Submitted by Nivaldo Melo (nivaldo.melo@ufvjm.edu.br) on 2015-11-19T12:55:51Z No. of bitstreams: 2 tulio_silva_pereira.pdf: 1058196 bytes, checksum: 878a12b8d67cb1ca1a5b1747237a2c14 (MD5) license_rdf: 23898 bytes, checksum: e363e809996cf46ada20da1accfcd9c7 (MD5) / Approved for entry into archive by Rodrigo Martins Cruz (rodrigo.cruz@ufvjm.edu.br) on 2015-11-19T13:54:46Z (GMT) No. of bitstreams: 2 tulio_silva_pereira.pdf: 1058196 bytes, checksum: 878a12b8d67cb1ca1a5b1747237a2c14 (MD5) license_rdf: 23898 bytes, checksum: e363e809996cf46ada20da1accfcd9c7 (MD5) / Made available in DSpace on 2015-11-19T13:54:48Z (GMT). No. of bitstreams: 2 tulio_silva_pereira.pdf: 1058196 bytes, checksum: 878a12b8d67cb1ca1a5b1747237a2c14 (MD5) license_rdf: 23898 bytes, checksum: e363e809996cf46ada20da1accfcd9c7 (MD5) Previous issue date: 2014 / A m? oclus?o ? uma condi??o comum e auto-limitante que tem implica??es psicol?gicas na qualidade de vida do indiv?duo, comprometendo o bem estar emocional e social da crian?a, principalmente quando afeta a zona est?tica. Al?m disso, tem sido reconhecido que diferentes m?s oclus?es est?o associadas com risco de insatisfa??o pessoal frente a m?s oclus?es vis?veis e que futuras pesquisas deveriam focar em m?todos consistentes e grupos de compara??o. A mordida cruzada anterior est? presente quando um ou mais incisivos superiores est?o em linguo-oclus?o e ocorre nos per?odos de denti??o prim?ria ou mista sendo de f?cil identifica??o e considerada um problema est?tico e funcional. O objetivo do presente estudo foi avaliar o impacto da mordida cruzada anterior na qualidade de vida de escolares. Uma amostra de 180 crian?as de 8 a 10 anos foi selecionada a partir do registro de pacientes que frequentam a Cl?nica Infantil da Universidade Federal dos Vales do Jequitinhonha e Mucuri, em Diamantina, Brasil. Desde total, 60 crian?as n?o apresentavam m? oclus?o (DAI?25, Cons et al., 1986), 60 crian?as apresentavam m? oclus?o (DAI>25) e 60 crian?as apresentavam mordida cruzada anterior dent?ria, sendo estas pareadas por sexo e idade. Avalia??o socioecon?mica, qualidade de vida relacionada ? sa?de bucal da crian?a (Child Perception Questionnaire ? CPQ 8-10), exame cl?nico para m? oclus?o e c?rie dent?ria foram realizados. An?lise descritiva, teste Kruskal-wallis, Manny-whitney e an?lise de regress?o de Poisson foram utilizados. A mordida cruzada anterior esteve negativamente associada ao dom?nio bem-estar emocional (p=0,005) e com o escore total do CPQ (p<0,001). O modelo final de regress?o de Poisson apresentou que permaneceram associadas ao impacto negativo na qualidade de vida das crian?as a mordida cruzada anterior (RP = 0,71, IC 95%: 0,52-0,97, p=0,031), situa??o familiar n?o nuclear(RP = 0,65, IC 95%: 0,48-0,88, p<0,001) e a renda familiar inferior a 2 sal?rios m?nimos (RP = 0,57, IC 95%: 0,43-0,75, p=0,007). A mordida cruzada anterior afeta negativamente a qualidade de vida de crian?as escolares. Fatores inerentes a situa??o familiar e renda mensal familiar est?o associadas a crian?as com maior impacto na qualidade de vida. / Disserta??o (Mestrado) ? Programa de P?s-Gradua??o em Odontologia, Universidade Federal dos Vales do Jequitinhonha e Mucuri, 2014. / ABSTRACT Malocclusion is a common and self-limiting condition that has psychological implications for the individual's quality of life, affecting the emotional well-being and social child, principally when the esthetic zone. Moreover, it has been recognized that different malocclusions are associated with risk of personal dissatisfaction anterior visible malocclusions and that future research should focus on consistent methods and comparison groups. The anterior crossbite is present when one or more incisors are in linguo occlusion and occurs during periods of primary or mixed dentition being easily identified and considered an aesthetic and functional problem. The aim of the present study was assess the impact of anterior crossbite in school quality of life. A sample of 180 children aged 8 to 10 years was selected from the registry of patients attending the Children's Clinic of the Federal University of the Jequitinhonha and Mucuri, in Diamantina, Brazil. From the total, 60 children had malocclusion (DAI?25, Cons et al., 1986), 60 children had malocclusion (DAI> 25) and 60 children had previous dental crossbite, which are matched by gender and age. Socioeconomic assessment, quality of life related to oral health of children (Child Perception Questionnaire - CPQ 8-10), clinical examination for dental caries and malocclusion were performed. Descriptive analysis, Kruskal-wallis test, Manny-Whitney and Poisson regression analysis were used. The anterior crossbite was negatively associated with emotional well-being domain (p = 0.005) and the total score of the CPQ (p <0.001). The final model of Poisson regression showed that remained associated with the negative impact on children's quality of life anterior crossbite (PR = 0.71, 95% CI: 0.52 to 0.97, p = 0.031), family status non-nuclear (PR = 0.65, 95% CI: 0.48 to 0.88, p <0.001) and family income less than two minimum salaries (PR = 0.57, 95% CI 0.43 to 0 75, p = 0.007). The anterior crossbite negatively affects the quality of life of schoolchildren. Factors related to family status and monthly family income are associated with children with the greatest impact on quality of life.

Submitted by Rodrigo Martins Cruz (rodrigo.cruz@ufvjm.edu.br) on 2015-01-23T16:14:43Z No. of bitstreams: 5 license_url: 52 bytes, checksum: 3d480ae6c91e310daba2020f8787d6f9 (MD5) license_text: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) license_rdf: 23898 bytes, checksum: e363e809996cf46ada20da1accfcd9c7 (MD5) license.txt: 2109 bytes, checksum: aa477231e840f304454a16eb85a9235f (MD5) marcio.pdf: 2392777 bytes, checksum: daf29ad1dd5db2fd4e6522c5344543dc (MD5) / Approved for entry into archive by Rodrigo Martins Cruz (rodrigo.cruz@ufvjm.edu.br) on 2015-02-10T10:52:21Z (GMT) No. of bitstreams: 5 license_url: 52 bytes, checksum: 3d480ae6c91e310daba2020f8787d6f9 (MD5) license_text: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) license_rdf: 23898 bytes, checksum: e363e809996cf46ada20da1accfcd9c7 (MD5) license.txt: 2109 bytes, checksum: aa477231e840f304454a16eb85a9235f (MD5) marcio.pdf: 2392777 bytes, checksum: daf29ad1dd5db2fd4e6522c5344543dc (MD5) / Made available in DSpace on 2015-02-10T10:52:21Z (GMT). No. of bitstreams: 5 license_url: 52 bytes, checksum: 3d480ae6c91e310daba2020f8787d6f9 (MD5) license_text: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) license_rdf: 23898 bytes, checksum: e363e809996cf46ada20da1accfcd9c7 (MD5) license.txt: 2109 bytes, checksum: aa477231e840f304454a16eb85a9235f (MD5) marcio.pdf: 2392777 bytes, checksum: daf29ad1dd5db2fd4e6522c5344543dc (MD5) Previous issue date: 2013 / Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior (CAPES) / Funda??o de Amparo ? Pesquisa do estado de Minas Gerais (FAPEMIG) / Objetivo: Desenvolver e validar um instrumento espec?fico para a avalia??o do impacto das m?s oclus?es na qualidade de vida, o Malocclusion Impact Scale for Early Childhood (MIS-EC), por meio do relato dos pais ou cuidadores de crian?as pr?-escolares. M?todos: A elabora??o do instrumento MIS-EC foi dividida em duas etapas: desenvolvimento e valida??o. Na etapa de desenvolvimento, 15 pesquisadores, 30 pais/cuidadores de crian?as com m? oclus?o e 30 pais/cuidadores de crian?as sem m? oclus?o avaliaram a relev?ncia de cada quest?o de um conjunto de 22 itens pr?-selecionados. A partir dos escores padronizados, as quest?es mais relevantes foram inclu?das no instrumento final. O MIS-EC foi, ent?o, aplicado a uma mostra de 230 pais para avaliar a validade discriminante (regress?o de Poisson), validade convergente (correla??o de Spearman) e a consist?ncia interna do instrumento (atrav?s do ?ndice Alpha de Cronbach). A an?lise de confiabilidade teste-reteste foi realizada em uma amostra de 20 pais usando o kappa ponderado para as vari?veis ordinais e o coeficiente de correla??o intraclasse (CCI) para os escores das se??es (crian?a e fam?lia) e o escore total do instrumento. Resultados: Os escores do MIS-EC (total e das se??es da crian?a e da fam?lia) apresentaram signific?ncia estat?stica com a avalia??o da sa?de bucal global e o bem-estar geral da crian?a. Crian?as com m? oclus?o apresentaram 5,68 vezes maior preval?ncia de MIS-EC ? 1 do que crian?as sem m? oclus?o, independentemente da presen?a de c?rie dent?ria e traumatismo. Os valores de Alpha de Cronbach para o escore total, impacto da crian?a e impacto da fam?lia do MIS-EC, foi de 0,85; 0,82 e 0,51, respectivamente. O coeficiente de correla??o intraclasse (ICC) para a confiabilidade do teste-reteste foi de 0,97. Conclus?o: O MIS-EC foi v?lido e confi?vel para a avalia??o do impacto das m?s oclus?es na qualidade de vida de crian?as pr?-escolares e suas fam?lias. Entretanto, s?o necess?rios mais estudos, realizados em outras popula??es, para o melhor estabelecimento das caracter?sticas t?cnicas do instrumento. / Disserta??o (Mestrado) ? Programa de P?s-Gradua??o em Odontologia, Universidade Federal dos Vales do Jequitinhonha e Mucuri, 2013. / ABSTRACT Objective: To develop and assess the validity of a specific instrument to measure the impact of malocclusions on OHRQoL, the Malocclusion Impact Scale for Early Childhood (MIS-EC), trough the report of parents or caregivers of preschool children. Methods: The elaboration of MIS-EC was split in two stages: development and testing. In the development stage fifteen researchers, thirty parents/caregivers of children with malocclusion and thirty parents/caregivers of children without malocclusion evaluated the relevance of each question from a from a pool of 22 pre-selected items. To identify the most important questions for the composition of the final instrument, the standardized scores were obtained for each item. The MIS-EC was then administered to a sample of 230 parents to evaluate the discriminant validity (Poisson regression), convergent validity (Spearman?s correlation) and internal consistency (using Cronbach?s alpha). The analysis of test-retest reliability was performed on a sample of 20 parents using the weighted kappa for ordinal variables, and intraclass correlation coefficient (ICC) for scores of sections (child and family) and for the total score of the MIS-EC. Results: MIS-EC scores (total score, child?s section score and family?s section score) were statistically significant in assessing the child?s overall oral health and general well-being. Children with malocclusion had 5.68 times higher prevalence of MIS-EC ? 1 than children without malocclusion, regardless of the presence of dental caries and dental trauma. Cronbach's alphas for the total MIS-EC score, the child and family sections were respectively 0.85, 0.82 and 0.51. The intraclass correlation coefficient (ICC) for test-retest reliability was 0.97. Conclusions: The MIS-EC performed well in assessing malocclusions? impacts on OHRQoL among children and their families. Studies in other populations are needed to further establish the instrument's technical properties.

Made available in DSpace on 2014-12-17T14:13:25Z (GMT). No. of bitstreams: 1 MariaGAM_TESE_02.pdf: 376447 bytes, checksum: 6bb83efa6c5d765657c3d2f3454b39a0 (MD5) Previous issue date: 2008-08-15 / The people of Cear? state are descended from miscegenation between the Portuguese colonizers and the native population, resulting in a different facial pattern from other populations. It is important that this pattern be thoroughly understood, along with its minimum and maximum values so that they can be assessed and respected, allowing professionals who deal with the craniofacial complex to work more efficiently and scientifically. Aim: To characterize the morphological pattern of individuals from Cear? state, whose father and grandfather are also native from Cear?, in the 10-12 year age group, not submitted to previous orthodontic treatment, in order to determine: 1) the prevalence of occlusal pattern; 2) the prevalence of dental anomalies (DA) and, 3) the skeletal and dental cephalometric characteristics of individuals that present with normal occlusion and harmonious facial pattern. Methodology: A list of 10-12 year-olds was obtained from 515 schools containing 162,713 students (Education Secretariat of Cear? State), from which 234 individuals were examined (107 boys and 157 girls). The assessment criteria adopted were: 1) Angle s Classification System to determine occlusal pattern. The occlusal characteristics were measured through overbite, overjet, crowding and interincisal diastema. 2) DA are anomalies of number, shape, size, eruption and structure and, 3) in the group that presented with normal occlusion, we used cephalometric analysis measures proposed by Downs, Steiner, Tweed, Holdaway, Jacobson and McNamara. Results: 1) 25.8% of the schoolchildren had normal occlusion, 47.5% class I malocclusion, 22.3% class II malocclusion and 4.2% class III malocclusion. No statistically significant difference was found between the age group studied and sex. Thirty percent of the individuals had normal overbite, while 36.7% and 19.7% had increased and reduced overbite, respectively. Normal overjet was found in 33.7% of the individuals, increased overjet in 50% and reduced in 16.3%. Dental crowding was observed in 62.5% of the individuals and the presence of interincisal diastema in 14.8%. 2) The prevalence of DA was 56.1%, 6.8% in the number, 10.8% in shape, 4.1% in size, 34.5% in eruption, 26.4% in structure and 17.4% had more than one DA. No association was found between DA and sex, but DA was significantly associated to malocclusion (p<0.05); 3) there was no association between sex or facial type between the measures of nasal-labial angle, position and effective maxillary length, effective mandibular length and the sagittal relationship between the molars, overjet and overbite, position of upper incisors, lower incisors and between the incisors themselves. There was a difference between sex, on the VERT index and in lower anterior facial height, upper incisor inclination and line-H, between facial types for the occlusal plane angles, mandibular plane, facial axis, lower incisor inclination, mandibular position, upper incisor position, lower anterior facial height, ANB and line-H. It was concluded that: 1) the most prevalent occlusal type was class I malocclusion, with no distinction for sex or age group, and the assessment of occlusal characteristics showed that excessive overbite and overjet were the most predominant findings, along with a high occurrence of tooth crowding; 2) a high prevalence of DA was found, particularly eruption anomalies, not influenced by sex but significantly associated to malocclusion and 3) individuals from Cear? are predominantly brachyfacial, exhibiting a number of similarities inherent to their facial pattern, such as a convex profile, retracted jaw, reduced lower third and protruded lower incisors. This study was multidisciplinary, involving researchers from the areas of epidemiology, radiology and dentistry, thereby meeting the multidisciplinarity requirements of the Postgraduate Program in Health Sciences / Sabe-se pela hist?ria do Estado do Cear? (Nordeste do Brasil) que a forma??o ?tnica do povo cearense ? oriunda da miscigena??o do portugu?s com o ?ndio, formando um padr?o facial diferente de outras popula??es. ? importante que se conhe?a profundamente este padr?o com seus valores m?nimos e m?ximos para que estes possam ser avaliados e respeitados, permitindo que profissionais que atuam no complexo cr?nio-facial trabalhem mais apropriada e cientificamente. Objetivo: Caracterizar o padr?o morfol?gico do indiv?duo cearense, filho e neto de cearenses, inclu?do na faixa et?ria entre 10 e 12 anos, n?o submetidos a tratamento ortod?ntico pr?vio, com o prop?sito de verificar: 1) a preval?ncia do padr?o oclusal; 2) a preval?ncia de anomalias dent?rias (AD) e, 3) as caracter?sticas cefalom?tricas esquel?ticas e dent?rias dos indiv?duos que apresentaram Oclus?o Normal e padr?o facial harm?nico. Metodologia: A partir de uma lista de crian?as entre 10 e 12 anos obtidas de 515 escolas contendo 162.713 estudantes (Secretaria de Educa??o do Estado do Cear?) foram examinados 234 indiv?duos (107, do g?nero masculino e 157, do g?nero feminino). Como crit?rios de avalia??o adotaram-se: 1) o Sistema de Classifica??o de Angle para determinar o padr?o oclusal. As caracter?sticas oclusais foram medidas atrav?s de overbite, overjet, apinhamento e diastema inter-incisal. 2) as AD constitu?am-se em anomalias de n?mero, forma, tamanho, erup??o e estrutura e, 3) no grupo que apresentava Oclus?o Normal foram utilizadas algumas medidas das an?lises cefalom?tricas de Downs, Steiner, Tweed, Holdaway, Jacobson e McNamara. Resultados: 1) 25.8% dos escolares apresentavam Oclus?o Normal, 47.7%, M? Oclus?o de Classe, 22.3%, M? Oclus?o de Classe II e 4.2%, M? oclus?o de Classe III. N?o foi encontrada diferen?a estatisticamente significante entre a faixa et?ria estudada e g?nero. Trinta por cento dos indiv?duos tinham overbite normal. 36.7% e 19.7% apresentavam overbite aumentado e reduzido, respectivamente. O overjet normal foi encontrado em 33.7% dos indiv?duos, overjet aumentado em 50% e reduzido, em 16.3%. Apinhamento dent?rio foi observado em 62.5% dos indiv?duos e a presen?a de diastema inter-incisal em 14.8%. 2) A preval?ncia de AD foi de 56.1%, sendo 6.8% de n?mero, 10.8% de forma, 4.1% de tamanho, 34.5% de erup??o, 26.4% de estrutura e 17.4% apresentando mais de uma AD. N?o foi encontrada associa??o entre AD e o g?nero, mas as AD estavam significantemente associadas ? M? Oclus?o (p<0.05); 3) n?o houve associa??o entre g?nero ou tipo facial entre as medidas para o ?ngulo naso-labial, posi??o e comprimento efetivo da maxila, comprimento efetivo da mand?bula e rela??o sagital entre os maxilares, para overjet e overbite, posi??o dos incisivos superiores, incisivos inferiores e dos incisivos entre si. Houve diferen?a entre g?neros, no ?ndice Vert e nas medidas AFAi, inclina??o do incisivo superior e H-nariz e, entre os tipos faciais para os ?ngulos do plano oclusal, plano mandibular, do eixo facial, inclina??o do incisivo inferior, posi??o da mand?bula, posi??o do incisivo superior, AFAi, ANB e linha H. Concluiu-se que: 1) o tipo oclusal mais prevalente foi a M? Oclus?o de classe I, sem distin??o de g?nero ou faixa et?ria e, ao se avaliarem as caracter?sticas oclusais, o overbite eo overjet excessivos foram os achados mais predominantes, havendo uma alta ocorr?ncia de apinhamento dent?rio; 2) verificou-se uma alta preval?ncia de AD, particularmente as anomalias de erup??o, n?o sendo a ocorr?ncia de AD influenciada pelo g?nero, por?m estando significantemente associada ? M? Oclus?o e, 3) o indiv?duo cearense ? predominantemente braquifacial, apresentando algumas singularidades inerentes ao seu padr?o facial, como perfil convexo, mand?bula retru?da e incisivos inferiores projetados. A realiza??o deste estudo teve car?ter multidisciplinar, envolvendo pesquisadores das ?reas de epidemiologia, radiologia e ortodontia, preenchendo os requisitos da multidisciplinaridade do Programa de P?s-gradua??o em Ci?ncias da Sa?de

Submitted by Carla Santos (biblioteca.cp2.carla@bahiana.edu.br) on 2018-10-22T18:32:20Z No. of bitstreams: 1 Carla Brand??o.pdf: 11463955 bytes, checksum: 7b86dc1b9ca0bf79961564402a30e29b (MD5) / Approved for entry into archive by JOELMA MAIA (ebmsp-bibliotecacp2@bahiana.edu.br) on 2018-10-22T19:37:51Z (GMT) No. of bitstreams: 1 Carla Brand??o.pdf: 11463955 bytes, checksum: 7b86dc1b9ca0bf79961564402a30e29b (MD5) / Made available in DSpace on 2018-10-22T19:37:51Z (GMT). No. of bitstreams: 1 Carla Brand??o.pdf: 11463955 bytes, checksum: 7b86dc1b9ca0bf79961564402a30e29b (MD5) Previous issue date: 2018-07-13 / Anemia Falciforme (AF) ?? a doen??a heredit??ria monog??nica de maior preval??ncia no mundo. A presen??a de hemoglobina (Hb) S provoca altera????es sist??micas e face, causando defici??ncia na forma????o dos tecidos dent??rios e ??sseos, que podem levar a uma maior predisposi????o a desenvolver les??es de c??rie e outras ocorr??ncias. Objetivo: avaliar a condi????o bucal de crian??as e adolescentes com diagn??stico de AF. Metodologia: estudo de corte transversal com indiv??duos de 5 a 18 anos de idade provenientes do ambulat??rio de refer??ncia em Anemia Falciforme (Grupo AF) e sem hemoglobinopatias do col??gio p??blico do estado da Bahia, Brasil (Grupo Compara????o), totalizando 124 pessoas, 63 no grupo compara????o e 61 no grupo doen??a. Esta pesquisa foi aprovada pelo Comit?? de ??tica em Pesquisa da Escola Bahiana de Medicina e Sa??de P??blica ??? CAAE 54637816.7.0000.5544. Para o grupo AF foram utilizados como crit??rios de inclus??o: ser portador de AF e ter Hb S diagnosticado por eletroforese de Hb e/ou cromatografia l??quida de alta performance e estar na faixa et??ria estabelecida. Para o grupo compara????o: sem AF, aparentemente saud??veis. Estes dois grupos realizaram exame cl??nico bucal, anamnese, exame dos dentes, periodonto, oclus??o, verifica????o da cronologia de erup????o dent??ria, fluorose, avalia????o da capacidade tamp??o e fluxo salivar, al??m de responder question??rios sobre sua condi????o de sa??de, hist??ria da doen??a, desenvolvimento puberal e dieta. Resultados: Os indiv??duos com AF frequentavam mais as consultas odontol??gicas (p=0,040), apesar do CPO-D ter sido de 2,08 (?? 2,71) maior que o grupo compara????o (1,05 ??1,6) - p=0,013. O ceo-d foi de 2,3 (???2,6) e 0,88 (???1,2) respectivamente, com p=0,018. Foram encontradas presen??a de sangramento gengival e c??lculo dent??rio, sem diferen??as estatisticamente entre os grupos (p=0,984). Para fluxo salivar e capacidade tamp??o, n??o foram observadas diferen??as significativas para o fluxo (p= 0,334), entretanto o grupo AF apresentou uma menor capacidade tamponante (p=0,006). As m??s oclus??es mais encontradas foram sobressali??ncia maxilar, sendo 82% e 80%, desalinhamento anterior superior 36,1% e 30%, presen??a de diastema (31,04%) e (21,3%) para indiv??duos com AF e saud??veis respectivamente, por??m n??o houve diferen??as entre os grupos ao avaliar sua preval??ncia e ??ndice de necessidade de tratamento. A fluorose foi mais presente no grupo compara????o (70,3%) que nos indiv??duos com AF (36,1%) - (p=0,003). A cronologia de erup????o dos dentes permanentes foi semelhante entre os grupos (p=0,636). Os indiv??duos com AF apresentaram atraso no desenvolvimento puberal (p=0,003). Crian??as e adolescentes com AF consumiram menos carboidratos na sua dieta semanal e di??ria e tiveram um ??ndice de c??rie mais alto (ceo-d=2,0???2,9; CPOD=4,2???5,0) ??? (p= 0,906; p=0,989, respectivamente) que os do grupo compara????o (ceo-d=0,9???1,2; CPO-D=1,0???1,5) ??? (p=0,938; p=0,734, respectivamente). Conclus??o: crian??as e adolescentes com AF apresentaram uma condi????o bucal desfavor??vel quando comparadas as crian??as e adolescentes saud??veis, apresentando maior ??ndice de c??rie tanto na denti????o dec??dua como na permanente e menor capacidade tamp??o. Apesar de possu??rem uma dieta menos cariog??nica, frequentarem mais as consultas odontol??gicas de rotina em rela????o ao grupo compara????o, estes indiv??duos apresentaram a doen??a c??rie mais prevalente, e ?? poss??vel que esteja associado a outros fatores inerentes a AF como o uso de medica????es cont??nuas.

Linha de pesquisa: Epidemiologia e controle das doen?as bucais. / Submitted by Jos? Henrique Henrique (jose.neves@ufvjm.edu.br) on 2018-03-13T17:59:18Z No. of bitstreams: 2 license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) izabella_barbosa_fernandes.pdf: 1966332 bytes, checksum: 66932f9b7cbb62d762a7b8e0b68dd7a1 (MD5) / Approved for entry into archive by Rodrigo Martins Cruz (rodrigo.cruz@ufvjm.edu.br) on 2018-03-21T19:35:24Z (GMT) No. of bitstreams: 2 license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) izabella_barbosa_fernandes.pdf: 1966332 bytes, checksum: 66932f9b7cbb62d762a7b8e0b68dd7a1 (MD5) / Made available in DSpace on 2018-03-21T19:35:24Z (GMT). No. of bitstreams: 2 license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) izabella_barbosa_fernandes.pdf: 1966332 bytes, checksum: 66932f9b7cbb62d762a7b8e0b68dd7a1 (MD5) Previous issue date: 2017 / O objetivo desse estudo de coorte foi avaliar o risco de fatores cl?nicos e socioambientais dos primeiros anos de vida da crian?a sobre: (1) a progress?o da c?rie dent?ria; (2) a presen?a de dor de dente; (3) a ocorr?ncia de m? oclus?o; (4) o impacto na qualidade de vida relacionada ? sa?de bucal de crian?as pr?-escolares e suas fam?lias. Este estudo foi realizado com 151 pares de m?es e crian?as que participaram de um estudo transversal realizado no ano de 2014 na cidade de Diamantina, Minas Gerais. Durante o baseline (2014) essas crian?as apresentavam de 1 a 3 anos de idade e foram avaliadas clinicamente para verificar a presen?a de c?rie dent?ria por meio dos crit?rios do Sistema Internacional de Avalia??o e Detec??o de C?rie Dent?ria (ICDAS) de placa dent?ria vis?vel, de m? oclus?o e de traumatismos dent?rios. As m?es tamb?m foram avaliadas clinicamente para verificar a presen?a de c?rie dent?ria por meio dos crit?rios da Organiza??o Mundial de Sa?de. Foram aplicados tr?s question?rios ?s m?es sob a forma de entrevista: um question?rio para avalia??o da qualidade de vida relacionada ? sa?de bucal, a vers?o brasileira do Early Childhood Oral Health Impact Scale (B-ECOHIS), o Dental Anxiety Scale (DAS) e um question?rio que abordava aspectos socioambientais da fam?lia al?m de informa??es relativas ?s crian?as e seus h?bitos. Todas as m?es foram orientadas acerca das condi??es bucais de seus filhos e as crian?as foram encaminhadas para atendimento odontol?gico. Ap?s tr?s anos (T1) as crian?as foram reavaliadas clinicamente e as m?es responderam novamente ao B-ECOHIS, ao DAS, al?m de responderem a um question?rio para avalia??o de dor de dente, a vers?o brasileira do Dental Discomfort Questionnaire (DDQ-B). A an?lise de dados foi realizada atrav?s do Statistical Package for the Social Sciences (SPSS) vers?o 22.0, e incluiu a descri??o de frequ?ncia das vari?veis, teste qui-quadrado, teste Wilcoxon e regress?o hier?rquica de Poisson. Crian?as que possu?am pelo menos um dente com c?rie cavitada no baseline, apresentaram maior risco de progress?o de outras les?es cariosas. Foram fatores de risco para a ocorr?ncia de dor de dente em T1, a presen?a de c?rie dent?ria cavitada e a maior aglomera??o familiar no baseline. A presen?a, no baseline, de c?rie dent?ria cavitada e do h?bito de suc??o de dedo foram fatores determinantes da presen?a de m? oclus?o em T1. Incremento de c?rie severa, tratamento odontol?gico e escore do B-ECOHIS no baseline foram associados ? piora na qualidade de vida. Conclui-se que c?rie dent?ria, suc??o de dedo e maior aglomera??o familiar s?o fatores de risco para piores resultados em sa?de bucal na idade pr?-escolar. Incremento de c?rie severa, aus?ncia de tratamento dent?rio e menor escore do B-ECOHIS no baseline foram fatores de risco para a piora na qualidade de vida. / Tese (Doutorado) ? Programa de P?s-Gradua??o em Odontologia, Universidade Federal dos Vales do Jequitinhonha e Mucuri, 2017. / The aim of this cohort study was to evaluate the risk of clinical and socioenvironmental variables in the first years of the child's life: (1) in the progression of dental caries; (2) in the presence of toothache; (3) in the occurrence of malocclusion; (4) in the impact on quality of life related to oral health of preschool children and their families. This study was conducted with 151 pairs of mothers and children who participated in a cross-sectional study conducted in the city of Diamantina, Minas Gerais, in 2014. During the baseline (2014), these children presented 1 to 3-years-old and were clinically evaluated to verify the presence of dental caries using the International Dental Caries Assessment and Detection System (ICDAS) for dental plaque, malocclusion and dental trauma. Mothers were also evaluated clinically to verify the presence of dental caries using World Health Organization criteria. Three questionnaires were applied to the mothers in the form of interviews: a questionnaire to assess the quality of life related to oral health, the Brazilian version of the Early Childhood Oral Health Impact Scale (B-ECOHIS), the Dental Anxiety Scale (DAS) and a questionnaire that addressed socioenvironmental and demographic aspects of the family, as well as information about the children and their habits. All mothers were instructed about the oral conditions of their children and the children were referred to dental care. After three years (T1), the children were clinically re-evaluated and the mothers responded again to the B-ECOHIS, the DAS, and answered a questionnaire for assessing tooth pain, the Brazilian version of the Dental Discomfort Questionnaire (DDQ-B). Data analysis was performed using the Statistical Package for Social Sciences (SPSS) version 22.0, and included the frequency description of the variables, chi-square test, and Poisson hierarchical regression. Children who had at least one tooth with caries cavity in the baseline presented a higher risk of progression of other carious lesions. The presence of cavitary tooth decay and the greater familial agglomeration in the baseline were risk factors for the occurrence of tooth pain in T1. The presence, in the baseline, of cavitary tooth decay and finger suction habit were factors determining the presence of malocclusion in T1.The incidence of severe caries, absence of dental treatment and higher score of B-ECOHIS at the baseline were associated with worsening quality of life. In conclusion, tooth decay, finger suction, greater family agglomeration and the impact on the quality of life in the first years of the child's life, are risk factors for worse oral health outcomes at preschool age. The incidence of severe caries, the absence of dental treatment, and a lower score on B-ECOHIS were risk factors to worsen the quality of life.

Linha de pesquisa: Epidemiologia e controle das doen?as bucais. / Submitted by Jos? Henrique Henrique (jose.neves@ufvjm.edu.br) on 2018-03-12T22:27:53Z No. of bitstreams: 1 izabella_barbosa_fernandes.pdf: 1966332 bytes, checksum: 66932f9b7cbb62d762a7b8e0b68dd7a1 (MD5) / Made available in DSpace on 2018-03-12T22:27:53Z (GMT). No. of bitstreams: 1 izabella_barbosa_fernandes.pdf: 1966332 bytes, checksum: 66932f9b7cbb62d762a7b8e0b68dd7a1 (MD5) Previous issue date: 2017 / O objetivo desse estudo de coorte foi avaliar o risco de fatores cl?nicos e socioambientais dos primeiros anos de vida da crian?a sobre: (1) a progress?o da c?rie dent?ria; (2) a presen?a de dor de dente; (3) a ocorr?ncia de m? oclus?o; (4) o impacto na qualidade de vida relacionada ? sa?de bucal de crian?as pr?-escolares e suas fam?lias. Este estudo foi realizado com 151 pares de m?es e crian?as que participaram de um estudo transversal realizado no ano de 2014 na cidade de Diamantina, Minas Gerais. Durante o baseline (2014) essas crian?as apresentavam de 1 a 3 anos de idade e foram avaliadas clinicamente para verificar a presen?a de c?rie dent?ria por meio dos crit?rios do Sistema Internacional de Avalia??o e Detec??o de C?rie Dent?ria (ICDAS) de placa dent?ria vis?vel, de m? oclus?o e de traumatismos dent?rios. As m?es tamb?m foram avaliadas clinicamente para verificar a presen?a de c?rie dent?ria por meio dos crit?rios da Organiza??o Mundial de Sa?de. Foram aplicados tr?s question?rios ?s m?es sob a forma de entrevista: um question?rio para avalia??o da qualidade de vida relacionada ? sa?de bucal, a vers?o brasileira do Early Childhood Oral Health Impact Scale (B-ECOHIS), o Dental Anxiety Scale (DAS) e um question?rio que abordava aspectos socioambientais da fam?lia al?m de informa??es relativas ?s crian?as e seus h?bitos. Todas as m?es foram orientadas acerca das condi??es bucais de seus filhos e as crian?as foram encaminhadas para atendimento odontol?gico. Ap?s tr?s anos (T1) as crian?as foram reavaliadas clinicamente e as m?es responderam novamente ao B-ECOHIS, ao DAS, al?m de responderem a um question?rio para avalia??o de dor de dente, a vers?o brasileira do Dental Discomfort Questionnaire (DDQ-B). A an?lise de dados foi realizada atrav?s do Statistical Package for the Social Sciences (SPSS) vers?o 22.0, e incluiu a descri??o de frequ?ncia das vari?veis, teste qui-quadrado, teste Wilcoxon e regress?o hier?rquica de Poisson. Crian?as que possu?am pelo menos um dente com c?rie cavitada no baseline, apresentaram maior risco de progress?o de outras les?es cariosas. Foram fatores de risco para a ocorr?ncia de dor de dente em T1, a presen?a de c?rie dent?ria cavitada e a maior aglomera??o familiar no baseline. A presen?a, no baseline, de c?rie dent?ria cavitada e do h?bito de suc??o de dedo foram fatores determinantes da presen?a de m? oclus?o em T1. Incremento de c?rie severa, tratamento odontol?gico e escore do B-ECOHIS no baseline foram associados ? piora na qualidade de vida. Conclui-se que c?rie dent?ria, suc??o de dedo e maior aglomera??o familiar s?o fatores de risco para piores resultados em sa?de bucal na idade pr?-escolar. Incremento de c?rie severa, aus?ncia de tratamento dent?rio e menor escore do B-ECOHIS no baseline foram fatores de risco para a piora na qualidade de vida. / Tese (Doutorado) ? Programa de P?s-Gradua??o em Odontologia, Universidade Federal dos Vales do Jequitinhonha e Mucuri, 2017. / The aim of this cohort study was to evaluate the risk of clinical and socioenvironmental variables in the first years of the child's life: (1) in the progression of dental caries; (2) in the presence of toothache; (3) in the occurrence of malocclusion; (4) in the impact on quality of life related to oral health of preschool children and their families. This study was conducted with 151 pairs of mothers and children who participated in a cross-sectional study conducted in the city of Diamantina, Minas Gerais, in 2014. During the baseline (2014), these children presented 1 to 3-years-old and were clinically evaluated to verify the presence of dental caries using the International Dental Caries Assessment and Detection System (ICDAS) for dental plaque, malocclusion and dental trauma. Mothers were also evaluated clinically to verify the presence of dental caries using World Health Organization criteria. Three questionnaires were applied to the mothers in the form of interviews: a questionnaire to assess the quality of life related to oral health, the Brazilian version of the Early Childhood Oral Health Impact Scale (B-ECOHIS), the Dental Anxiety Scale (DAS) and a questionnaire that addressed socioenvironmental and demographic aspects of the family, as well as information about the children and their habits. All mothers were instructed about the oral conditions of their children and the children were referred to dental care. After three years (T1), the children were clinically re-evaluated and the mothers responded again to the B-ECOHIS, the DAS, and answered a questionnaire for assessing tooth pain, the Brazilian version of the Dental Discomfort Questionnaire (DDQ-B). Data analysis was performed using the Statistical Package for Social Sciences (SPSS) version 22.0, and included the frequency description of the variables, chi-square test, and Poisson hierarchical regression. Children who had at least one tooth with caries cavity in the baseline presented a higher risk of progression of other carious lesions. The presence of cavitary tooth decay and the greater familial agglomeration in the baseline were risk factors for the occurrence of tooth pain in T1. The presence, in the baseline, of cavitary tooth decay and finger suction habit were factors determining the presence of malocclusion in T1.The incidence of severe caries, absence of dental treatment and higher score of B-ECOHIS at the baseline were associated with worsening quality of life. In conclusion, tooth decay, finger suction, greater family agglomeration and the impact on the quality of life in the first years of the child's life, are risk factors for worse oral health outcomes at preschool age. The incidence of severe caries, the absence of dental treatment, and a lower score on B-ECOHIS were risk factors to worsen the quality of life.