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Article ; Online: What Increases the Risk of Dental Traumatism in Patients with Developmental Disabilities?

Souza, Xana Carolina de Pereira E / Abreu, Mauro Henrique Nogueira Guimarães / Resende, Vera Lúcia Silva / Castilho, Lia Silva de

Brazilian dental journal

2018 Volume 29, Issue 2, Page(s) 154–158

Abstract: This study investigated risk factors for tooth injuries in individuals from a dental clinical reference service for patients with special needs in Belo Horizonte, MG, Brazil. This is a retrospective cohort study that evaluated 493 dental charts of ... ...

Abstract	This study investigated risk factors for tooth injuries in individuals from a dental clinical reference service for patients with special needs in Belo Horizonte, MG, Brazil. This is a retrospective cohort study that evaluated 493 dental charts of individuals with or without tooth injuries at their first dental appointment. The dependent variable was the time of occurrence of new dental traumatic injuries and was measured in months. Gender, age, International Code of Diseases, mother's education, mouth breathing, hyperkinesis, pacifier use, thumb sucking, psychotropic drug use, tooth injuries at the first dental examination, involuntary movements, open bite, having one or more siblings and reports of seizures were the covariates. The Cox proportional hazards regression model was used to estimate the unadjusted and adjusted hazard ratios and their respective 95% confidence intervals. The average time that individuals remained free of dental traumatism was 170.78 months (95% CI, 157.89-183.66) with median of 216 months. The incidence of new events was 11.88%. The covariate associated with an increased risk of dental traumatism was a history of tooth injuries at the first dental appointment. The increase in dental trauma risk was 3.59 (95% CI, 1.94-6.65). A history of traumatic dental injury was the risk factor for the dental trauma found in this group of individuals with developmental disabilities.
MeSH term(s)	Adolescent ; Adult ; Brazil/epidemiology ; Child ; Child, Preschool ; Dental Care for Disabled ; Dental Health Services/organization & administration ; Developmental Disabilities/epidemiology ; Female ; Humans ; Incidence ; Infant ; Infant, Newborn ; Male ; Prevalence ; Proportional Hazards Models ; Retrospective Studies ; Risk Factors ; Tooth Injuries/epidemiology ; Tooth Injuries/therapy ; Young Adult
Language	English
Publishing date	2018-06-13
Publishing country	Brazil
Document type	Journal Article
ZDB-ID	1089484-6
ISSN	1806-4760 ; 0103-6440
ISSN (online)	1806-4760
ISSN	0103-6440
DOI	10.1590/0103-6440201801922
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Article ; Online: Risk factors for dental caries in children with developmental disabilities.

Braúna, Ana Paula Vasques Sales / Abreu, Mauro Henrique Nogueira Guimarães de / Resende, Vera Lúcia Silva / Castilho, Lia Silva de

Brazilian oral research

2016 Volume 30, Issue 1

Abstract: The aim of the present study was to investigate risk factors for dental caries in children with developmental disabilities who were treated at a clinical reference service for patients with special needs in Belo Horizonte, MG, Brazil. This is a ... ...

Abstract	The aim of the present study was to investigate risk factors for dental caries in children with developmental disabilities who were treated at a clinical reference service for patients with special needs in Belo Horizonte, MG, Brazil. This is a retrospective cohort study that evaluated 401 dental charts of individuals without dental caries or restorations in their first dental appointment. The dependent variable was the time of occurrence of new dental caries or restorations and was measured in months. Gender, age, International Code of Diseases (ICD), mother´s education, sugar consumption, use of fluoride toothpaste, oral hygiene, mouth breathing, reports of xerostomia, gingival status, use of psychotropic or asthma drugs, and history of asthma were covariates. The Cox proportional hazards regression model was used to estimate the raw and adjusted hazard ratios and their respective 95% confidence intervals. The average time that individuals remained free of dental caries/restoration was equal to 107.46 months (95%CI 95.41 to 119.51), with a median of caries-free children up to 94 months. For each point increase in the scale of sucrose consumption, the increase in caries risk was 1.07 (95%CI 1.01 to 1.15). Sucrose consumption was the only risk factor for dental caries found in this group of individuals with developmental disabilities.
MeSH term(s)	Adolescent ; Anti-Asthmatic Agents/adverse effects ; Child ; Child, Preschool ; Dental Caries/etiology ; Dentifrices ; Developmental Disabilities/complications ; Dietary Sucrose/adverse effects ; Female ; Fluorides ; Humans ; Infant ; Kaplan-Meier Estimate ; Male ; Oral Hygiene ; Proportional Hazards Models ; Retrospective Studies ; Risk Factors ; Time Factors ; Toothpastes ; Young Adult
Chemical Substances	Anti-Asthmatic Agents ; Dentifrices ; Dietary Sucrose ; Toothpastes ; Fluorides (Q80VPU408O)
Language	English
Publishing date	2016-06-14
Publishing country	Brazil
Document type	Journal Article
ZDB-ID	2179332-3
ISSN	1807-3107 ; 1806-8324 ; 1517-7491
ISSN (online)	1807-3107
ISSN	1806-8324 ; 1517-7491
DOI	10.1590/1807-3107BOR-2016.vol30.0079
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Article ; Online: Regional differences in infection control conditions in a sample of primary health care services in Brazil.

Abreu, Mauro Henrique Nogueira Guimarães de / Resende, Vera Lúcia Silva / Lee, Kyu Ha / Matta-Machado, Antônio Thomaz Gonzaga da / Starr, Jacqueline Rose

Cadernos de saude publica

2017 Volume 33, Issue 11, Page(s) e00072416

Abstract: International guidelines have pointed out the importance of the physical environment of health care facilities in preventing and controlling infection. We aimed to describe the physical environment of dental care facilities in Brazil in 2014, focusing on ...

Abstract	International guidelines have pointed out the importance of the physical environment of health care facilities in preventing and controlling infection. We aimed to describe the physical environment of dental care facilities in Brazil in 2014, focusing on characteristics designed to control infections. Exactly 16,202 dental offices in the Brazilian Unified National Health System (SUS) participated in this survey. Trained researchers extracted information about the infection control characteristics of health facilities by using a structured instrument. We used data from 12 dichotomous questions that evaluated the wall, floor, sink and tap conditions, and the presence and condition of sterilization equipment. We calculated a score by summing the number of characteristics handled appropriately for infection control, which could range from 0 to 12. Hierarchical cluster analyses were developed. None of the 12 criteria were met by all the oral health teams. Only 208 (1.3%) dental offices correctly performed all 12-infection control practices. Two clusters, with different frequencies of structure for infection control in dental offices, were identified. South and Southeast regions had the highest frequencies for Cluster 1, with better structure of infection control in dental offices. Dental care facilities of oral health teams were not typically meeting the infection control guidelines regarding clinic design and equipment. Adherence to the guidelines varied among the Brazilian geographic regions.
Language	English
Publishing date	2017-11-21
Publishing country	Brazil
Document type	Journal Article
ZDB-ID	1115730-6
ISSN	1678-4464 ; 0102-311X
ISSN (online)	1678-4464
ISSN	0102-311X
DOI	10.1590/0102-311X00072416
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Book ; Article ; Online: Utilizaçao de psicofármacos por pacientes odontológicos em Minas Gerais, Brasil

Abreu, Mauro Henrique Nogueira Guimarães de / Acúrcio, Francisco de Assis / Resende, Vera Lúcia Silva

2015

Keywords	Psicofarmacologia ; Assistência Odontológica ; Ansiolíticos ; Brasil
Publishing date	2015-08-25T14:54:21Z
Document type	Book ; Article ; Online
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Article ; Online: Factors associated with bruxism in children with developmental disabilities.

Souza, Valeska Aparecida Fernandes / Abreu, Mauro Henrique Nogueira Guimarães / Resende, Vera Lúcia Silva / Castilho, Lia Silva

Brazilian oral research

2014 Volume 29, Page(s) 1–5

Abstract: The aim of the present study was to investigate factors associated with bruxism in children aged from 1 to 13 years with developmental disabilities. A total of 389 dental records were examined. The bruxism analyzed was determined based on parental ... ...

Abstract	The aim of the present study was to investigate factors associated with bruxism in children aged from 1 to 13 years with developmental disabilities. A total of 389 dental records were examined. The bruxism analyzed was determined based on parental reports. The following variables were also analyzed: gender, age, International Code of Diseases (ICD), mouth breathing, history of gastroesophageal reflux, use of psychotropic drugs, gingival status, reports of xerostomia, hyperkinesis, pacifier use, thumb sucking and involuntary movements. For the purposes of analysis, the individuals were categorized as being with and without bruxism. Variables with a p-value < 0.25 in the bivariate analysis were incorporated into the logistic regression models. Females had a 0.44-fold (95%CI: 0.25 to 0.78) greater chance of exhibiting bruxism than males. Individuals with gastroesophageal reflux had a 2.28-fold (95%CI: 1.03 to 5.02) greater chance of exhibiting bruxism. Individuals with reported involuntary movements had a 2.24-fold (95%CI: 1.19 to 4.24) greater chance of exhibiting bruxism than those without such movements. Exhibiting involuntary movements, the male gender and gastroesophageal reflux are factors associated with bruxism in children with developmental disabilities.
MeSH term(s)	Adolescent ; Bruxism/etiology ; Bruxism/physiopathology ; Cerebral Palsy/complications ; Cerebral Palsy/physiopathology ; Child ; Child, Preschool ; Developmental Disabilities/complications ; Developmental Disabilities/physiopathology ; Dyskinesias/physiopathology ; Female ; Gastroesophageal Reflux/complications ; Gastroesophageal Reflux/physiopathology ; Humans ; Infant ; Male ; Mouth Breathing/physiopathology ; Risk Factors ; Sex Factors
Language	English
Publishing date	2014-12-02
Publishing country	Brazil
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	2179332-3
ISSN	1807-3107 ; 1806-8324 ; 1517-7491
ISSN (online)	1807-3107
ISSN	1806-8324 ; 1517-7491
DOI	10.1590/1807-3107bor-2015.vol29.0009
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Article ; Online: Factors associated with mouth breathing in children with -developmental -disabilities.

de Castilho, Lia Silva / Abreu, Mauro Henrique Nogueira Guimarães / de Oliveira, Renata Batista / Souza E Silva, Maria Elisa / Resende, Vera Lúcia Silva

Special care in dentistry : official publication of the American Association of Hospital Dentists, the Academy of Dentistry for the Handicapped, and the American Society for Geriatric Dentistry

2016 Volume 36, Issue 2, Page(s) 75–79

Abstract: Objective: To investigate the prevalence and factors associated with mouth breathing among patients with developmental disabilities of a dental service.: Methods: We analyzed 408 dental records. Mouth breathing was reported by the patients' parents ... ...

Abstract	Objective: To investigate the prevalence and factors associated with mouth breathing among patients with developmental disabilities of a dental service. Methods: We analyzed 408 dental records. Mouth breathing was reported by the patients' parents and from direct observation. Other variables were as -follows: history of asthma, bronchitis, palate shape, pacifier use, thumb -sucking, nail biting, use of medications, gastroesophageal reflux, bruxism, gender, age, and diagnosis of the patient. Statistical analysis included descriptive analysis with ratio calculation and multiple logistic regression. Variables with p < 0.25 were included in the model to estimate the adjusted OR (95% CI), calculated by the forward stepwise method. Variables with p < 0.05 were kept in the model. Results: Being male (p = 0.016) and use of centrally acting drugs (p = 0.001) were the variables that remained in the model. Conclusion: Among patients with -developmental disabilities, boys and psychotropic drug users had a greater chance of being mouth breathers.
MeSH term(s)	Adolescent ; Brazil/epidemiology ; Child ; Child, Preschool ; Developmental Disabilities ; Female ; Humans ; Infant ; Male ; Mouth Breathing/epidemiology ; Prevalence ; Psychotropic Drugs/adverse effects ; Risk Factors ; Sex Factors
Chemical Substances	Psychotropic Drugs
Language	English
Publishing date	2016-03
Publishing country	United States
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	604118-8
ISSN	1754-4505 ; 0275-1879
ISSN (online)	1754-4505
ISSN	0275-1879
DOI	10.1111/scd.12157
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Book ; Article ; Online: Verificaçao da dispersao de respingos durante o trabalho do cirurgiao-dentista

Discacciati, José Augusto César / Sander, Herbert Haueisen / Castilho, Lia Silva de / Resende, Vera Lúcia Silva

2015

Keywords	Resíduos Odontológicos ; Saliva ; Aerossóis ; Assistência Odontológica ; Controle de Infecções Dentárias ; Infecções Bacterianas ; Micoses ; Brasil
Publishing date	2015-08-25T14:54:38Z
Document type	Book ; Article ; Online
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Article ; Online: Factors associated with anterior open bite in children with developmental disabilities.

de Castilho, Lia Silva / Abreu, Mauro Henrique Nogueira Guimarães / Pires E Souza, Luiz Gustavo de Almeida / Romualdo, Leiliane Teresinha de Almeida / Souza E Silva, Maria Elisa / Resende, Vera Lúcia Silva

Special care in dentistry : official publication of the American Association of Hospital Dentists, the Academy of Dentistry for the Handicapped, and the American Society for Geriatric Dentistry

2017 Volume 38, Issue 1, Page(s) 46–50

Abstract: Aim: To investigate factors associated with anterior open bite in individuals aged from 2 to 33 years with developmental disabilities.: Design: This is a cross-sectional study. A total of 271 dental records were examined. The anterior open bite ... ...

Abstract	Aim: To investigate factors associated with anterior open bite in individuals aged from 2 to 33 years with developmental disabilities. Design: This is a cross-sectional study. A total of 271 dental records were examined. The anterior open bite analyzed was determined based on clinic exam. These variables were also analyzed: gender, age, education level of mother, International Code of Diseases (ICD), mouth breathing, use of anticonvulsant drugs, hyperkinesis, pacifier use, thumb sucking, seizure, and involuntary movements. For the purposes of analysis, the individuals were categorized as being with and without anterior open bite. Variables with a p-value of < 0.25 in the bivariate analysis were incorporated into the logistic regression models. Results: Mouth breathers had a 2.60-fold (95% CI: 1.35-5.01) greater chance of exhibiting anterior open bite than nasal breathers. Pacifier users are more likely to have an anterior open bite (3.32-fold, 95% CI: 1.62-6.77). Individuals with reported involuntary movements had a 2.66-fold (95% CI: 1.26-5.63) greater chance of exhibiting anterior open bite. Users of anticonvulsants drugs had a 3.05 (95% CI: 1.57-5.92) greater chance of showing anterior open bite. Conclusion: Involuntary movements, mouth breathing, using anticonvulsant drugs, and using pacifier are factors associated with anterior open bite in patients with developmental disabilities.
MeSH term(s)	Adolescent ; Adult ; Child ; Child, Preschool ; Cross-Sectional Studies ; Developmental Disabilities ; Female ; Humans ; Infant ; Male ; Open Bite/etiology ; Risk Factors
Language	English
Publishing date	2017-12-26
Publishing country	United States
Document type	Journal Article
ZDB-ID	604118-8
ISSN	1754-4505 ; 0275-1879
ISSN (online)	1754-4505
ISSN	0275-1879
DOI	10.1111/scd.12262
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Article ; Online: Factors associated with dental caries in the primary dentition of children with cerebral palsy.

Roberto, Luana Leal / Machado, Mariana Gomes / Resende, Vera Lúcia Silva / Castilho, Lia Silva / Abreu, Mauro Henrique Nogueira Guimarães de

Brazilian oral research

2012 Volume 26, Issue 5, Page(s) 471–477

Abstract: The aim of this study was to investigate factors associated with caries experience in the primary dentition of one- to five-year-old children with cerebral palsy. A total of 266 dental records were examined, and caries experience was measured by dmft. ... ...

Abstract	The aim of this study was to investigate factors associated with caries experience in the primary dentition of one- to five-year-old children with cerebral palsy. A total of 266 dental records were examined, and caries experience was measured by dmft. The following variables were also analyzed: gender, oral hygiene, history of gastroesophageal reflux, use of medications for gastroesophageal reflux, gingival status, sugar intake and reports of polyuria, excessive thirst and xerostomia. For analysis purposes, the individuals were categorized as those with and without caries experience and subcategorized into the following age groups: one year; two to three years; and four to five years. After bivariate analysis, variables with a p-value < 0.25 were selected for incorporation into the Poisson regression models. Considering the limitations of the protocol, the level of oral hygiene perceived on the first appointment was the only factor associated with caries experience among two-to-five-year-old children with cerebral palsy.
MeSH term(s)	Age Distribution ; Age Factors ; Brazil ; Cerebral Palsy/complications ; Child, Preschool ; Cross-Sectional Studies ; Dental Caries/etiology ; Epidemiologic Methods ; Female ; Humans ; Infant ; Male ; Oral Hygiene/statistics & numerical data ; Tooth, Deciduous
Language	English
Publishing date	2012-08-14
Publishing country	Brazil
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	2179332-3
ISSN	1807-3107 ; 1806-8324 ; 1517-7491
ISSN (online)	1807-3107
ISSN	1806-8324 ; 1517-7491
DOI	10.1590/s1806-83242012005000018
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Article ; Online: Oral hygiene protocols in intensive care units in a large Brazilian city.

e Silva, Maria Elisa de Souza / Resende, Vera Lúcia Silva / Abreu, Mauro Henrique Nogueira Guimarães / Dayrell, André Vasconcelos / Valle, Débora de Andrade / de Castilho, Lia Silva

American journal of infection control

2015 Volume 43, Issue 3, Page(s) 303–304

Abstract: This study investigated oral hygiene protocols for patients in intensive care units (ICUs) in 25 of 30 hospitals in Belo Horizonte, Brazil, using a questionnaire. Although all hospital representatives said there was a protocol for the maintenance of ... ...

Abstract	This study investigated oral hygiene protocols for patients in intensive care units (ICUs) in 25 of 30 hospitals in Belo Horizonte, Brazil, using a questionnaire. Although all hospital representatives said there was a protocol for the maintenance of patients' oral hygiene, it was observed that there was no standardization. Only 2 hospitals had dentists on the ICU staff. Cetylpyridinium chloride was the most frequently used antiseptic, even in patients under mechanical ventilation.
MeSH term(s)	Anti-Infective Agents, Local/therapeutic use ; Brazil ; Cetylpyridinium/therapeutic use ; Cities ; Critical Care/methods ; Critical Care/standards ; Hospitals ; Humans ; Intensive Care Units ; Oral Hygiene/methods ; Oral Hygiene/standards ; Respiration, Artificial
Chemical Substances	Anti-Infective Agents, Local ; Cetylpyridinium (CUB7JI0JV3)
Language	English
Publishing date	2015-03-01
Publishing country	United States
Document type	Journal Article
ZDB-ID	392362-9
ISSN	1527-3296 ; 0196-6553
ISSN (online)	1527-3296
ISSN	0196-6553
DOI	10.1016/j.ajic.2014.11.027
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