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Menoncin BLV, Fatturi AL, Scariot R, Menezes JVNB, Brancher JA, Feltrin-Souza J. Dental pain report in children and genetic polymorphism (rs4818) in Catechol-O-Methyltransferase (COMT) gene: a cross- sectional study. J Appl Oral Sci 2024; 32:e20230229. [PMID: 38198369 PMCID: PMC10786450 DOI: 10.1590/1678-7757-2023-0229] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/04/2023] [Revised: 10/09/2023] [Accepted: 11/25/2023] [Indexed: 01/12/2024] Open
Abstract
AIM Polymorphisms in the COMT gene can alter enzymatic functions, raising levels of endogenous catecholamines, which stimulates beta-adrenergic receptors related to pain. This study aimed to evaluate whether a polymorphism in the COMT gene (rs4818) is associated with dental pain in children. METHODOLOGY A cross-sectional study was conducted with a representative sample of 731 pairs of children and parents randomly selected from a population-based sample of eight-year-old children. Reports of dental pain was evaluated using a question directed at the parents and self-reported pain using the Faces Pain Scale - Revised. Dental caries experience was determined using the Decayed, Missing, and Filled Teeth (DMFT) index. For genetic analysis, DNA was obtained from oral mucosa epithelial cells of 352 children randomly selected from the initial sample. RESULTS Children with the CC genotype had higher odds of reporting moderate to intense pain than those with the GG genotype (OR=3.60; 95% CI=0.80-16.20; p=0.03). These same children had greater odds of parental reports of pain (OR=1.93; 95% CI=0.91-4.08; p=0.02). Moreover, lower schooling of parents/guardians and caries experience in the primary dentition were significantly associated with greater odds of a parental report of dental pain (OR=2.06; 95% CI=1.47-2.91; p<0.001; OR=6.26; 95% CI=4.46-8.78; p<0.001). CONCLUSIONS The rs4818 polymorphism of the COMT gene is associated with dental pain. Children with the C allele are more likely to report higher levels of pain. Clinical Relevance: Even though the experience of pain is subjective and multifactorial, this study raises the hypothesis that there is a genetic predisposition to dental pain that should be considered in clinical practice.
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Affiliation(s)
- Bruna Leticia Vessoni Menoncin
- Universidade Federal do ParanáDepartmento de EstomatologiaCuritibaPRBrasilUniversidade Federal do Paraná, Departmento de Estomatologia, Curitiba, PR, Brasil.
| | - Aluhê Lopes Fatturi
- Universidade Federal do ParanáDepartmento de EstomatologiaCuritibaPRBrasilUniversidade Federal do Paraná, Departmento de Estomatologia, Curitiba, PR, Brasil.
| | - Rafaela Scariot
- Universidade Federal do ParanáDepartmento de EstomatologiaCuritibaPRBrasilUniversidade Federal do Paraná, Departmento de Estomatologia, Curitiba, PR, Brasil.
| | - José Vitor Nogara Borges Menezes
- Universidade Federal do ParanáDepartmento de EstomatologiaCuritibaPRBrasilUniversidade Federal do Paraná, Departmento de Estomatologia, Curitiba, PR, Brasil.
| | - João Armando Brancher
- Universidade PositivoCuritibaBrasilUniversidade Positivo, Programa de Pós-Graduação em Odontologia, Curitiba, Brasil.
| | - Juliana Feltrin-Souza
- Universidade Federal do ParanáDepartmento de EstomatologiaCuritibaPRBrasilUniversidade Federal do Paraná, Departmento de Estomatologia, Curitiba, PR, Brasil.
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Ramos BLM, Umemura AMB, Bruni O, de Souza JF, Menezes JVNB. Parental report of dental pain and discomfort in preschool children is associated with sleep disorders: a cross-sectional study in Brazilian families. Eur Arch Paediatr Dent 2023; 24:43-53. [PMID: 36125631 DOI: 10.1007/s40368-022-00747-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/20/2021] [Accepted: 08/28/2022] [Indexed: 11/29/2022]
Abstract
PURPOSE To evaluate the prevalence of sleep disorders in Brazilian preschool children and its associations with parental report of dental pain and discomfort. METHODS This cross-sectional study involved 604 Brazilian preschoolers (4-5 years old). Sleep disorders (SD) and the parental report of dental pain and discomfort (DPD) were evaluated using the Brazilian versions of the Sleep Disturbance Scale for Children (SDSC) and the Dental Discomfort Questionnaire (DDQ-B), respectively. Bivariate and multivariate Poisson regression analyses with robust variance were performed to analyze the association between SDSC and DP. RESULTS Prevalence of SD ranged from 7 to 21%. 7.9% of the children had DPD indicating the need for more invasive dental procedures (DDQ-B ≥ 5). Significant associations were found between DPD and the following SDSC domains: sleep hyperhidrosis (p = 0.024; PRa = 1.38; 95% CI: 1.04-1.83), disorders of initiating and maintaining sleep (p < 0.001; PRa = 1.41; 95% CI: 1.15-1.73), parasomnias (p < 0.001; PRa = 1.82; 95% CI: 1.39-2.37), and sleep-wake transition disorders (p = 0.018; PRa = 1.28; 95% CI: 1.04-1.58). Children with higher prevalence of DPD presented 20% higher prevalence of SD than children lower prevalence of DPD (p = 0.039; PRa = 1.20; 95% CI: 1.01-1.44). CONCLUSION Preschool children with higher prevalence of DPD are more likely to have SD, such as hyperhidrosis, disorders of initiating and maintaining sleep, parasomnias, and sleep-wake transition.
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Affiliation(s)
- B L M Ramos
- Departament of Stomatology, Universidade Federal Do Paraná, Av. Prefeito Lothário Meissner, 632. Jardim Botânico, Curitiba, 80210-170, Brazil
| | - A M B Umemura
- Departament of Stomatology, Universidade Federal Do Paraná, Av. Prefeito Lothário Meissner, 632. Jardim Botânico, Curitiba, 80210-170, Brazil
| | - O Bruni
- Department of Developmental and Social Psychology, Sapienza University, Via dei Marsi 78, 00185, Rome, Italy
| | - J F de Souza
- Departament of Stomatology, Universidade Federal Do Paraná, Av. Prefeito Lothário Meissner, 632. Jardim Botânico, Curitiba, 80210-170, Brazil
| | - J V N B Menezes
- Departament of Stomatology, Universidade Federal Do Paraná, Av. Prefeito Lothário Meissner, 632. Jardim Botânico, Curitiba, 80210-170, Brazil.
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Frusca do Monte CM, da Silva LT, da Silva VC, Almeida GS, Lorenzato CS, Menezes JVNB, Fraiz FC, Torres-Pereira CC. Access to dental care for patients with inherited bleeding and hemoglobin disorders. Spec Care Dentist 2022; 42:509-515. [PMID: 35122672 DOI: 10.1111/scd.12701] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/05/2021] [Revised: 12/16/2021] [Accepted: 01/21/2022] [Indexed: 11/30/2022]
Abstract
AIM To identify the main barriers to dental care access for patients with inherited bleeding (IBD) and hemoglobin disorders (HbD). METHODS Patients with IBD and HbD were invited to participate in this study between August 2019 and March 2020. Data were collected through a questionnaire consisting of socioeconomic and demographic items and questions about access to dental services and history of dental treatment. Univariate and multiple Poisson regression model was used to determine associations between professional refusal of dental care and other co-variables (p < .05). RESULTS The participants (29.1%) have already had professional refusal of dental care and participants with IBD (53.2%) did not feel confident with their local dentist due to their bleeding tendency. Most (64.6%) felt apprehensive about visiting the local dentist and high prevalence of refusal to provide dental care was associated with age (prevalence ratio [PR] = 1.021; 95% confidence interval [CI] = 1.010-1.032). Individuals with low bleeding risk were less likely to be denied dental care by a professional compared to those with high bleeding risk (PR = 0.536; 95%CI = 0.291-0.990). CONCLUSION Professional refusal of dental care was high among patients with IBD, particularly older adults and with an increased risk of bleeding.
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Menoncin BLV, Felipak PK, Fraiz FC, Souza JFD, Menezes JVNB. Daily Toothbrushing Frequency and the Association with Parental Report of Dental Pain and Discomfort in Preschool Children. Pesqui Bras Odontopediatria Clín Integr 2022. [DOI: 10.1590/pboci.2022.022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
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Felipak PK, Menoncin BLV, Reyes MRT, Costa LR, de Souza JF, Menezes JVNB. Determinants of parental report of dental pain and discomfort in preschool children-The Dental Discomfort Questionnaire. Int J Paediatr Dent 2020; 30:436-444. [PMID: 31900956 DOI: 10.1111/ipd.12614] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/15/2019] [Revised: 12/05/2019] [Accepted: 12/29/2019] [Indexed: 11/27/2022]
Abstract
BACKGROUND Pain is a major consequence of caries, which negatively impacts the quality of life of children and their families. AIM To analyse the parental report of dental pain and discomfort in preschool children, and to identify clinical and sociodemographic factors associated. DESIGN This cross-sectional study involved 375 four- and five-year-old preschoolers enrolled in the city of Campo Magro public school system, along with their parents and caregivers. Parents/caregivers answered the Brazilian version of the Dental Discomfort Questionnaire (DDQ-B) and a sociodemographic questionnaire. Two examiners (kappa > 0.79) performed clinical examinations using dmf-t and pufa index. The associations were statistically analysed by univariate and multiple Poisson regression with robust variance (α = 0.05). RESULTS The prevalence of dental pain and discomfort was 70.3% (66%-75% 95% CI). Children from non-nuclear families (PRa 1.33; 95% CI: 1.01-1.76) and whose parents presented a lower level of education (PRa 2.43; 95% CI 1.66-3.55) presented a higher prevalence of dental pain or discomfort. Considering the clinical determinants, after adjusting, only the presence of clinical consequences of untreated dental caries (pufa ≥ 1) (PRa 1.37; 95% CI 1.02-1.84) was significantly associated with higher dental pain or discomfort. CONCLUSIONS Dental pain and discomfort were associated with socioeconomic factors and with the presence of clinical consequences of untreated dental caries.
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Affiliation(s)
- Patricia Kochany Felipak
- Dentistry Graduate Program, School of Dentistry, Universidade Federal do Paraná, UFPR, Curitiba, PR, Brazil
| | | | | | - Luciane Rezende Costa
- Department of Oral Health, School of Dentistry, Universidade Federal de Goiás, UFG, Goiânia, GO, Brazil
| | - Juliana Feltrin de Souza
- Department of Stomatology, School of Dentistry, Universidade Federal do Paraná, UFPR, Curitiba, PR, Brazil
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Barasuol JC, Daros BCI, Fraiz FC, Menezes JVNB. Caregiver oral health literacy: relationship with socioeconomic factors, oral health behaviors and perceived child dental status. Community Dent Health 2020; 37:110-114. [PMID: 32212438 DOI: 10.1922/cdh_4550barasuol05] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
OBJECTIVE To assess associations between caregiver oral health literacy (OHL) and socioeconomic factors, child and caregiver's oral health behaviors and perceptions of oral health status. BASIC RESEARCH DESIGN Cross-sectional study. CLINICAL SETTING University pediatric dentistry clinic. PARTICIPANTS 205 pairs of caregivers and children aged 6 to 12-years undergoing dental treatment. METHOD A questionnaire was sent to caregivers enquiring about socioeconomic factors, oral health behaviors, perceptions of own and child oral health. The clinical dental status of the children was recorded with the DMFT/dmft index. MAIN OUTCOME MEASURE OHL was measured by the Brazilian version of the Rapid Estimate of Adult Literacy in Dentistry (BREALD-30). Descriptive analysis, unadjusted and adjusted logistic regression, odds ratio and confidence interval were calculated considering a significance level of 5%. RESULTS The frequency of poor OHL was 21%. In adjusted analysis caregivers with 8 years or less of schooling had a 3.72 (95% CI 1.74-7.95) times greater chance of have poor OHL. Caregivers who perceived their child to have poor oral health were 2.70 (95% CI 1.10-6.63) times more likely to have poor OHL. CONCLUSIONS Poor oral health literacy was more common among caregivers with less schooling and a poor perception of their child's oral health. OHL was unrelated to monthly family income, child dental health status, perception of own oral health or child or caregiver oral health behaviors.
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Affiliation(s)
- J C Barasuol
- Federal University of Santa Catarina, Florianopolis/SC, Brazil
| | - B C I Daros
- Federal University of Parana, Curitiba/PR, Brazil
| | - F C Fraiz
- Federal University of Parana, Curitiba/PR, Brazil
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Lopes-Fatturi A, Souza JFD, Menezes JVNB, Fraiz FC, Assunção LRDS. A Survival Analysis of Different Pulp Therapies in Decayed Primary Teeth. Pesqui Bras Odontopediatria Clín Integr 2020. [DOI: 10.1590/pboci.2020.038] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
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Lopes-Fatturi A, Menezes JVNB, Fraiz FC, Assunção LRDS, de Souza JF. Systemic Exposures Associated with Hypomineralized Primary Second Molars. Pediatr Dent 2019; 41:364-370. [PMID: 31648667] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/10/2023]
Abstract
Purpose: Hypomineralized primary second molars (HPSMs) are clinically represented by demarcated opacities in the enamel, involving from one to four primary second molars. The purpose of this cross-sectional study was to investigate the systemic exposures associated with hypomineralized primary second molars. Methods: A representative population-based sample of 731 eight-year-old children was randomly selected. Data on systemic exposures were collected via a structured questionnaire given to the children's mothers. The HPSMs were clinically assessed by calibrated examiners according to the modified-DDE (developmental defects of enamel) index and European Academy of Paediatric Dentistry criteria. Associations were analyzed by Poisson multiple regression considering a temporal hierarchical approach. Results: The prevalence of HPSMs was 9.4 percent (95 percent confidence interval equals 7.0 to 12.0 percent). Children whose mothers presented with hypertension were found with an Adjusted Prevalence ratio (PRa) of 1.73 (P=0.044) and mothers who used tobacco (PRa equals 2.44; P=0.001) during pregnancy had a significantly higher prevalence of HPSMs. The presence of complications during delivery (PRa equals 1.83; P=0.032) and the occurrence of otitis media during early childhood (PRa equals 1.68; P=0.043) also presented a higher prevalence of HPSMs. Conclusion: The use of tobacco, presence of hypertension, complications during delivery, and otitis media during the first years of a child's life are associated with a higher prevalence of hypomineralized primary second molars. (Pediatr Dent 2019;41(5):364-70).
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Affiliation(s)
- Aluhê Lopes-Fatturi
- Ms. Lopes-Fatturi is a PhD student, Pediatric dentistry, Department of Stomatology, School of Dentistry, at the Federal University of Paraná, Paraná, Brazil; and a professor, School of Dentistry, Guairacá College, Guarapuava, Brazil
| | - José Vitor Nogara Borges Menezes
- Dr. Menezes, professor, Department of Stomatology, School of Dentistry, at the Federal University of Paraná, Curitiba, Paraná, Brazil
| | - Fabian Calixto Fraiz
- Dr. Fraiz, professor, Department of Stomatology, School of Dentistry, at the Federal University of Paraná, Curitiba, Paraná, Brazil
| | | | - Juliana Feltrin de Souza
- Dr. de Souza, professor, Department of Stomatology, School of Dentistry, at the Federal University of Paraná, Curitiba, Paraná, Brazil;,
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Menoncin BLV, Portella PD, Ramos BLM, Assunção LRDS, de Souza JF, Menezes JVNB. Dental anxiety in schoolchildren with molar incisor hypomineralization-A population-based cross-sectional study. Int J Paediatr Dent 2019; 29:615-623. [PMID: 31009135 DOI: 10.1111/ipd.12503] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/17/2018] [Revised: 03/01/2019] [Accepted: 04/16/2019] [Indexed: 12/12/2022]
Abstract
BACKGROUND Identifying patients with high levels of DA helps to define the most adequate oral healthcare strategy, especially for pediatric patients. AIM To investigate the association between parental reports of dental anxiety (DA) and molar incisor hypomineralization (MIH) in schoolchildren. DESIGN A cross-sectional study was conducted in a representative sample of 731 8-year-old schoolchildren from the city of Curitiba, Brazil, who were clinically examined (k ≥ 0.75) for the diagnosis of MIH and dental caries using the EAPD criteria and dmft/DMFT index, respectively. Parents/guardians reported children's DA using the Dental Anxiety Question (DAQ) and answered a self-administered structured questionnaire addressing socioeconomic and demographic characteristics. Associations were evaluated using Poisson regression analysis with robust variance (P < 0.05). RESULTS A significant association was found between DA and MIH (PR = 1.20; 95%CI: 1.01-1.42; P = 0.038), but this association lost its significance when adjusted for the other characteristics (PR = 1.13; 95%CI: 0.93-1.38; P = 0.215). Caries experience in primary teeth was associated with lower levels of DA (PR = 0.83; 95%CI: 0.71-0.96; P = 0.0013). The most recent visit to the dentist due to pain increased the levels of DA (PR = 1.18; 95%CI: 1.07-1.30; P = 0.001). CONCLUSIONS The presence of MIH in schoolchildren was not associated with parental reports of DA.
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Affiliation(s)
| | - Paula Dresch Portella
- Post-graduate Program in Dentistry, Department of Stomatology, Universidade Federal do Paraná, Curitiba, Brazil
| | - Bruna Luiza Maximo Ramos
- Post-graduate Program in Dentistry, Department of Stomatology, Universidade Federal do Paraná, Curitiba, Brazil
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Reyes MRT, Fatturi AL, Menezes JVNB, Fraiz FC, Assunção LRDS, Souza JFD. Demarcated opacity in primary teeth increases the prevalence of molar incisor hypomineralization. Braz Oral Res 2019; 33:e048. [PMID: 31432924 DOI: 10.1590/1807-3107bor-2019.vol33.0048] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/29/2018] [Accepted: 04/08/2019] [Indexed: 11/22/2022] Open
Abstract
This cross-sectional study aimed to assess the prevalence of molar incisor hypomineralization (MIH) and its relationship with the number of primary teeth with developmental defects of enamel (DDE). A representative population-based sample of 731 schoolchildren was randomly selected from the public school system in Curitiba, Brazil. Schoolchildren aged 8 years with fully erupted permanent first molars and incisors were eligible for the study. MIH and DDE were classified by four calibrated examiners (kappa > 0.75) according to EAPD criteria and to the FDI-modified DDE index. Clinical data were collected in a school environment. Socioeconomic information was collected through a self-administered semistructured questionnaire applied to the children's caregivers. Statistical analyses were carried out using Poisson multiple regression with robust variance (α = 0.05). MIH prevalence was 12.1% (95%CI: 10-15), and opacities were the most prevalent defect. Socioeconomic factors were not associated with MIH. Children with demarcated opacity in primary teeth presented a higher prevalence of MIH than those without DDE in primary teeth. In the multiple analysis, the increase of one primary tooth affected by demarcated opacity increased the prevalence of MIH by 33% (PR = 1.33, 95%CI: 1.15-1.53, p < 0.001). Asian children had a higher prevalence of MIH (PR = 2.91, 95%CI: 1.08-8.09 p = 0.035) than did Caucasian children.Conclusion: Based on these findings, the prevalence of MIH in Curitiba was 12.1%. Demarcated opacity in primary teeth could be considered a predictor of MIH.
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Affiliation(s)
| | - Aluhê Lopes Fatturi
- Universidade Federal do Paraná - UFPR, School of Dentistry , Department of Stomatology , Curitiba , PR , Brazil
| | | | - Fabian Calixto Fraiz
- Universidade Federal do Paraná - UFPR, School of Dentistry , Department of Stomatology , Curitiba , PR , Brazil
| | | | - Juliana Feltrin de Souza
- Universidade Federal do Paraná - UFPR, School of Dentistry , Department of Stomatology , Curitiba , PR , Brazil
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Montes GR, Bonotto DV, Ferreira FM, Menezes JVNB, Fraiz FC. Caregiver’s oral health literacy is associated with prevalence of untreated dental caries in preschool children. Ciênc saúde coletiva 2019; 24:2737-2744. [DOI: 10.1590/1413-81232018247.18752017] [Citation(s) in RCA: 16] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/24/2017] [Accepted: 10/21/2017] [Indexed: 11/22/2022] Open
Abstract
Abstract The aim of this study was to evaluate the relationship between oral health literacy (OHL) among caregivers and untreated dental caries among preschoolers. A cross-sectional study was conducted involving 415 preschool children and their caregivers from Curitiba, Brazil. The children were examined for dental caries and dental plaque. The caregivers’ OHL was evaluated using an instrument translated and validated for Brazilian Portuguese: the Brazilian Rapid Estimate of Adult Literacy in Dentistry-30. The prevalence of children with untreated caries was 42.9% (95%CI: 38.1-47.7%). A low degree of OHL was found among 15.7% (95%CI: 12.2-19.2) of caregivers. The multivariable Poisson regression analysis indicated a higher prevalence of untreated caries among children whose caregivers had a low OHL (PR = 1.35; 95% CI: 1.01-1.79), those with visible plaque (PR = 1.28; 95% CI: 1.01-1.62) and those who never or only occasionally had their teeth brushed by their caregivers (PR = 1.48; 95% CI: 1.16-1.91) in comparison to those without these conditions. In conclusion, a higher prevalence of untreated dental caries was found among preschool children whose caregivers had a low degree of OHL.
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Gomes MAG, Abreu MHNG, Ferreira FM, Fraiz FC, Menezes JVNB. No-shows at public secondary dental care for pediatric patients: a cross-sectional study in a large Brazilian city. Ciênc saúde coletiva 2019; 24:1915-1923. [DOI: 10.1590/1413-81232018245.19312017] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/12/2017] [Accepted: 09/03/2017] [Indexed: 11/22/2022] Open
Abstract
Abstract Missed appointments have a great economic, social and administrative impact on the management of public health services. This research aimed to study factors associated with non-attendance to the first appointments of pediatric patients in secondary dental care services in the city of Curitiba, Brazil. A cross-sectional study was performed using secondary data from the electronic health records of the Curitiba Municipal Secretary of Health. The study included all children (0-12 years) referred to secondary dental clinics in the years 2010 to 2013. Data were analyzed by the chi-square test and Pearson linear trend chi-square (α = 0.05). Binary logistic regression models were built. Data from 1,663 children were assessed and the prevalence of non-attendance was 28.3%. The variables associated with the non-attendance in inferential analysis (p < 0.05) and in the final model were the household income per capita (95% CI: 1.93-2.82) and the waiting time in virtual queue (95% CI: 1.000-1.002). Socioeconomic aspects and the waiting time in virtual queue, should be considered in the strategic planning of health services as they may influence the attendance of pediatric patients in secondary dental referral service.
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Barasuol JC, Garcia LP, Freitas RC, Dalpian DM, Menezes JVNB, Santos BZ. Dental care utilization among children in Brazil: an exploratory study based on data from national household surveys. Ciênc saúde coletiva 2019; 24:649-657. [DOI: 10.1590/1413-81232018242.03232017] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/12/2016] [Accepted: 03/22/2017] [Indexed: 11/21/2022] Open
Abstract
Abstract Wide availability of access to dental services can be considered a predictor of better oral health outcomes in a population. This article aims to compare data from the Brazilian National Household Sample Surveys (PNAD) on dental services utilization among children aged 4 to 12 years. This cross-sectional study was carried out using data from the 1998, 2003, and 2008 National Household Sample Surveys, involving a total of 61.438, 64.659 and 59.561 children, respectively. Ninety-nine percent confidence intervals were considered for the prevalence of each outcome of interest. In 1998, 60.8% (99%CI: 59.4;62.1) of children had been to a dentist; this prevalence was 65.5% (99%CI: 64.4;66.7) in 2003 and 73.8% (99%CI: 72.1;74.2) in 2008. In 1998, 41.2% (99%CI: 39.1;43.3) of children in the lowest household income quartile had been to a dentist; this value was 61.4% (99%CI: 59.5;63.2) in 2008. Among children from families whose head of household had 4 years of formal education or fewer, 49.5% and 63% had been to a dentist in 1998 and 2008, respectively. The lifetime prevalence of dentist attendance among Brazilian children increased between 1998 and 2008, especially among those from low-income families and those whose head of household had a low educational level.
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Barasuol JC, da Silva Assunção LR, Fraiz FC, Menezes JVNB. Oral Health Literacy as a Predictor of Dental Anxiety in Parents of Children Undergoing Dental Treatment. J Dent Child (Chic) 2017; 84:125-131. [PMID: 29282168] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
PURPOSE The purpose of this cross-sectional study was to evaluate the association between parents' dental anxiety (DA) and independent variables. METHODS One hundred sixty-eight dyads of parents and six- to 12-year-old children who were undergoing treatment at a university pediatric dentistry clinic were recruited. Two examiners evaluated parents' DA and oral health literacy (OHL) using the Brazilian version of Corah's dental anxiety scale and the Brazilian Rapid Estimate of Adult Literacy in Dentistry (BREALD-30), respectively. Children's DA was reported by parents through the dental anxiety question (DAQ). Demographic data was also collected. A single examiner used the decayed, missing, and filled permanent teeth and primary teeth (DMFT/dmft) indices to assess the children's oral health status. The data analysis involved univariate and multivariate Poisson regression. RESULTS In the multivariate regression, higher levels of parents' DA were associated with a household income equal to or less than the Brazilian monthly minimum wage (prevalence ratio [PR]=4.9; 95 percent confidence interval [CI]=2.1 to 11.7) and a lower degree of OHL (PR=1.68; 95 percent CI=1.01 to 2.8). Associations between parents' DA and children's DA and DMFT/dmft index were not found. CONCLUSION Parents' dental anxiety was related to a low household income and low oral health literacy.
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Affiliation(s)
- Jéssica Copetti Barasuol
- PhD student, Department of Dentistry, Federal University of Santa Catarina, Florianópolis, Santa Catarina, in Brazil;,
| | | | - Fabian Calixto Fraiz
- Department of Stomatology, Federal University of Paraná, Curitiba, Paraná, in Brazil
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