Abstract Objective To compare the effectiveness of ART restorations using High Viscosity Glass-ionomer cement (HVGIC) with conventional restorations using resin composite in Class II cavities of permanent teeth, in a 2-year follow-up. Methodology Seventy-seven restorations were made with each restorative material, Equia Fil-GC Corporation (ART restorations) and Z350-3M (conventional restoration), in 54 participants in this parallel and randomized clinical trial. Restorations were evaluated at 6 months, 1 and 2 years using the ART and the modified United States Public Health Service (USPHS) criteria. Chi-square test and Survival Analysis (p<0.05) were used for statistical analysis. Results The success rates for ART restorations were 98.7% (6 months) and 95.8% (1 year) for both criteria. At 2 years, success rate was 92% and 90.3% when scored by the modified USPHS and ART criteria (p=0.466), respectively. The success rates for conventional restorations were 100% (6 months), 98.7% (1 year) and 91.5% (2 years) for both assessment criteria. ART restorations presented a lower survival rate by the criterion of ART (83.7%) when compared to the modified USPHS criterion of (87.8%), after 2 years (p=0.051). The survival of conventional restorations was 90.7% for both evaluation criteria. Conclusion At the 2-years follow-up evaluation, no statistically significant difference was observed between the success rate of ART restorations with HVGIC compared to conventional restorations with resin composite in Class II cavities of permanent teeth.

RESUMO Objetivo: analisar os conhecimentos e as práticas dos enfermeiros, médicos e cirurgiões-dentistas que atuam na Atenção Básica em relação ao desenvolvimento da linguagem da criança nos primeiros anos de vida. Métodos: tratou-se de uma pesquisa qualitativa com 30 profissionais de uma rede de Atenção Básica dentre eles, médicos, enfermeiros e cirurgiões-dentistas. Uma consulta individual foi realizada mediante um questionário semiestruturado. Empregou-se a técnica de análise temática de discurso, utilizando-se três figuras metodológicas: a Ideia Central, as Expressões-Chaves e o Discurso do Sujeito Coletivo. Resultados: os conhecimentos que os profissionais têm sobre o desenvolvimento da linguagem da criança estavam ancorados às ideias centrais de conhecer alguns marcos do desenvolvimento, a linguagem da criança depende do estímulo do meio, da família e da audição normal, saber muito pouco ou não saber nada sobre o assunto. Os profissionais relataram que gostariam de obter mais informações sobre o assunto em relação aos marcos do desenvolvimento da linguagem da criança, desvios da normalidade e orientações para pais de forma a aprimorar o atendimento da saúde infantil. Conclusão: o conhecimento dos profissionais sobre o assunto apresentou-se limitado, havendo necessidade de ampliar práticas de educação em saúde pela Fonoaudiologia, em parceria com as Instituições de Ensino e os profissionais dos Núcleos de Apoio Saúde da Família, junto aos profissionais da Equipe de Estratégia Saúde da Família, destacando-se o trabalho sobre os marcos do desenvolvimento da linguagem da criança.

ABSTRACT Purpose: to analyze the knowledge and practices of nurses, doctors and dentists working in Primary Care for the development of the child's language early in life Methods: it is a qualitative research with 30 professionals from a network of Primary Care, among them doctors, nurses and dentists. An individual consultation was carried out through a semi-structured questionnaire. The technique of thematic speech analysis was used using three methodological approaches: The Central Idea, Expressions-Keys and the Collective Subject Discourse. Results: the knowledge that professionals have about the development of children's language were anchored to the core ideas to meet some milestones of development, the child's language depends on the middle stimulus, the family and normal hearing to know little or know nothing about the subject. The professionals reported that they would like to get more information on the subject in relation to the milestones of the child's language development, normal deviations and guidelines for parents in order to improve the care of children's health. Conclusion: the knowledge of professionals on the subject has been limited, and there is a need to expand educational practices in health through speech therapy, in partnership with the institutions of education and professionals of the Family Health Support Centers, with professionals of the Family Health Strategy Team, highlighting the work of the milestones of the child's language development.

Resumo: OBJETIVO: relatar as ações de promoção de saúde realizadas em comunidades ribeirinhas pelas equipes expedicionárias do projeto "FOB-USP em Rondônia". MÉTODOS: trata-se de um trabalho transversal observacional, que consiste em um relato de experiência de expedições interdisciplinares às comunidades de Tabajara-RO, Calama-RO, Demarcação-RO e Rio Preto-RO. A coleta de dados ocorreu por meio dos prontuários, anotação em diários de campo e observação participante. O enfoque adotado para guiar o desenvolvimento do presente trabalho está no trabalho da equipe, nos momentos de atendimento clínico e comunitário. RESULTADOS: foram atendidos 1042 ribeirinhos abrangendo ações assistenciais e educativas. As comunidades exibiram como principal fonte de renda a pesca e a agricultura de subsistência. O esgoto é coletado por fossas sépticas ou a céu aberto. A água provém dos rios ou poços artesianos. As casas em todas as comunidades, em sua maioria, são de madeira. Quanto aos procedimentos clínicos, foram realizados 974 fonoaudiológicos, sendo as principais queixas na área de audiologia, e 854 odontológicos com maior realização de exodontias e restaurações. Ações educativas foram realizadas em todas as comunidades. CONCLUSÃO: foram realizados 1828 procedimentos, dos quais 1100 foram clínicos e 728 educativos. As condições de acesso mostraram-se precárias e as alterações de saúde referentes às áreas fonoaudiológica e odontológica apresentaram-se como queixas e alterações auditivas e cárie dentária (principalmente) e doença periodontal. Verificou-se a necessidade de aprimorar o acesso das populações ribeirinhas a serviços essenciais, mantendo-se atendimentos regulares e contínuos, para a realização de atividades de educação e promoção de saúde com efetividade.

Abstract: PURPOSE: to report the health promotion actions conducted on riverside communities by the expeditionary teams of "FOB-USP in Rondônia" project. METHODS: this is a cross-sectional, observational study, which consists in an experience report of interdisciplinary expeditions to the Tabajara-RO, Calama-RO, Demarcação-RO and Rio Preto-RO communities. Data collection has occurred by means of medical records, annotations on field diaries and participant observation. The adopted approach to guide the development of this paper lies on the work of the team during the clinical care and community attention moments. RESULTS: 1042 riverside patients were assisted, being covered also educative and human aid actions the communities have shown as main income sources fishing and subsistence agriculture. Sewer is collected in septic tanks in the open Water comes from rivers or artesian wells. The houses in all of the communities are mostly made of wood. In regards to clinical procedures, 974 in the speech, language and hearing sciences area, being the most common complaint on the hearing area, and 854 dental procedures being mostly performed dental extractions and restorations. Educative actions were taken in all of the communities. CONCLUSION: 1828 procedures were performed, of which 1100 were clinical and 728 were educative. Access conditions have proven to be precarious and health problems linked to the speech, language and hearing sciences and dental areas were presented as complaints, with dental caries and periodontal disease as main concerns. Need for improvement on access to essential services for the riverside populations has been demonstrated, maintaining regular and continuous care for the implementation of effective educative and health promotion activities.

INTRODUÇÃO: A cárie dentária e o estado nutricional em crianças na idade pré-escolar são sérios problemas de saúde pública com etiologia multifatorial, com a dieta como fator de risco comum. OBJETIVO: Este estudo transversal avaliou a relação entre a cárie dentária e o estado nutricional de pré-escolares matriculados em escolas públicas em um município no estado de São Paulo. MATERIAL E MÉTODO: A população de estudo foi composta de pré-escolares entre 3 e 5 anos de idade (n = 229) matriculadas em escolas públicas, onde o índice ceod (cariado, extração indicada, obturado, por dente) foi utilizado para avaliação da cárie dentária e o Índice de Massa Córporea foi utilizado para avaliação do estado nutricional de acordo com as recomendações da Organização Mundial da Saúde. Análise estatística foi conduzida de modo descritivo por meio de frequências absoluta e relativa e teste de Correlação de Spearman e Kruskall Wallis(p<0,05). RESULTADO: Foram encontrados um ceod de 1,65(±2,87) e um Índice Sic (Índice Significativo de Cárie) de 4,88(±3,20) indicando polarização da cárie dentária. Foi observado que 66,81% das crianças apresentaram estado nutricional normal e as crianças com desnutrição demonstraram uma média de 4,00 (±3,66) o qual foi duas vezes maior que as demais categorias de estado nutricional. Não foi encontrada relação estatisticamente significativa entre o CPOD e componentes e o estado nutricional. CONCLUSÃO: Este estudo não identificou relação entre o estado nutricional e a cárie dentária. Estudos devem ser conduzidos para elucidar tal relação.

INTRODUCTION: Dental caries and nutritional status in children in preschool age are serious public health problems, with multifactorial etiology, with diet as a common risk factor. OBJECTIVE: This cross-sectional study assessed the relationship between dental caries and nutritional status of preschool children attending public schools in a city in the State of Sao Paulo. MATERIAL AND METHOD: The study population was comprised of 3-5 year-old preschool children (n = 229) attending public schools, in which dmft (decay, missing, filled, teeth) was used for dental caries assessment and Body Mass Index (BMI) was used for nutritional status in accordance with the recommendations of the World Health Organization. Statistical analysis was performed in a descriptive way through absolute and relative frequencies and Spearman Correlation test and Kruskal Wallis (P<0.05). RESULT: A dmft of 1.65 (2.87) and a SiC index (Significant Caries Index) of 4.88 (3.20) have been found, indicating polarization of dental caries. It was observed that 66.81% of children presented with nutritional status within the normal range and children with malnutrition had a mean dmft of 4.0 (3.66), which is two times higher than the other categories of nutritional status. No statistically significant correlation has been found by correlating dmft and components with Body Mass Index. CONCLUSION: This research did not identify a significant correlation between the occurrence of dental caries and nutritional status of preschool children, researches should be conducted to elucidate this relationship.

AIM: To evaluate oral health-related quality of life of preschool children of Bauru, State of São Paulo, Brazil, and associate it with socioeconomic profile of households. METHODS: The sample consisted of 229 preschool children between 3 and 5 years and the dmft (decayed, missing due to caries, filled teeth) index was adopted for assessment children's dental caries in accordance with the standards recommended by the World Health Organization. Questionnaires were used for evaluation oral health-related quality of life (Early Childhood Oral Health Impact Scale) and socioeconomic profile of parents or guardians of the preschool children. Statistical analysis was performed descriptively by relative and absolute frequencies and by Spearman's correlation and Kruskal-Wallis test (p <0.05). RESULTS: A dmft of 1.65 (± 2.87) and a Sic Index 4.88 (± 3.20) were found, indicating the polarization of dental caries in the studied group. It was verified low influence of oral health on quality of life of the children examined. With respect to socioeconomic classification, 66.38% of families were in the lower middle class. Linear and statistically significant correlation was found between dmft and oral health-related quality of life for the overall score and domains of the questionnaire (p<0.001). CONCLUSIONS: It was found low influence of oral health on quality of life of the preschool children and the assessment of socioeconomic conditions of the children's families may guide practices aiming to reducing inequalities in the distribution of dental caries in the population.