. A freqüência anual de utilização de serviços odontológicos foi maior entre os de inserção sócio-econômica mais alta. Houve maior busca de serviços por motivo preventivo entre aqueles com melhor inserção sócio-econômica, os que se sentiram compreendidos pelos pais e os que não costumavam consumir doces. Os hábitos de saúde bucal apresentaram associação com inserção sócio-econômica familiar e com fatores psicossociais, exceção à utilização anual de serviços. Quanto ao estilo de vida, o baixo consumo de doces repercutiu positivamente sobre o motivo da visita ao serviço. This was a cross-sectional study of 1,170 seventh- grade adolescents from the municipal public school system in Gravataí, Rio Grande do Sul State, Brazil, investigating the association between socio-demographic, psychosocial, and lifestyle factors and oral health habits and use of dental services. Data were analyzed by Cox regression, modified for cross-sectional studies. Females showed higher frequency of brushing, as did adolescents that reported not feeling alone or discriminated. Daily flossing was associated with higher socioeconomic status (SES), use of private dental services, parental understanding, and lack of feeling of loneliness. Frequency of annual dental visits was higher among individuals with higher SES. Preventive dental checkups were more frequent among individuals with higher SES, those who felt understood by their parents, and those who did not habitually eat candy. Oral health habits were associated with family SES and psychosocial factors except for frequency of annual dental visits. As for lifestyle, low candy consumption had a positive impact on reasons for use of dental appointments.

Objectives: To investigate the self-perception of oral health in older people, aged 65–74, from the central region of southern Brazil. Methods: Cross-sectional population-based study using data from the Oral Health Conditions Survey of Southern Brazil, developed between the years 2002 and 2003, by the State Health Secretary (SHS) of Rio Grande do Sul (RS), Brazil. Socioeconomic and demographic variables, self-perception of oral health and clinical data, as well as dental pain were evaluated in 618 elderly people. Multinomial logistic regression was used to evaluate the effect of explanatory variables on the self-perception of oral health. Results: Almost half of the elderly were edentate and rated their oral health as good or very good. With regard to dental pain, 28.8% of the people declared that they had experienced dental pain in the 6 months before the interview. There was a significant relationship between dental pain and classification of oral health, and chewing ability. Following adjustment, the need for dental prostheses remained associated with the influence of oral health on establishing relationships. Similarly, personal income remained associated with the elderly's perception of their ability to talk. Finally, the level of education remained related to the influence of oral health status in people's relationships. Conclusion: Dental pain and the need for dental prostheses were the main factors that affected the self-perception of oral health of elderly people from southern Brazil.

Estudo transversal investigando associação entre hábitos de higiene bucal e utilização dos serviços odontológicos, fatores sócio-demográficos e relacionados ao estilo de vida em amostra representativa de 1.170 escolares de 7ª série do ensino municipal de Gravataí, Rio Grande do Sul, Brasil. A associação entre os desfechos e sexo; cor da pele; inserção sócio-econômica; estilo de vida sedentário; uso de álcool e tabaco; e consumo de balas, refrigerantes e chocolates foi investigada com regressão de Cox univariada. Entre os jovens estudados, 77,8% escovavam os dentes ≥ 3 vezes/dia, 31,9% utilizavam fio dental, 68,9% visitavam o dentista anualmente e 50% consultaram por motivo curativo. As meninas apresentaram maior freqüência de escovação do que os meninos. Os jovens com baixa inserção sócio-econômica, os com estilo de vida sedentário e os que experimentaram tabaco apresentaram menor uso diário de fio dental e consultas odontológicas anuais, e mais consultas curativas. O consumo de balas associou- se à menor utilização de serviços odontológicos e o de refrigerantes à maior freqüência de consultas curativas. O estilo de vida saudável associou-se com melhores hábitos de higiene bucal e utilização de serviços odontológicos. This study evaluated oral hygiene habits and use of dental services among teenage students, and analyzed their association with sociodemographic factors and life styles. This cross-sectional study included a representative sample of 1,170 seventh-graders from municipal public schools of Gravataí, Rio Grande do Sul State, Brazil. The Cox regression model for univariate analysis, modified for cross-sectional studies, was used to analyze the association between variables. Of the adolescents included in the study, 77.8% brushed their teeth three or more times a day, 31.9% flossed daily, 68.9% visited the dentist regularly, and 50% visited the dentist for dental treatment. Tooth brushing was more frequent among female adolescents. Lower socioeconomic status was associated with a lower frequency of daily flossing, fewer annual dental visits, and a greater prevalence of dental treatment visits. Similar results were found for adolescents with a sedentary lifestyle or that had tried smoking. The consumption of candy was associated with lower frequency of annual dental visits, and the consumption of soft drinks, with greater frequency of treatment visits. A healthy life style was associated with better oral hygiene habits and more frequent dental visits.

The objective of this article is to determine the frequency and severity of dental fluorosis, as well as to verify possible associations with dental caries, gender, age, ethnicity and geographic location of schools in schoolchildren of 12 years old and from 15 to 19 years in the city of Passo Fundo, Rio Grande do Sul State, Brazil. A total of 633 schoolchildren of both genders at the cited ages, enrolled in 26 public schools of fundamental teaching were involved in the epidemiological study. The inspection was performed by three examiners previously trained to apply Dean's Index. The prevalence of dental fluorosis in the studied group was of 32.8%. Predominant degree was the very light (78.4%), followed by light (11.1%), questionable (8.7%) and moderate (1.9%). The prevalence of dental fluorosis was expressive in this population, however, with a low degree of severity. Factors such as age and dental caries index showed to be related to the variable response.

O objetivo do presente trabalho foi investigar os hábitos de higiene bucal e uso dos serviços odontológicos por adolescentes e adultos do Município de Canoas, Estado do Rio Grande do Sul, Brasil. Realizou-se um estudo descritivo transversal de base populacional que constatou uma média de freqüência de escovação de três vezes ao dia. Mais da metade da amostra revelou não usar o fio dental. “Depois do almoço” foi o momento de eleição para a limpeza dos dentes. A higiene foi mais freqüente entre mulheres, adultos jovens e sujeitos com maior escolaridade. A quase totalidade da amostra visitou o dentista pelo menos uma vez na vida. O motivo mais freqüente foi revisão da saúde bucal. A maioria das pessoas fazia uso dos serviços odontológicos privados. A freqüência de escovação foi alta mas o uso do fio dental mostrou-se reduzido. O serviço público contribuiu de forma restrita na prestação de serviços odontológicos, situação que implica necessidade de análise das barreiras de acesso. The study aimed an investigation of oral hygiene methods and use of dental services by adolescents and adults in the Municipality of Canoas, Rio Grande do Sul State, Brazil. This population-based, cross-sectional study found an average of tooth brushing three times a day. More than a half of the sample revealed no use of dental floss. “After lunch” was the moment of the day most chosen for teeth cleaning. Oral hygiene was more frequently performed by women, young adults, and people with higher number of school years. The almost totality of the sample had visited the dentist at least once in their life. The most frequent reason was oral health follow-up. The great majority of the people self-reported use of private dental services. Frequency of tooth brush was high, however use of dental floss was restricted. Public service contributed to a very low percentage of dental service’s provision, a situation that implies deeper analysis about the barriers to access to dental assistance.

This study aimed to investigate the prevalence of oral health impact on daily performance in Brazilian adults. 276 civil servants 35 to 44 years of age from the Public Works and Waste Disposal Department of Porto Alegre, in southern Brazil, were interviewed and clinically examined. Oral Impacts on Daily Performance (OIDP) was used to evaluate the impact of oral health status on daily performance. 73.6% of all subjects had at least one daily performance affected by an oral impact in the previous six months. The most commonly affected performance was eating (48.6%), while the most common symptoms were discomfort (40.6%) and dissatisfaction with one's appearance (31.5%). Missing teeth (21.7%) and toothache (20.7%) were recognized as the main causes of oral impacts on daily performance. OIDP was useful for measuring (physically, psychologically, and socially) the oral impacts on daily performance.

This research aimed to identify the principal aspects of dental health education in official documents, which would give theoretical support to teachers of primary schools. The research used a qualitative approach. The results showed that official documents offer support to the teaching of dental health education in primary schools., Este estudo objetivou identificar, descrever e interpretar aspectos da legislação e outros documentos oficias em vigor que se relacionam com educação e ou saúde e que servem de suporte às ações de Educação em Saúde Bucal que se desenvolvem em escolas de ensino fundamental de Porto Alegre. Os propósitos, a natureza e os objetivos da investigação encaminharam para a análise qualitativa de conteúdo do tipo temática como forma de tratamento do material escolhido. Os resultados deste estudo permitem que se afirme que documentos estudados oferecem apoios importantes e diversificados para o desenvolvimento da Educação em Saúde Bucal no ensino fundamental.

OBJECTIVES The aims of this study were: (1) to investigate the level of routines and flexibility of people's daily activity and to identify how tooth cleaning fits into these activities; and (2) to evaluate the impact of different levels of routines and flexibility in daily living on pattern (frequency of tooth cleaning), structure (range of items used in tooth cleaning), performance (relative effectiveness of tooth cleaning) and the outcome of performance (gingival bleeding on probing) in tooth cleaning. METHODS A convenience sample of 471 Brazilians aged 24 to 44 years was selected from factories, offices, banks, shops, and hospitals. Behavioral, socioeconomic, and clinical data were collected through structured interviews. Dental plaque and gingival bleeding were assessed by clinical examination. Data were analyzed by means of logistic regression. RESULTS A highly significant relationship was observed between routines of daily activities and tooth-cleaning pattern (OR = 2.3; 95% CI = 1.34, 3.92) after adjusting for age, sex, marital status, and socioeconomic status. No significant associations were observed between routines of daily activities and gingival bleeding. A significant association was observed between tooth-cleaning frequency (OR = 1.6; 95% CI = 1.07, 2.49), performance (OR = 2.7; 95% CI = 1.77, 4.14), outcome (OR = 2.3; 95% CI = 1.31, 3.18), and flexibility of daily activities. Those who had more flexibility of daily activities had lower gingival bleeding scores. CONCLUSION People who have a less routinized and more flexible day have higher tooth-cleaning frequency than those who have a less flexible and more routinized day. In this study, those with a more flexible day also cleaned their teeth more effectively than those who had a less flexible day, and had reduced gingival bleeding.