To assess the association between dentin hypersensitivity (DH) (with or without non-carious cervical lesions (NCCL)) and physical and psychosocial oral health impact. A cross-sectional population-based study with one-stage random sample of adults living in a Brazilian municipally was conducted between 2018 and 2019. Interviews and oral examinations were performed by calibrated examiners (Kappa ≥0.7). The participant was considered as having physical and psychosocial impact if at least one item of the Oral Health Impact Profile (OHIP-14) was experienced fairly often or very often. NCCL was assessed by the Tooth Wear Index (codes 2 to 4) and DH was evaluated by a tactile test with a probe in the cervical area of teeth. The combination of these clinical variables resulted in categories of the independent variable: without DH or NCCL, NCCL without DH, DH without NCCL, and both DH with NCCL. The covariables were sociodemographic and economic factors, health habits, and oral conditions. Associations were investigated by Poisson Regression models using Direct Acyclic Graph (Stata 17). Of 197 adults, 59.3% had oral health impact and 31.3% had DH with NCCL. Higher frequency of oral health impact was observed in adults with DH alone. A higher impact on the physical pain dimension of the OHIP-14 was observed in adults with DH and NCCL (PR: 2.46; 95% CI: 1.21–5.00) and with DH alone (PR: 2.03; 95% CI: 1.21–3.41). NCCL and DH are common conditions in adults and the presence of DH is associated with higher oral health impact. Regardless the presence of NCCL, DH is associated with the physical pain dimension of OHRQoL.

This cross-sectional study investigated the demand for and use of dental services, use of prosthesis, self-perception and clinical evaluation of the need for dental treatment and prostheses in adults aged 35 to 44 years participating in SB Brasil 2023. Demographic and contextual variables were analyzed, as well as clinical variables and self-perception of oral health (treatment and prosthesis). Statistical analysis was conducted using SPSS Statistics 23.0 software. The results showed that the majority of adults used dental services in the past year, mainly in the private and public sectors. Among public service users, 62.3% were actually attended to. The need for prostheses was identified in 49.6% of individuals who do not use prostheses and in 77.7% of those who already use them. It was observed that 86.6% of individuals who self-assessed their need for prosthesis were also clinically evaluated as needing one. Regarding dental treatment, this evaluation coincided in 65.6% of individuals. Disparities in access to and utilization of dental services were identified, as well as a high demand for prosthetic care and rehabilitation. These results emphasize the need for public policies that expand access to and improve the quality of dental services in adult healthcare in Brazil. Furthermore, they suggest that promoting self-perception could be an effective strategy to improve planning and adherence to oral health care.

OBJECTIVE: To evaluate the annual variation of oral health and primary care coverage, the tooth extraction ratio, and the average of supervised toothbrushing in Brazilian municipalities according to social development and population size. METHODS: Public secondary data were analyzed. The outcomes were health service indicators (oral health coverage, primary health care coverage, tooth extraction ratio, and average of supervised tooth brushing) estimated for all Brazilian municipalities annually from 2008 to 2015. Mixed-effect multilevel regression models with random intercept and slopes were fitted with a cross-interaction term to estimate the annual percent variation according to the Municipal Human Development Index (MHDI) and population size. RESULTS: Municipalities with low MHDI presented an annual increase in oral health and primary care coverage of 2.65% and 2.23%, respectively, which was significantly higher than municipalities with medium and high MHDI. Oral health and primary care coverage were 69.26% and 35.00% lower among municipalities with a large population. Municipalities with medium and high MHDI showed an annual decrease in tooth extractions of 5.15% and 5.02%, respectively. An annual decrease was observed in the average of supervised toothbrushing of 9.81% and 4.57% in municipalities with low and medium MHDI, respectively. The tooth extraction ratio was higher among larger municipalities; the relation is inverse for supervised toothbrushing. CONCLUSIONS: The access to primary care and oral health services increased in Brazil, while a decrease occurred in mutilating treatment and provision of preventive actions, with disparities among municipalities with different MHDI levels over time.

Resumo Objetivou-se avaliar o preenchimento da Caderneta de Saúde da Criança (CSC) e a associação entre qualidade do preenchimento e o tipo de serviço usado para o acompanhamento da saúde das crianças. Estudo transversal com amostra estratificada e proporcional aos 9 Distritos Sanitários de Belo Horizonte, selecionada entre crianças de 3 a 5 anos, no Dia da Campanha de Vacinação Infantil 2014. Realizou-se entrevista com os pais e observação de 21 itens da CSC. A variável dependente foi definida pela qualidade (satisfatória/insatisfatória) do preenchimento da CSC, sendo considerado satisfatório o preenchimento > 60%. As variáveis independentes foram o tipo de serviço para acompanhamento da saúde da criança, características demográficas e condições de saúde da mãe e da criança, e atenção em saúde recebida pela criança. Participaram 367 pais. A proporção de preenchimento insatisfatório foi 55,5%. Não houve associação significativa entre qualidade de preenchimento e tipo de serviço de saúde. O preenchimento insatisfatório esteve associado à idade gestacional < 37 semanas, falta de acesso a informações sobre a CSC e ausência de anotações dos pais na CSC. A CSC tem sido insatisfatoriamente empregada como um instrumento de vigilância da saúde independentemente do tipo de serviço usado pela criança.

Mar?lia Miranda da Concei??o Ara?jo, DDS, MS/Mara Rodrigues Martins, DDS, MS, PhD/Anna Rachel dos Santos Soares, DDS/Lu?sa Rodrigues de Abreu Carvalho, DDS/Viviane Elis?ngela Gomes, DDS, MS, PhD/Efig?nia Ferreira e Ferreira, DDS, MS, PhD/Lu?s Ot?vio Miranda Cota, DDS, MS, PhD/Maria In?s Barreiros Senna, DDS, MS, PhD/Raquel Concei??o Ferreira, DDS, MS, PhD: Aims: To evaluate the effects of complete denture (CD) quality and user satisfaction on the use of CDs provided by primary care services at 1 and 5 years postinsertion. Materials and Methods: A random sample of 233 individuals were evaluated regarding the use of maxillary and/or mandibular CDs at 1 and 5 years after insertion; at both time points, denture quality, integrity, and user satisfaction were measured. The covariates included age, gender, marital status, years of education, family income, past use of CD, time since maxillary teeth loss, mandibular ridge height, and frequency of return visits to the dentist after receiving the prostheses. The effect of the variables on the use of CDs throughout the period was estimated using logistic regression models with random effects in the intercept. Results: Overall, 64.9% and 64.1% of the participants were using their CD at 1 and 5 years, respectively. Of those who used the pair of prostheses at 5 years, 86.3% reported using them in the first evaluation. Use of CDs at 1 year was greater among users with some degree of education, higher satisfaction, and those whose CD had adequate stability and free functional space. Use of CDs at 5 years was greater in satisfied users and those with a stable CD. Conclusion: Denture quality and user satisfaction were associated with the use of CDs after 1 and 5 years. CD use was greater in individuals who had used it for 1 year, indicating greater abandonment in the first year than in other periods.