ABSTRACT OBJECTIVE This study evaluated the oral health-related quality of life (OHRQoL) of older adults participating or not in Seniors Centers (SC). METHODS Two independent samples were compared: older adults who participate in SC (n = 124) and older adults who visited Primary Healthcare Centers (PHC) and do not participate in SC (n = 164). The data collected consisted of sociodemographic (sex, age, educational level, marital status, family income) and psychosocial characteristics—Sense of Coherence (SOC), anxiety and depression using HADS, happiness—, and oral clinical evaluation—use and need of dental prosthesis and decayed (D), missing (M), or filled (F) teeth. The resulting OHRQoL was evaluated using the Oral Health Impact Profile (OHIP-14). The Mann-Whitney test was used to assess the associations between the independent variables and the OHIP-14. Poisson regression models were also used in the analyses (α=0.05). RESULTS In the PHC, of the 270 individuals invited to participate in the study, 164 (60.7%) were interviewed and clinically examined; while in the SC, of the 166 individuals invited to participate in the study, 124 (74.7%) were interviewed and clinically examined. After adjustments for sociodemographic, psychosocial and clinical factors, we found that the impact on OHRQoL was 2.8 times higher (95%CI 2.0–4.2) for older adults who did not participate in SC. CONCLUSION Older adults who participated in SC showed better perception on OHRQoL, independently of sociodemographic, psychosocial and clinical factors.

ABSTRACT OBJECTIVE This study evaluated the oral health-related quality of life (OHRQoL) of older adults participating or not in Seniors Centers (SC). METHODS Two independent samples were compared: older adults who participate in SC (n = 124) and older adults who visited Primary Healthcare Centers (PHC) and do not participate in SC (n = 164). The data collected consisted of sociodemographic (sex, age, educational level, marital status, family income) and psychosocial characteristics—Sense of Coherence (SOC), anxiety and depression using HADS, happiness—, and oral clinical evaluation—use and need of dental prosthesis and decayed (D), missing (M), or filled (F) teeth. The resulting OHRQoL was evaluated using the Oral Health Impact Profile (OHIP-14). The Mann-Whitney test was used to assess the associations between the independent variables and the OHIP-14. Poisson regression models were also used in the analyses (α=0.05). RESULTS In the PHC, of the 270 individuals invited to participate in the study, 164 (60.7%) were interviewed and clinically examined; while in the SC, of the 166 individuals invited to participate in the study, 124 (74.7%) were interviewed and clinically examined. After adjustments for sociodemographic, psychosocial and clinical factors, we found that the impact on OHRQoL was 2.8 times higher (95%CI 2.0–4.2) for older adults who did not participate in SC. CONCLUSION Older adults who participated in SC showed better perception on OHRQoL, independently of sociodemographic, psychosocial and clinical factors.

RESUMO OBJETIVO Analisar a efetividade de intervenções educativas realizadas em serviços de saúde na melhoria de comportamentos e desfechos clínicos em saúde bucal. MÉTODOS Foi realizada uma revisão sistemática da literatura com busca nas bases de dados PubMed, Lilacs e SciELO. Foram incluídos estudos que investigaram intervenções realizadas por profissionais de saúde atuantes em serviços de saúde e que utilizaram como principal abordagem ações de educação com a finalidade de melhorar desfechos comportamentais e clínicos em saúde bucal. RESULTADOS A busca totalizou 832 artigos e 14 preencheram todos os critérios de inclusão. Cinco estudos verificaram exclusivamente a efetividade das intervenções na redução de cárie, três avaliaram excepcionalmente comportamentos em saúde bucal, os demais artigos julgaram a efetividade das intervenções tanto para desfechos clínicos (cárie dentária e condições periodontais) quanto para comportamentos em saúde bucal. A maioria dos estudos (n = 9) foi baseada em ensaios randomizados e controlados, os demais avaliaram o antes e depois da intervenção. Cinco estudos reportaram redução significativa de cárie dentária, e cinco dos seis estudos que avaliaram desfechos comportamentais encontraram alguma mudança positiva. CONCLUSÕES A maioria dos estudos que avaliaram desfechos comportamentais e periodontais mostrou melhorias significativas a favor das intervenções. Todos os estudos que avaliaram cárie mostraram a diminuição de novas lesões ou casos da doença nos grupos que receberam as intervenções, embora apenas cinco dos 11 artigos tenham encontrado uma diferença estatisticamente significativa. As intervenções educativas realizadas por profissionais de saúde no contexto de sua prática apresentam potencial em promover a saúde bucal da população.

ABSTRACT OBJECTIVE To analyze the effectiveness of educational interventions performed in health services in the improvement of clinical behaviors and outcomes in oral health. METHODS We have carried out a systematic review of the literature searching the PubMed, Lilacs, and SciELO databases. We have included studies that have investigated interventions performed by health professionals working in health services and who have used educational actions as main approach to improve behavioral and clinical outcomes in oral health. RESULTS The search amounted to 832 articles and 14 of them met all the inclusion criteria. Five studies have only exclusively evaluated the effectiveness of interventions on caries reduction, three have exceptionally evaluated oral health behaviors, and the other articles have evaluated the effectiveness of interventions for both clinical outcomes (dental caries and periodontal conditions) and behaviors in oral health. Most of the studies (n = 9) were based on randomized controlled trials; the other ones have evaluated before and after the intervention. Five studies have reported a significant reduction of dental caries, and five of the six studies evaluating behavioral outcomes have found some positive change. CONCLUSIONS Most studies evaluating behavioral and periodontal outcomes have shown significant improvements in favor of interventions. All studies evaluating caries have shown a reduction in new lesions or cases of the disease in the groups receiving the interventions, although only five of the eleven articles have found a statistically significant difference. Educational interventions carried out by health professionals in the context of their practice have the potential to promote oral health in the population.

RESUMO OBJETIVO Analisar a efetividade de intervenções educativas realizadas em serviços de saúde na melhoria de comportamentos e desfechos clínicos em saúde bucal. MÉTODOS Foi realizada uma revisão sistemática da literatura com busca nas bases de dados PubMed, Lilacs e SciELO. Foram incluídos estudos que investigaram intervenções realizadas por profissionais de saúde atuantes em serviços de saúde e que utilizaram como principal abordagem ações de educação com a finalidade de melhorar desfechos comportamentais e clínicos em saúde bucal. RESULTADOS A busca totalizou 832 artigos e 14 preencheram todos os critérios de inclusão. Cinco estudos verificaram exclusivamente a efetividade das intervenções na redução de cárie, três avaliaram excepcionalmente comportamentos em saúde bucal, os demais artigos julgaram a efetividade das intervenções tanto para desfechos clínicos (cárie dentária e condições periodontais) quanto para comportamentos em saúde bucal. A maioria dos estudos (n = 9) foi baseada em ensaios randomizados e controlados, os demais avaliaram o antes e depois da intervenção. Cinco estudos reportaram redução significativa de cárie dentária, e cinco dos seis estudos que avaliaram desfechos comportamentais encontraram alguma mudança positiva. CONCLUSÕES A maioria dos estudos que avaliaram desfechos comportamentais e periodontais mostrou melhorias significativas a favor das intervenções. Todos os estudos que avaliaram cárie mostraram a diminuição de novas lesões ou casos da doença nos grupos que receberam as intervenções, embora apenas cinco dos 11 artigos tenham encontrado uma diferença estatisticamente significativa. As intervenções educativas realizadas por profissionais de saúde no contexto de sua prática apresentam potencial em promover a saúde bucal da população.

ABSTRACT OBJECTIVE To analyze the effectiveness of educational interventions performed in health services in the improvement of clinical behaviors and outcomes in oral health. METHODS We have carried out a systematic review of the literature searching the PubMed, Lilacs, and SciELO databases. We have included studies that have investigated interventions performed by health professionals working in health services and who have used educational actions as main approach to improve behavioral and clinical outcomes in oral health. RESULTS The search amounted to 832 articles and 14 of them met all the inclusion criteria. Five studies have only exclusively evaluated the effectiveness of interventions on caries reduction, three have exceptionally evaluated oral health behaviors, and the other articles have evaluated the effectiveness of interventions for both clinical outcomes (dental caries and periodontal conditions) and behaviors in oral health. Most of the studies (n = 9) were based on randomized controlled trials; the other ones have evaluated before and after the intervention. Five studies have reported a significant reduction of dental caries, and five of the six studies evaluating behavioral outcomes have found some positive change. CONCLUSIONS Most studies evaluating behavioral and periodontal outcomes have shown significant improvements in favor of interventions. All studies evaluating caries have shown a reduction in new lesions or cases of the disease in the groups receiving the interventions, although only five of the eleven articles have found a statistically significant difference. Educational interventions carried out by health professionals in the context of their practice have the potential to promote oral health in the population.

Resumo O objetivo deste estudo foi estimar as prevalências autorreferidas de edentulismo, perda dentária severa e ausência de dentição funcional em idosos, assim como identificar potenciais fatores associados. Um estudo transversal de base populacional foi realizado com 1.451 idosos (≥60 anos), em Pelotas, RS, Brasil. Razões de prevalência brutas e ajustadas foram estimadas por meio de regressões de Poisson. As prevalências verificadas foram 39,3% para edentulismo, 60,9% para perda dentária severa e 82,7% para ausência de dentição funcional. Os fatores associados positivamente à perda dentária nos seus três diferentes graus de severidade foram sexo feminino, idade avançada, baixa renda familiar, baixa escolaridade e última consulta odontológica há mais de 24 meses. As altas prevalências de perda dentária nos seus diferentes graus de severidade e a constatação de fatores associados passíveis de intervenção alertam para necessidade de medidas e programas que priorizem a faixa etária idosa com ênfase na prevenção da perda dentária e na reabilitação protética.

Abstract The aim of this study was to estimate self-reported prevalence of edentulism, severe tooth loss and lack of functional dentition in elders, and to identify potential associated factors. A population based cross-sectional study was carried out with 1,451 elders (≥60 years), in Pelotas, RS, Brazil. Crude and adjusted prevalence ratios were estimated using Poisson regressions. The prevalence of edentulism, severe tooth loss and lack of functional dentition was 39.3%, 60.9% and 82.7%, respectively. The factors positively associated with tooth loss in the three-degree severity were sex (females), older individuals, low familial income, low level of schooling and having the last dental visit longer than 24 months ago. The high prevalence of tooth loss in its different degrees of severity and the association with preventable factors highlight the need of programs focused on elders, emphasizing the prevention of tooth loss and need for prosthetic rehabilitation.

Objetivo Avaliar se os indicadores clínicos de saúde bucal e sociodemográficos de crianças em idade escolar (8 a 12 anos), em fase de dentição mista, estão associados com a respiração oral. Métodos Foram avaliadas 55 crianças, selecionadas em uma escola estadual do município de Cachoeira do Sul (RS). Após a autorização dos responsáveis, foram realizados exames por uma fonoaudióloga treinada, para a identificação de crianças com sinais clínicos orofaciais, indicativos de respiração oral. Para a realização dos exames de saúde bucal, os estudantes de odontologia foram treinados e calibrados, de acordo com os critérios para levantamentos epidemiológicos da Organização Mundial de Saúde. Além dos exames intrabucais, foram coletadas informações socioeconômicas e demográficas com os responsáveis pelas crianças, por meio de um questionário. Resultados A prevalência de crianças com sinais de respiração oral foi relevante, porém, menor do que descreve a literatura. Não houve diferença entre os grupos (respiradores orais e respiradores nasais), tanto em relação às variáveis socioeconômicas, como em relação aos aspectos odontológicos testados. Conclusão Não houve associação da respiração oral com nenhum indicador clínico de saúde bucal (cárie, placa visível e sangramento gengival). Também não foi encontrada associação entre as variáveis sociodemográficas e a respiração oral.

Purpose To evaluate whether clinical and sociodemographic indicators of oral health in school-age children (from 8 to 12 years) with mixed dentition are associated with oral breathing. Methods Fifity-five children selected from a public school in the city of Cachoeira do Sul (RS) were evaluated. After obtaining parental consent, a trained speech pathologist performed examinations to identify children with orofacial clinical signs indicative of oral breathing. For the oral health exams, dental students underwent training and calibration according to the criteria of the World Health Organization for epidemiological surveys. In addition to the intra-oral examinations, socioeconomic and demographic data were collected from the parents of the children using a questionnaire. Results Although the prevalence of children with mouth breathing symptoms was notable, it was lower than that reported in the literature. No difference was observed between the groups (mouth breathers and nose breathers) regarding socioeconomic variables associated with the tested dental aspects. Conclusion Oral breathing was not associated with clinical indicators of oral health such as caries, visible plaque, and gingival bleeding. Further, no association was found between sociodemographic variables and oral breathing.