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Objective: To verify the association between bullying and awake and sleep bruxism in school teenagers. Material and Methods: A cross-sectional study was conducted from March to June 2018 with adolescents aged 14 to 19 of both sexes enrolled in the state school system of a city in Pernambuco. Students who participated in the stages of data collection and filled out the questions about bullying and bruxism were considered eligible. Those with disabilities or dysfunctions that made it impossible to fill out the questionnaire themselves were excluded. For data collection, an instrument with questions from the National Survey of Adolescent Health (PeNSE) and the "Research Diagnostic Criteria for Temporomandibular Dysfunction" (RDC/TMD) questionnaire was used. Results: A total of 2,500 adolescents participated in this study. The prevalence of possible awake bruxism among the adolescents was 20.6%, the prevalence of possible sleep bruxism was 21.9%, and 23% of the adolescents reported having experienced bullying. About 2 of 10 male students had possible sleep bruxism (SB), while a fourth of the female students had the condition (p=0.004; OR=1.1). As seen in the awake bruxism, feelings of sadness, school bullying, and cyberbullying had significant correlations with possible SB (p

Objective: To verify the association between victims of bullying and weapon possession among school adolescents. Methods: This cross-sectional study was carried out with 2,296 high school students aged 14–19 years. An instrument containing questions from the validated Youth Risk Behavior Survey questionnaire and the National School Health Survey was used. To describe the profile of interviewees, absolute and relative frequencies were calculated, and the chi-square test was applied to verify the existence of associations. To test the association of bullying with weapon possession, Poisson logistic regression (univariate and multivariate) was used. The significance level used for all analyses was 5%. Results: Among adolescents interviewed, 23.1% reported being victims of bullying. Among victims of bullying, 37.6% (PR = 1.68; 95% CI = 1.30 – 2.17) reported having already carried some type of weapon (knife, revolver, or truncheon) in the last 30 days, while the reported firearm possession was 38% (PR = 1.67; 95% CI = 1.16 – 2.40) and 47.5% of these adolescents carried some type of weapon (knife, revolver or truncheon) in the school environment (PR = 2.10; 95% CI = 1.50 – 2.93). Conclusions: It could be observed that adolescents who are victims of bullying are twice as likely of carrying some type of weapon (knife, revolver, or truncheon) to the school environment, and are also more likely of carrying a firearm.

Objetivou-se investigar se o contexto escolar de maior vulnerabilidade social e vitimização por bullying, cyberbullying e ameaça por armas está associado ao tabagismo em adolescentes. Trata-se de estudo transversal composto por 2.456 adolescentes das escolas estaduais de Olinda, Brasil. A coleta ocorreu entre fevereiro e junho de 2018, utilizando o questionário Youth Risk Behavior Survey. O desfecho foi o tabagismo e a análise logística multinível considerou o índice de vulnerabilidade social do bairro e o percentual de vitimização por bullying e cyberbullying de cada escola, além de ameaça por armas e tempo na escola. O perfil socioeconômico e o consumo de álcool foram analisados no nível individual. A amostra foi de maioria feminina, entre 14 e 16 anos, e relatou não receber Bolsa Família. O contexto escolar de vitimização localizado em bairros socialmente mais vulneráveis apresentou maiores chances de tabagismo. No nível individual, adolescentes mais velhos e que bebiam em binge apresentaram chances mais elevadas de tabagismo.

Objetiva-se identificar quais fatores da desigualdade social estão associados à gravidez na adolescência. Como método, utilizou-se a revisão integrativa da literatura e a busca dos artigos foi realizada entre junho/2021 e abril/2022 nos bancos de dados Pubmed via Medline, Scopus e Embase. A amostra final totalizou 28 artigos e verificou-se que os fatores de proteção associados à gravidez na adolescência foram a renda familiar mais elevada e a maior escolaridade do adolescente e dos pais. Como fatores de risco, destacaram-se o consumo de álcool, tabaco e outras drogas, a atividade sexual precoce e o perfil socioeconômico e demográfico. Investimentos em setores como o da educação contribuiriam para a redução das taxas de gravidez precoce porque a escola estimula a criação de projetos de vida e incentiva comportamentos mais adequados. O conhecimento acerca dos fatores da desigualdade social que aumentam o risco da gravidez precoce podem auxiliar a formulação de políticas públicas que diminuam as desigualdades em saúde.

Abstract Background Previous studies have found that a school climate of more heteronormativity is associated with adverse effects on the mental health of LGB students. Accordingly, our aim was to assess the association between lower LGB prevalence in schools and unhealthy weight-control behaviors among LGB youth. Methods A cross-sectional, multilevel study based in public high schools in the city of Olinda, Northeast Brazil. A multilevel logistic regression was performed, including 2500 adolescents enrolled in 27 schools. The contextual variable was the prevalence of LGB youth in each school (as a proxy for heteronormativity in schools), while the outcome was unhealthy weight-control behaviors (fasting, purging, and taking diet pills). We controlled for socioeconomic characteristics (age, sex, receiving a family allowance), obesity, and self-reported happiness. Results Lower LGB prevalence in schools was associated with higher odds of engaging in unhealthy weight-control behaviors (OR: 1.5, 95%CI: 1.0, 2.2) among all youth, regardless of sexual orientation. No cross-level interactions between school context and individual characteristics were statistically significant. Conclusion Lower LGB prevalence in schools was associated with a higher risk of unhealthy weight-control behaviors in youth regardless of sexual orientation, which may reflect either the contextual influence of school climate, or may be due to residual confounding.

Objetivo: Analisar a associação do consumo do álcool em binge e o excesso de peso em adolescentes. Métodos: Trata-se de um estudo transversal, analítico e de base escolar, oriundo de um projeto maior. Realizou-se em seis escolas de ensino médio da rede estadual, em março de 2018. A amostra foi composta por adolescentes de ambos os sexos, de 14 a 19 anos de idade. O consumo do álcool em binge foi avaliado pelo questionário Youth Risk Behavior Survey, além da mensuração do peso e altura para avaliação do Índice de Massa Corporal e do perímetro da Cintura, para averiguar a Circunferência da Cintura e Relação Cintura e Estatura. Para comparar o percentual dos níveis das variáveis avaliadas, aplicou-se o teste Qui-quadrado com nível de significância de 5%. Resultados: Quanto ao consumo do álcool em binge, 32% dos adolescentes praticavam esse padrão de ingestão. O excesso de peso apresentou maior prevalência quando avaliado pela Circunferência da Cintura (16,2%), seguido do Índice de massa corporal (13,6%) e pela Relação Cintura Estatura (11,6%). O consumo do álcool em binge apresentou associação com o excesso de peso quando este foi avaliado pela Relação Cintura Estatura (p

Objective: To translate, perform a cross-cultural adaptation and reliability analysis of the Survey of Anxiety and Information for Dentists (SAID) for use with Brazilian adolescents. Material and Methods: The SAID was translated into Brazilian Portuguese and back-translated to English. An expert committee compared both versions and examined their equivalence. Then, a face validation was performed with 10 adolescents. The SAID was applied in printed format with 25 questions. Participants answered and commented on the questions with a researcher to confirm the understanding and provide suggestions. The suggestions were implemented, and the expert committee approved the final version of the SAID in Brazilian Portuguese. The psychometric properties were tested with 60 adolescents aged 10 to 19 years. Participants answered the Brazilian version of the SAID before their first dental appointment and two weeks later to determine test-retest reliability. Reliability was analyzed by internal consistency analysis (Cronbach's alpha) and test-retest (ICC). Results: The instrument presented excellent reliability according to internal consistency (Cronbach's alpha = 0.77) and test-retest coefficients (ICC = 0.88; 95% CI: 0.81-0.93). The Kappa coefficients and the degree of agreement of the dichotomous questions indicated good reproducibility of the new version. Conclusion: The SAID translation, cross-cultural adaptation and reliability analysis were completed successfully. Thus, the Brazilian version of the SAID can be a useful survey tool for dental care of adolescent patients.

Objective: To characterize adolescent health care in a Family Health Unit in Olinda, Brazil. Material and Methods: The study carried out a census in a primary health unit, and results were obtained through the analysis of medical records from individuals aged 10-19 years. Data analysis was initially performed by descriptive statistics followed by association analysis using the Chi-square test or Fisher's exact test (p≤0.05). Results: Of all registered adolescents (n=895), 54% were female. However, only 36.9% (n=330) had a care record from 10 to 19 years. Regarding the frequency with which adolescents used the health service, 89.1% performed no more than three visits throughout the entire adolescence period. Almost all care provided to adolescents had curative nature (82.7%) in relation to the preventive nature (17.3%). Conclusion: The results pointed out that adolescents seek the Family Health Unit predominantly in search of curative care and that the number of consultations is reduced and far from recommendations from the Paced and Integrated Programming Guideline of the Ministry of Health, which establishes a minimum of one medical consultation and two nursing consultations per year for adolescents and young people in general.

ABSTRACT OBJECTIVE To determine the prevalence of cigarette use among adolescents and to identify associated health risk behaviors. METHODS This is a cross-sectional study with a representative sample, composed of 1059 adolescents between 13 and 19 years old, enrolled in primary and secondary public schools of Olinda, Pernambuco, in 2014. Information was obtained through self-administered questionnaires (validated version of YRBS 2007). Cigarette experimentation was defined as smoking at least once in life. Adolescents who smoked at least one day within 30 days prior to the survey were considered current smokers. Most students were female and 16 years old or older. RESULTS Almost 30% used it in life and about 10% smoked within the 30 days before the survey. Suicidal ideation (PR = 1.51, 95%CI 1.25–1.82), alcohol use (PR = 1.41, 95%CI 1.03–1.92), marijuana (PR = 1.64, 95%CI 1.37–1.96), excessive alcohol consumption (PR = 1.57, 95%CI 1.15–2.16) and sexual experience (PR = 1.78, 95%CI 1.43–2.21) have increased the risk of using cigarettes. Feelings of sadness (PR = 1.70, 95%CI 1.22–2.36), alcohol use (PR=2.40, 95%CI 1.12–5.12), excessive alcohol consumption (PR = 2.5, 95% CI 1.24–5.38), marijuana (PR = 2.31, 95%CI.57–3.39) and cocaine (PR = 1.99, 95%CI.32–3.01) increased the risk of cigarette use within the 30 days before the survey. CONCLUSIONS Cigarette use among adolescents from Olinda was high, being considered higher than the national prevalence. Possible factors associated with cigarette use were drug use (alcohol, marijuana, and cocaine) and behaviors related to sexual experience, feelings of sadness and suicidal ideation.

Objetivo: Descrever os fatores associados aos conhecimentos, atitudes e práticas de adolescentes e seus pais frente à imunização na adolescência. Métodos: Revisão sistemática da literatura, realizada nos meses de março de 2017 a março de 2018, por meio de três estratégias de busca no Portal CAPES e BVS, através dos descritores: adolescente; imunização; conhecimentos; atitudes e práticas em saúde; vacinação e controle de doenças transmissíveis. Os critérios de elegibilidade utilizados foram: artigos científicos publicados nos idiomas inglês, português e espanhol, nos anos de 2008 a 2018. Após as buscas, incluíram-se 23 artigos na análise final. Resultados: Verificaram-se os seguintes fatores diretamente associados à imunização na adolescência: sexo; religião; raça/etnia; idade, local de residência; crenças sobre a eficácia e segurança da vacina; medo dos efeitos adversos; possuir convênio privado de saúde e recomendação pelos profissionais de saúde. No Brasil, alguns fatores diferem dos outros países, como a maior vacinação contra o HPV entre as meninas e contra a Hepatite B entre aqueles com menor renda per capita. Isto pode ser explicado porque o Brasil tem uma realidade econômica, social e um sistema de saúde diferente do que se observa nos demais países. Conclusão: Fatores sociodemográficos como sexo, raça/etnia, religião e idade foram associados ao conhecimento, atitudes e práticas acerca da imunização na adolescência. Fatores socioeconômicos e psicossociais, como insegurança, medo, preocupações com o custo da vacina, ter recebido recomendação e orientação sobre vacinação por um profissional de saúde também demonstraram associação.

BACKGROUND:Preventing tooth loss depends on oral health maintenance behaviors. This study hypothesized that adolescents with educational aspirations have greater motivation to invest in the future, including maintenance of oral health status. AIM:To analyze the association between a school academic climate of educational aspirations and tooth loss (first permanent molars) among adolescents. METHODS:A cross-sectional study was designed to include 2,500 adolescents (aged 14-19 years) enrolled in public high schools of Olinda located in Northeast Brazil. Multilevel Poisson regression random intercept models were conducted with tooth loss (first permanent molars) as the outcome. The primary cohort of interest was school academic climate, as measured by the proportion of students taking the national high school exams. RESULTS:Tooth loss of the first permanent molars (assessed by clinical exam) was more prevalent in adolescents from more disadvantaged backgrounds (receiving family allowance, low maternal education). However, after controlling for a wide range of individual characteristics, adolescents enrolled in schools with lower academic climate had a higher prevalence of tooth loss (PR 1.42, 95%CI: 1.09,1.85). CONCLUSION:The school academic climate is associated with tooth loss, suggesting that educational aspirations are linked to adolescent oral health maintenance behaviors.

Objetivo: Revisar na literatura a prevalência e os fatores associados à autopercepção negativa em saúde dos adolescentes. Métodos: Trata-se de uma revisão sistemática que utilizou, como fonte de busca, as seguintes bases de dados: Lilacs, Medline/Pubmed e Adolec, utilizando descritores indexados ao DeCS/MeSH. No processo de seleção, os artigos foram analisados em três etapas: leitura dos títulos, dos resumos e do artigo na íntegra de acordo com os critérios de elegibilidade. Resultados: Dos 886 artigos encontrados, após a utilização dos filtros, foram selecionados 25 artigos para leitura na integra, mas, após a leitura, somente 10 artigos foram inclusos nos resultados desta pesquisa. Os estudos apresentaram uma prevalência de autopercepção negativa em adolescentes que variou de 1,2% a 38%, sendo verificados também outros fatores associados, como fatores socioeconômicos, relações interpessoais e comportamentos de riscos à saúde. Conclusão: As evidências científicas apontam que fatores socioeconômicos, relação com a família e amigos, estresse, aspectos psicológicos e comportamentos de risco a saúde estão interligados à autopercepção negativa em saúde dos adolescentes. Além disso, ser do sexo feminino, ter baixa renda e apresentar uma idade maior também foram fatores para um aumento na avaliação negativa do estado de saúde do adolescente.

ABSTRACT OBJECTIVE To estimate the prevalence of illicit drug use and its association with binge drinking and sociodemographic factors among adolescent students. METHODS This is a cross-sectional study with probabilistic conglomerate sampling, involving 1,154 students, aged 13 to 19 years old, from the public school system, in the city of Olinda, State of Pernambuco, Brazil, carried out in 2014. We used the Youth Risk Behavior Survey questionnaire, validated for use with Brazilian adolescents. The Chi-square test (≤ 0.05) and Poisson regression analysis were used to estimate the prevalence ratios, with 95% confidence intervals. RESULTS Use in life of illicit drugs was four times more prevalent among students who reported binge drinking (95%CI 3.19–5.45). Being in the age group of 16 to 19 years, being male, and having no religion were also significantly associated with illicit drug use. CONCLUSIONS The prevalence of use in life of illicit drugs was higher in this study than in other studies carried out in Brazil and it was strongly associated with binge drinking. This factor was associated with gender, age, and religion.

Objetivo: Apresentar um protocolo clínico, baseado na literatura atual, visando otimizar o atendimento emergencial do trauma dentário nas dentições decídua e permanente. Métodos: estudo de natureza documental, através de revisão da literatura de pesquisas sobre os traumatismos dentários disponíveis nas seguintes bases de dados: mEDLInE, Cochrane, Pubmed, Lilacs, BBO e SCIELO, usando-se os descritores: traumatismo dentário, classificação, diagnóstico e epidemiologia. Os protocolos produzidos pela Associação Internacional de Trauma Dental (IADT) e da Academia Americana de Odontopediatria (AAPD) também foram revisados. Conclusões: O protocolo clínico representa a evidência mais atual baseada na pesquisa da literatura e na vivência clínica do profissional. As recomendações apresentadas neste trabalho estão de acordo com as relatadas nos protocolos da IADT e AAPD.

This work aimed to translate the Bulimic Investigatory Test of Edinburgh - BITE into Portuguese and adapt it in a sample of 109 adolescents aged from 12 to 16. The methodological referential was translation and retro-translation, cross cultural adaptation, face validation and final version application. Statistical analysis methods were observed coincidence, intra and inter examiners kappa index and Cronbach´s alpha. Observed coincidence and intra and inter-examiners kappa analysis varied from good to excellent (OC - 88,9% to 100% and kappa 0,60 to 1,0). Cronbach´s alpha measure indicated a high degree of intern consistence (0,76), showing reliability of scale. Translation of BITE – Adolescent’s version showed a good linguistic, conceptual and scale equivalence, with precision indexes and content validity.

The aim of this study was to evaluate anxiety and pain related to dental treatment in children under the age of five years. This cross sectional study was carried out with 2,735 children of both sexes. Socioeconomic data, dental anxiety and dental pain experience, as well as the assessment of the child's oral health status, were obtained through a questionnaire answered by the child's parent or guardian. Dental anxiety was measured using the Dental Anxiety Question (DAQ). The prevalence of dental anxiety was 34.7% and that of dental pain was 9.1%. There was an association between these two variables (p < 0.0001). There was also an association between dental pain, age, family income and assessment of oral health status. The poorest rating of the child's oral health and the lowest family income were correlated with the highest percentages of a history of dental pain. Dental anxiety was related to a history of dental pain in children under the age of five years.Este estudo teve como objetivo avaliar a ansiedade e a dor relacionadas ao tratamento odontológico em crianças menores de 5 anos de idade. Este estudo transversal foi realizado com uma amostra de 2.735 crianças, de ambos os sexos. Por meio da aplicação de um questionário em forma de entrevista com os pais ou responsáveis foram obtidas as seguintes informações: dados sócio-econômicos, ansiedade relacionada ao tratamento odontológico e a experiência de dor de dente, assim como a avaliação dos pais em relação à saúde bucal das crianças. A prevalência de ansiedade odontológica foi de 34,7% e o histórico de dor de dente foi 9,1%. Verificou-se associação entre essas duas variáveis (p < 0,0001). Observou-se também associação entre dor de dente, idade, renda familiar e a avaliação dos pais em relação à saúde bucal das crianças. Saúde bucal comprometida, assim como baixa renda familiar, foram correlacionadas com alta prevalência de histórico de dor de dente. A ansiedade odontológica estava associada ao histórico de dor de dente em crianças menores de 5 anos de idade.

Este estudo investigou diferenças entre os gêneros nas condutas de saúde de universitários em final de curso. A amostra foi composta de 382 estudantes de universidades públicas do Estado de Pernambuco, Brasil, com idade entre 20 e 29 anos. Os dados foram coletados mediante a aplicação do questionário National College Health Risk Behavior Survey, validado previamente para o português. Foram utilizadas técnicas de estatística descritiva e inferencial. Para análise de associação foram utilizados teste qui-quadrado ou exato de Fisher. Os resultados foram considerados significantes para p < 0,05. Verificou-se que, de modo geral, os estudantes do gênero feminino apresentaram freqüências menores de condutas de risco para a saúde como: consumo de álcool (p = 0,005), tabagismo (p = 0,002), experimentação de maconha (p = 0,002), consumo de inalantes (p < 0,001), uso de esteróides (p = 0,003), porte de arma (p = 0,001) e envolvimento em briga física (p = 0,014). Os estudantes, no entanto, relataram maior preocupação em perder ou manter o peso, apesar de a prática de atividade física ter sido menos freqüente neste grupo. Pode-se concluir que há diferenças significativas com relação às condutas de saúde entre os gêneros, devendo haver abordagens diferenciadas para os dois grupos.This study investigated whether undergraduate students' health-risk behaviors differed according to gender. The sample consisted of 382 subjects, aged 20-29 years, from public universities in Pernambuco State, Brazil. Data were collected using the National College Health Risk Behavior Survey, previously validated in Portuguese. Descriptive and inferential statistical techniques were used. Associations were analyzed with the chi-square test or Fisher's exact test. Statistical significance was set at p < 0.05. In general, females engaged in the following risk behaviors less frequently than males: alcohol consumption (p = 0.005), smoking (p = 0.002), experimenting with marijuana (p = 0.002), consumption of inhalants (p < 0.001), steroid use (p = 0.003), carrying weapons (p = 0.001), and involvement in physical fights (p = 0.014). Meanwhile, female students displayed more concern about losing or maintaining weight, although they exercised less frequently than males. The findings thus showed statistically different health behaviors between genders. In conclusion, different approaches need to be used for the two genders.

O objetivo deste estudo foi investigar as condutas de saúde entre adolescentes em conflito com a lei, internos em instituição de atendimento sócio-educativo em município da região metropolitana do Recife, Pernambuco, Brasil. A amostra foi composta por 241 jovens do sexo masculino, de 12 a 18 anos de idade. Para a coleta de dados, utilizou-se uma versão reduzida do questionário de autopreenchimento utilizado pelo Centers for Disease Control and Prevention dos Estados Unidos, traduzido e adaptado para jovens brasileiros. Entre os jovens pesquisados, 79,7% afirmaram ter portado arma, assim como 52,7% estiveram envolvidos em briga com agressão física nos últimos 12 meses. Verificou-se que a maioria dos jovens pesquisados era usuário de tabaco (87,6%) e álcool (64,7%). Grande parte dos jovens afirmou já ter experimentado algum produto inalante na vida (68,9%) e ter feito uso de maconha (81,3%). A maioria dos jovens (95,4%) já tinha tido relação sexual, em geral com mais de um parceiro. Os jovens em situação de conflito com a lei apresentaram vários comportamentos de risco à saúde em percentuais elevados.The objective of this study was to investigate health risk behavior among teenage offenders committed to a social-educational institution in a city in Greater Metropolitan Recife, Pernambuco State, Brazil. The sample included 241 males 12-18 years of age. Data were collected with a brief self-completed questionnaire used by the Centers for Disease Control and Prevention, translated and adapted for young Brazilians. 79.7% of subjects reported having carried a gun and 52.7% had been in fights involving physical aggression in the previous 12 months. Most of the young offenders smoked cigarettes (87.6%) and consumed alcohol (64.7%). The majority reported having sniffed inhalants (68.9%), and 81.3% had smoked marijuana. The vast majority (95.4%) reported being sexually initiated, most having had sex with more than one partner. Young offenders showed high rates of various health risk behaviors.

OBJETIVO: Analisar as diferenças nas condutas de saúde de estudantes da área de saúde de universidades públicas no início e no final do curso. MÉTODOS: Estudo realizado com amostra estratificada por curso e por universidade, de 735 estudantes de ciências da saúde de universidades públicas do estado de Pernambuco, em 2006. Os dados foram coletados com a aplicação do questionário National College Health Risk Behavior Survey, validado previamente para utilização com estudantes universitários. Para análise de associação foi utilizado o teste qui-quadrado ou exato de Fisher. Os resultados foram considerados significantes para pOBJECTIVE: To analyze differences in health behavior among students studying health related subjects in public universities, between the beginning and end of their courses. METHODS: The study sample comprised 735 students in health sciences at the public universities in Pernambuco state (Northeastern Brazil) in 2006. The data were collected by means of the National College Health Risk Behavior Survey that had been validated previously for use among university students. Descriptive and inferential statistical techniques were used. The chi-square test or Fisher's exact test was used to analyze associations. Results were considered to be significant for p

O objetivo desse estudo foi conhecer os cuidados administrados com relação à saúde bucal de crianças hospitalizadas, verificando a dieta alimentar e a utilização de medicamentos com potencial cariogênico, assim como a higienização oral ou métodos alternativos empregados durante o tempo de hospitalização. Foi feito um estudo descritivo com a aplicação de um formulário aos acompanhantes de 100 crianças internas nas enfermarias de Pediatria de um hospital público de referência no atendimento infantil em Recife, Brasil, num período de 3 meses. Foram utilizadas técnicas de estatística descritiva através da elaboração de tabelas, incluindo distribuições absolutas e percentuais e da apresentação de medidas estatísticas para a variável numérica tempo de hospitalização. As crianças apresentaram uma dieta cariogênica, com o consumo de alimentos açucarados entre as refeições; medicamentos com potencial cariogênico eram administrados em horários de risco para o desenvolvimento de lesões de cárie; a higiene bucal das crianças hospitalizadas não ocorria de forma sistemática e orientada durante a internação. Verificou-se que se faz necessária a participação efetiva de um cirurgião-dentista integrado à equipe de saúde nos hospitais infantis, visando a promoção da saúde bucal. A hospitalização deve surgir como uma possibilidade de conhecer e tratar doenças, e não, propiciá-las.

OBJETIVO: Revisar criticamente a disponibilidade de instrumentos de satisfação com a vida utilizados para avaliar a qualidade de vida em adolescentes. MÉTODO: Nesta revisão foram selecionados estudos que utilizavam escalas de satisfação com a vida em adolescentes, exclusivamente. Foram excluídos estudos dirigidos à população em geral, ou que investigassem satisfação na relação com os pais, com cuidadores e com serviços de saúde. Foram consultadas as bases eletrônicas MedLine, Lilacs, PsycINFO, PubMed e Adolec, sendo incluída checagem manual das referências bibliográficas dos artigos selecionados. RESULTADOS: Foram encontrados 22 estudos conforme os critérios de inclusão, verificando-se a existência de nove escalas de satisfação com a vida, sendo duas variações (abreviada e versão adolescente) da escala de um mesmo autor. Foi adicionada à seleção uma escala de qualidade de vida que continha avaliações de domínios de satisfação com a vida. CONCLUSÃO: As validações das principais escalas são descritas, observando-se o reduzido número de estudos transculturais disponíveis. O uso do conceito de qualidade de vida por meio de instrumentos de satisfação com a vida é relativamente novo, e necessita de estudos mais abrangentes no que diz respeito à cultura e às diferentes realidades econômicas.OBJECTIVE: Critically review the availability of life satisfaction assessment to measure the quality of life of adolescents. METHOD: This review included life satisfaction scales just for adolescents. Studies from general population, or about the relationship between adolescents and their parents, with health care and with health services were excluded. The following electronic databases were used: MedLine, Lilacs, PsycINFO, PubMed and Adolec, also included consulting the references of selected articles. RESULTS: 22 studies were included based on inclusion and exclusion criteria adopted in the review, which includes nine life satisfaction scales, and two of them were versions from the same author (brief form and adolescent version). One quality of life scale which had life satisfaction domains was included. CONCLUSION: The validity of principals scales were related and the reduce of crosscultural research were observe. The concept of quality of life by life satisfaction instruments is almost new and need to include more studies with cultural and economics differences.

Dental trauma has a great impact on quality of life, affecting children physically, esthetically and psychologically. Aim: To assess the prevalence of dental trauma in 6-7-year-old northeastern Brazilian children and its correlation with gender. Methods: This cross-sectional study was carried out with 1,791 children attending 20 public schools in the city of Recife, Brazil. Data collection included oral examination to identify indicators of traumatic dental injury, such as crown discoloration in incisors, and was conducted by 4 previously trained Graduate students (Kappa > 0.8). Traumatic dental injuries were classified according to Andreasen’s criteria. Root fracture was not recorded as no radiographs were taken. Statistical analysis was performed using Pearson’s chi-square at a 5.0% level of significance. Results: The prevalence of dental trauma was 9.1% and males were significantly more affected. Crown discolorations followed by enamel fracture were, respectively, the injuries indicators more frequently observed in primary and permanent dentition. The most affected teeth were the upper central incisors in both dentitions. Conclusions: The prevalence of dental trauma in primary teeth was low among 6-7-year-old children in the city of Recife and showed association with gender.

Aim: This paper presents a systematic review of studies published within the last 10 years on Atraumatic Restorative Treatment (ART) in permanent molars. Methods: A systematic search was carried out in the MEDLINE and PubMed databases from April 1st 2001 to December 31st 2010 using the term “atraumatic restorative treatment” and in the LILACS database using the term “tratamento restaurador atraumático”. The selection of publications was based on the following criteria: texts written in English, Spanish or Portuguese; presence of an abstract; and investigation of clinical aspects related to ART in permanent molars. Results: The analysis of abstracts led to the selection of 26 studies. Recent clinical studies on ART in permanent molars of children, adolescents and young adults mainly address the survival of restorations through a comparison between caries removal methods and restorative materials. The publications report a survival success rate of ART restorations ranging from 30 to 100% in permanent molars, which is similar to that reported for treatments employing conventional methods and materials. The success rate of ART sealants ranged from 6.2 to 98.5%. The number of studies reporting on the retention and caries preventive effect of ART sealants was small. Conclusions: This systematic review revealed high survival rates for single-surface ART restorations in permanent molars and lower success rates for multiple-surface restorations. Clinical studies conducted with children, adolescents and young adults demonstrate a reliable clinical performance of single-surface and multi-surface ART restorations for 3-year and 2-year periods, respectively. However, long-term clinical studies are scarce and most of them focus on one-surface cavities. The survival rates observed, especially for single-surface restorations, confirm the potential of the ART approach for restoring and saving permanent molars. More clinical studies are required on the retention and caries preventive effect of ART sealants.

Aim: To evaluate the operator as a factor of success in atraumatic restorative treatment (ART) restorations. Methods: This was a clinical intervention study. The sample consisted of 271 glassionomer cement (Ketac Molar, 3M ESPE) restorations placed in 246 children aged 5 to 9 years attending public schools in Recife, Brazil. The operators were two senior undergraduate dental students and one dentist, classified as ‘inexperienced’ and ‘experienced’, respectively. Two groups of children were formed: one treated by the undergraduate students and the other treated by the dentist. The evaluation of the restorations took place at 1, 4 and 12 months by three senior undergraduate dental students. Results: Comparing the operators, a significant difference was found in class II cavities filled by students, who had a lower rate of success. There were no differences between the dentist and undergraduate dental students for class I cavities. Conclusions: The operator’s experience makes a difference in the success rate of more complex ART restorations when an experienced operator receives the same training as an inexperienced operator.

The aim of this study was to analyze the psychosocial effects of severe caries in 4-year-old children in Recife, Pernambuco, Brazil. The clinical examination was conducted by a single examiner in order to select children with severe caries and caries-free (kappa = 1). Of the 861 children examined, 77 (8.1%) had severe caries and 225 (23.6%) were caries-free. Data were collected by applying validated questionnaires answered by the parents or guardians. Most of the parents or guardians of children with severe caries reported that their children complained of toothache (72.7%), and a significant portion stated that their children had problems eating certain kinds of food (49.4%) and missed school (26.0%) because of their teeth. Most of the parents or guardians of children with severe caries (68.8%) stated that oral health affects their children's life, while the same was stated by 9.8% of the parents or guardians of the caries-free children. Severe caries was found to have a negative impact on children's oral health-related quality of life.

Esta pesquisa teve como objetivo determinar a prevalência de cárie dentária em crianças com quatro anos de idade, de ambos os sexos, das escolas públicas municipais da cidade do Recife, Pernambuco, Brasil, no ano de 2002, enfatizando a necessidade de tratamento dentário para essa faixa etária. Os dados foram coletados por meio do exame clínico de 861 crianças pertencentes a 45 escolas públicas. O exame clínico foi realizado por uma examinadora calibrada (Kappa = 1), na própria escola, após assinatura do consentimento livre e esclarecido pelo responsável. Para determinação da prevalência de cárie dentária foi adotado o índice ceo-d. Após análise dos dados, verificou-se que a prevalência de cárie dentária na população estudada foi de 47,00% e o ceo-d médio foi de 2,06. Apenas 13,60% das crianças que apresentavam cárie possuíam restaurações. É pertinente concluir que as crianças examinadas apresentaram uma alta prevalência de cárie dentária (47,00%), apesar do percentual de crianças portadoras de cárie em estágio severo ter sido considerado baixo (8,94%).The aim of this study was to determine caries prevalence in 4-year-old preschoolers of both sexes in municipal schools in Recife, Pernambuco, Brazil, in 2002, emphasizing their needs assessment. Data were collected by examining 861 preschoolers from 45 municipal schools. Examination was conducted by one examiner (Kappa = 1) in the school and after parental consent forms were obtained. Dental caries was recorded using the dmf-t (decayed, missing, and filled teeth) index. Data analysis showed caries prevalence of 47.00% and dmf-t of 2.06. Only 6.40% of the children had their teeth treated. The examined children showed high dental caries prevalence (47.00%), despite a low prevalence of severe caries (8.94%).