Abstract The aim of this study was to verify the perception of the oral health team regarding work safety and aspects related to changes in dental practices during the COVID-19 pandemic. A descriptive, exploratory, quantitative, and qualitative cross-sectional study was conducted using an electronic questionnaire sent via email to health professionals (n = 197) affiliated with the Brazilian Public Health System (SUS), from December 2020 to September 2021, in a municipality located in the northeast of the state of São Paulo, Brazil. The variables of interest were sociodemographic characteristics and those related to the professionals’ perception of oral health care during the pandemic and its impact on these workers’ occupational safety. Descriptive statistics were performed, and the absolute and relative frequencies of quantitative variables were calculated, whereas lexical analysis was performed for textual content using the descending hierarchical classification (CHD). Out of the total sample, elective and urgent/emergency care was provided by 58.95% (n = 56); physical barriers were absent between the teams in 54.74% (n = 52); minimally invasive techniques were applied in 71.58% (n = 68); personal protective equipment (PPE) was replaced in 81.05% (n = 77) between appointments; and occupational safety was reported by 49.47% (n = 47). Textual analysis showed a decrease in appointments and consultations, with a longer interval between appointments. The professionals noticed changes in dental practices during the pandemic, mainly regarding the use of PPE, the type of treatment performed, the number of treated patients, and the greater time interval between consultations. The physical infrastructure of health units and the availability of PPE to patients needed some adjustments. A significant number of workers felt safe in providing dental care during the pandemic.

Resumo Este estudo visa conhecer a percepção dos imigrantes cubanos sobre o termo de consentimento livre e esclarecido e o acesso a tratamentos médicos e odontológicos. Trata-se de um estudo descritivo transversal, tipo inquérito. A amostra foi composta por imigrantes de um município de médio porte do estado de São Paulo. Os participantes responderam a um formulário com questões relacionadas ao conhecimento desse termo e ao acesso a tratamentos médicos e odontológicos no Brasil e no país de origem, instrumento que também coletou dados sociodemográficos. Os participantes tinham acesso à assistência médica e odontológica, mas pouco conhecimento sobre o termo de consentimento durante os tratamentos. Os médicos e odontólogos devem tomar medidas para uma prática profissional segura, pois um termo de consentimento bem elaborado e de conhecimento do paciente promove a realização bem-sucedida dos procedimentos.

Abstract This study aims to identify the perception of Cuban immigrants about the free and informed consent form and access to dental and medical care. This is a cross-sectional descriptive survey conducted with a sample of immigrants from a medium-sized municipality in the state of São Paulo. Data were collected by means of a questionnaire addressing the form and the access to dental and medical care both in Brazil and in their country of origin, as well as sociodemographic aspects. The results indicate that immigrants have access to medical and dental care, but little knowledge about the consent form during treatment. Considering that a well-designed consent term and patient knowledge promotes the successful performance of procedures, physicians and dentists need to adopt measures for a safe professional practice.

Resumen En este estudio se propone conocer la percepción de los inmigrantes cubanos sobre el formulario de consentimiento informado y el acceso a tratamientos médicos y odontológicos. Este es un estudio descriptivo transversal, tipo encuesta. La muestra se compuso de inmigrantes de un municipio de mediano porte del estado de São Paulo, Brasil. Los participantes respondieron a un formulario con preguntas relacionadas al conocimiento del formulario de consentimiento informado y la accesibilidad a tratamientos médicos y odontológicos en Brasil y en su país de origen, instrumento que también recogía información sociodemográfica sobre los encuestados. Los participantes tenían accesibilidad a la atención médica y odontológica, pero poco conocimiento sobre ese formulario durante los tratamientos. Los médicos y los odontólogos deben adoptar medidas para una práctica profesional segura, pues un formulario de consentimiento informado bien preparado y de conocimiento del paciente favorece la realización exitosa de los procedimientos.

Resumo Objetivou analisar o conhecimento e a atitude das gestantes de alto risco sobre a zika. Trata-se de um estudo transversal, quantitativo, com amostra de 201 gestantes de alto risco, que realizam pré-natal no Ambulatório Médico de Especialidades. Aplicou-se um instrumento auto administrado, aplicados após a consulta com o médico. Os critérios de inclusão utilizados foram a presença das gestantes no dia da entrevista e seu consentimento de participação. Os de exclusão as que não aceitaram participar e não estarem realizando o pré natal no período do estudo. Para análise de dados, utilizou-se qui-quadrado e exato de Fisher, nos softwares Epi info 7.1 e Bioestat 5.0. Das gestantes, 76% acreditavam que, em seu bairro, é provável a infecção pelo vírus e utilizam medidas para controlar a proliferação do mosquito, como não deixar água parada (n = 154). Em relação ao conhecimento, houve associação entre a zika e a microcefalia (p ≤ 0,0001) e o apontamento da necessidade de mais informações (p = 0,0439). Para impedir o contágio, 76% não tomaram nenhuma atitude; houve, ainda, associação entre a necessidade de conhecimento sobre o assunto e as ações realizadas no combate ao vírus (p = 0,0049). Conclui-se que o conhecimento e a atitude das gestantes sobre a zika é falho.

Abstract Objective was to analyze the knowledge and attitude of high risk pregnant women about zika. This is a cross-sectional study, quantitative, with a sample of 201 high risk women who perform prenatal the Ambulatory Medical Specialties. A self-administered instrument, was applied after consultation with the doctor. Inclusion criteria were the presence of pregnant women on the day of the interview and their consent to participate. Exclusion criteria were those who did not agree to participate and were not performing prenatal care during the study period. For the data analysis we used chi square and fisher exact, in software Epi info 7.1 and Bioestat 5.0. Of the pregnant women, 76% believed that their neighborhood was likely to be infected by the virus and used measures to control mosquito proliferation, such as not leaving standing water (n = 154). In relation to knowledge, there was an association between Zika and microcephaly (p≤ 0.0001) and the need for more information (p = 0.0439). To prevent infection, 76% took no action, there was an association between the need for knowledge about the subject and the actions taken to combat the virus (p = 0.0049). We conclude that pregnant women’s knowledge and attitude about zika is failed.

Resumo Objetivou analisar o conhecimento e a atitude das gestantes de alto risco sobre a zika. Trata-se de um estudo transversal, quantitativo, com amostra de 201 gestantes de alto risco, que realizam pré-natal no Ambulatório Médico de Especialidades. Aplicou-se um instrumento auto administrado, aplicados após a consulta com o médico. Os critérios de inclusão utilizados foram a presença das gestantes no dia da entrevista e seu consentimento de participação. Os de exclusão as que não aceitaram participar e não estarem realizando o pré natal no período do estudo. Para análise de dados, utilizou-se qui-quadrado e exato de Fisher, nos softwares Epi info 7.1 e Bioestat 5.0. Das gestantes, 76% acreditavam que, em seu bairro, é provável a infecção pelo vírus e utilizam medidas para controlar a proliferação do mosquito, como não deixar água parada (n = 154). Em relação ao conhecimento, houve associação entre a zika e a microcefalia (p ≤ 0,0001) e o apontamento da necessidade de mais informações (p = 0,0439). Para impedir o contágio, 76% não tomaram nenhuma atitude; houve, ainda, associação entre a necessidade de conhecimento sobre o assunto e as ações realizadas no combate ao vírus (p = 0,0049). Conclui-se que o conhecimento e a atitude das gestantes sobre a zika é falho.

Abstract Objective was to analyze the knowledge and attitude of high risk pregnant women about zika. This is a cross-sectional study, quantitative, with a sample of 201 high risk women who perform prenatal the Ambulatory Medical Specialties. A self-administered instrument, was applied after consultation with the doctor. Inclusion criteria were the presence of pregnant women on the day of the interview and their consent to participate. Exclusion criteria were those who did not agree to participate and were not performing prenatal care during the study period. For the data analysis we used chi square and fisher exact, in software Epi info 7.1 and Bioestat 5.0. Of the pregnant women, 76% believed that their neighborhood was likely to be infected by the virus and used measures to control mosquito proliferation, such as not leaving standing water (n = 154). In relation to knowledge, there was an association between Zika and microcephaly (p≤ 0.0001) and the need for more information (p = 0.0439). To prevent infection, 76% took no action, there was an association between the need for knowledge about the subject and the actions taken to combat the virus (p = 0.0049). We conclude that pregnant women’s knowledge and attitude about zika is failed.

Resumo Objetivo Analisar a condição de saúde bucal em idosos do município de Bocoio, província de Benguela, Angola, Africa. Métodos Estudo epidemiológico, transversal e analítico, realizado com 213 idosos, em 2019. Por meio de entrevistas e exames clínicos, analisou-se o perfil sociodemográfico; percepção de saúde bucal; higiene oral; uso de serviços odontológicos; consumo de tabaco, álcool, e açúcar; prejuízos funcionais e sociais devido a problemas bucais; índice de cárie dentária (CPOD); cárie radicular; condição periodontal; uso e necessidade de prótese; e lesões bucais. Resultados A maioria dos idosos era do sexo feminino (69,01%), com 60 a 70 anos (77,46%), não trabalhava (92,96%), não frequentou a escola (82,63%), e classificou sua saúde bucal como moderada (75,59%). Verificou-se que 52,58% realizava higienização bucal duas vezes por dia, utilizando escova dentária e dentifrício fluoretado (92,49%); nenhum participante utilizava fio dental; 47,89% realizou a última consulta odontológica há mais de dois anos; 20,66% fumavam diariamente; o consumo de álcool e alimentos açucarados foi baixo; 89,67% relataram dificuldade para mastigar; e 7,04% eram edêntulos totais. Houve associação (p<0,01) entre maior número de dentes perdidos, faixa etária mais avançada e baixo nível de escolaridade. O CPOD médio foi de 20,8±5,3 e nenhum dente obturado foi encontrado; a média de raízes cariadas foi de 2,43±2,10; a maioria dos dentes apresentava bolsa periodontal (50,32%) e perda de inserção (51,00%); 99,53% dos idosos necessitava de prótese; e 0,94% apresentava lesões bucais. Conclusão A condição de saúde bucal dos idosos de Bocoio é precária e marcada pela falta de acesso aos serviços odontológicos.

Abstract Objective To analyze the oral health status of elderly people in the municipality of Bocoio, Benguela province, Angola, Africa. Methods Epidemiological, cross-sectional and analytical study carried out with 213 elderly people in 2019. Through interviews and clinical examinations, the sociodemographic profile; oral health perception; oral hygiene; use of dental services; consumption of tobacco, alcohol, and sugar; functional and social impairments due to oral problems; dental caries index (DMFT); root caries; periodontal condition; use and need for prosthesis; and presence of oral lesions were analyzed. Results Most of the elderly were female (69.01%), aged 60 to 70 years (77.46%), did not work (92.96%), did not attend school (82.63%), and classified their oral health status as moderate (75.59%). It was found that 52.58% performed oral hygiene twice a day, using toothbrush and fluoridated dentifrice (92.49%); no participant used dental floss; 47.89% had their last dental appointment more than two years ago; 20.66% smoked daily; consumption of alcohol and sugary foods was low; 89.67% reported difficulty chewing; and 7.04% were fully edentulous. There was an association (p<0.01) between the greater number of missing teeth, and older age group and low level of education. The mean DMFT was 20.8±5.3 and no filled teeth were found; the mean of decayed roots was 2.43±2.10; most teeth had periodontal pocket (50.32%) and attachment loss (51.00%); 99.53% of the elderly needed a prosthesis; and 0.94% had oral lesions. Conclusion The oral health condition of the elderly in Bocoio is precarious and marked by the lack of access to dental services.

Resumo Sendo a fluoretação das águas uma medida de saúde pública consagrada na prevenção de cárie dentária e considerando que a vigilância do método é fundamental para o seu sucesso, este estudo objetivou analisar os resultados das análises dos teores de flúor das águas de abastecimento público de 40 municípios do estado de São Paulo, de novembro de 2004 a dezembro de 2016. A análise das amostras foi realizada mensalmente por meio do método potenciométrico. De 32.488 amostras, 50,94% continham níveis de flúor dentro do intervalo recomendado. Em 2004, verificou-se que 21 cidades (52,50%) apresentaram teores médios dentro do parâmetro recomendado, passando, em 2016, para 32 cidades (80,00%). Observou-se que 15 municípios que possuíam inicialmente níveis de flúor abaixo de 0,55 mgF/L em suas águas de abastecimento adequaram-se no decorrer do projeto. No primeiro ano do estudo, 47,76% das amostras possuíam valores no intervalo preconizado e, em 2016, houve um aumento para 58,22%. Foi verificado que no decorrer dos anos, a maioria dos municípios adequou os níveis de flúor em suas águas, evidenciando a atuação dos programas de heterocontrole como importantes estratégias que auxiliam na vigilância do método, tendo participação fundamental no controle da qualidade da água ofertada à população.

Abstract Since fluoridation of water is an established public health measure for the prevention of dental caries and considering that monitoring of the method is crucial to its success, this study aimed to analyze the results of the analysis of the fluorine content of public water supply of 40 municipalities in the state of São Paulo, from November 2004 to December 2016. Samples were analyzed monthly using the potentiometric method. Of the 32,488 samples, 50.94% contained fluoride levels within the recommended range. In 2004, it was verified that 21 cities (52.50%) had mean levels within the recommended parameter, increasing to 32 cities (80.00%) in 2016. It was observed that 15 municipalities that initially had levels of fluoride below 0.55 mgF/L in their water supply adjusted to adequate levels during the project. In the first year of the study, 47.76% of the samples had values in the recommended range, which increased to 58.22% in 2016. Most of the municipalities adjusted the levels of fluoride in their waters over the years, evidencing the performance of heterocontrol programs as important strategies that assist in the monitoring of the method and have significant participation in the control of the water quality supplied to the population.

Resumo Sendo a fluoretação das águas uma medida de saúde pública consagrada na prevenção de cárie dentária e considerando que a vigilância do método é fundamental para o seu sucesso, este estudo objetivou analisar os resultados das análises dos teores de flúor das águas de abastecimento público de 40 municípios do estado de São Paulo, de novembro de 2004 a dezembro de 2016. A análise das amostras foi realizada mensalmente por meio do método potenciométrico. De 32.488 amostras, 50,94% continham níveis de flúor dentro do intervalo recomendado. Em 2004, verificou-se que 21 cidades (52,50%) apresentaram teores médios dentro do parâmetro recomendado, passando, em 2016, para 32 cidades (80,00%). Observou-se que 15 municípios que possuíam inicialmente níveis de flúor abaixo de 0,55 mgF/L em suas águas de abastecimento adequaram-se no decorrer do projeto. No primeiro ano do estudo, 47,76% das amostras possuíam valores no intervalo preconizado e, em 2016, houve um aumento para 58,22%. Foi verificado que no decorrer dos anos, a maioria dos municípios adequou os níveis de flúor em suas águas, evidenciando a atuação dos programas de heterocontrole como importantes estratégias que auxiliam na vigilância do método, tendo participação fundamental no controle da qualidade da água ofertada à população.

Abstract Since fluoridation of water is an established public health measure for the prevention of dental caries and considering that monitoring of the method is crucial to its success, this study aimed to analyze the results of the analysis of the fluorine content of public water supply of 40 municipalities in the state of São Paulo, from November 2004 to December 2016. Samples were analyzed monthly using the potentiometric method. Of the 32,488 samples, 50.94% contained fluoride levels within the recommended range. In 2004, it was verified that 21 cities (52.50%) had mean levels within the recommended parameter, increasing to 32 cities (80.00%) in 2016. It was observed that 15 municipalities that initially had levels of fluoride below 0.55 mgF/L in their water supply adjusted to adequate levels during the project. In the first year of the study, 47.76% of the samples had values in the recommended range, which increased to 58.22% in 2016. Most of the municipalities adjusted the levels of fluoride in their waters over the years, evidencing the performance of heterocontrol programs as important strategies that assist in the monitoring of the method and have significant participation in the control of the water quality supplied to the population.

ABSTRACT Hepatitis B is a severe public health problem. The main world health centers have discussed it due to its pandemic proportion, high pathogenicity and infectivity. This study aimed to determine the immunization profile of dental surgeons - against hepatitis B virus (HBV) in the Public Health System (PHS) through the detection of anti-HBsAg antibodies by immunochromatography and associations with dental surgeons’ social and educational profile, factors related to professional knowledge and practices. This is a cross-sectional study on the prevalence of vaccination and immune status to HBV in dentists of Sao Paulo State PHS. Data collection occurred in three stages: questionnaire application, analysis of adhesion to the vaccination protocol and anti-HBsAg tests. Statistical analysis used the Bivariate Analysis and the Binary Logistic Regression. From the total of 219 interviewees, 74.9% reported having received three doses of the vaccine, but 35.6% were not immune to HBV. The dependent variable was associated with years in the public service (years) (OR [Odds Ratio]=1.04; 95% CI 1.00-1.08); knowledge on the subject (OR=6.93; 95% CI 1.39-34.40); incorrect answer concerning the etiological agent of the disease (OR=2.60; 95% CI 1.30-5.22); ignorance on the number of vaccine doses that have been administered (OR=3.43; 95% CI 1.14-10.30); and less than three doses of the vaccine in the immunization schedule (OR=8.76; 95% CI 3.50-21.91). A considerable portion of professionals non-immune to the HBV were found. We concluded that knowledge, years of practice and completion of the vaccination schedule (three doses) affected dental surgeons’ immune status to HBV.

Resumo Introdução A deficiência visual acomete aproximadamente 285 milhões de pessoas, em todo o mundo. A prestação de cuidados com a saúde bucal à pessoa com deficiência visual difere dos demais tendo em vista as suas limitações inerentes, as quais podem afetar o atendimento odontológico desses indivíduos. Objetivo Avaliar o acesso das pessoas com deficiência visual aos serviços de saúde bucal e a satisfação delas com o atendimento, além de verificar se há alguma relação com a condição econômica. Método Trata-se de uma pesquisa quantitativa de caráter transversal, sendo a população de estudo formada por pessoas com deficiência visual de um instituto para cegos. Foi utilizado um questionário semiestruturado sobre o tema, cujas variáveis pesquisadas foram: acesso aos serviços de saúde bucal, satisfação e condição socioeconômica. Após a coleta, os dados foram tabulados pelo Epi Info 7.2. Resultados Do total de pesquisados (n=72), 65,28% são do sexo masculino, com idade média de 34,6 anos. Em relação ao acesso aos serviços de saúde bucal, 56,9% dos entrevistados relataram que a última visita ao dentista fazia menos de um ano e a maioria (84,3%) classificou o tratamento da última consulta como bom ou muito bom. O acesso aos serviços de saúde ocorreu tanto no sistema público quanto no privado, independentemente da classe econômica do pesquisado (p=0,174). Conclusão Apesar dos resultados positivos em relação ao acesso e ao atendimento odontológico às pessoas com deficiência visual, se fazem necessárias a criação e a ampliação de políticas de inclusão e de acessibilidade.

Abstract Background approximately 285 million people are visually impaired, oral health care to people with visual impairment differs due to the conditions’ limitations, which may affect the individuals’ dental care. Objective to evaluate the access and satisfaction of people with visual impairment to oral health services and their relationship with the economic condition. Method this is a cross-sectional quantitative study involving people with visual impairment of an Institute for the Blind. A semi-structured questionnaire was used to obtain data, where variables were: access to oral health services, satisfaction and socioeconomic status. After the data collection, the data were tabulated by Epi Info 7.2. Results of the total number of respondents (n = 72), 65.28% were males, with a mean age of 34.6 years. Regarding access to oral health services, 56.9% of the interviewees reported that the last visit to the dentist was less than one year, and the majority (84.3%) classified the treatment of the last consultation with good or very good. Access to oral health services occurred in both the public and private systems, regardless of the economic class of the respondent (p = 0.174). Conclusion in spite of the positive results, access and dental care for people with visual impairment requires the creation and expansion of inclusion and accessibility policies.

Resumo Introdução É importante verificar os rumos da produção científica brasileira na área de odontologia e a conexão dos temas com a Agenda Prioritária em Pesquisa do Ministério da Saúde. Objetivo Analisar o perfil da pesquisa odontológica das instituições de ensino superior apresentada em evento científico brasileiro. Material e método Trata-se de análise documental dos trabalhos apresentados na 35ª reunião anual da SBPqO, na qual foram incluídos 3008 relacionados à pesquisas realizadas no Brasil e na categoria POAC analisou-se os 92 resumos dos anos de 2016 a 2018, verificando-se a subárea da saúde coletiva; tipo de estudo e testes estatísticos empregados. Resultado Dos 3008 trabalhos, 63,6% eram da região Sudeste; 67% de instituições públicas e apenas 38,5% foram financiados principalmente pelas agências de fomento FAPESP, CAPES e CNPq. Os títulos analisados no software IRAMUTEQ apresentaram predomínio dos temas relacionados à epidemiologia da cárie dentária; à qualidade de vida e às doenças crônicas não transmissíveis em crianças, gestantes, mulheres, idosos e indígenas. Na categoria POAC, 46% eram da promoção de saúde, 27% epidemiologia em saúde bucal, 17% educação em saúde e 10% atenção à saúde bucal. A análise estatística foi descrita em apenas 36% dos resumos, nestes, 48% tratava-se de estudos transversais e 78% empregaram testes de associação. Conclusão Houve predomínio da produção científica do país na região sudeste e nas instituições públicas. Observou-se conexão dos temas com os eixos da Agenda Prioritária em Pesquisa do Ministério da Saúde e na categoria POAC predominaram as pesquisa transversais de promoção de saúde.

Abstract Introduction It is important to verify the trends of Brazilian scientific production in the odontology area and the connection of study themes with the Ministry of Health's Priority Research Agenda. Objective Analyze the dental research profile of higher-education institutions presented at a Brazilian scientific event. Material and method This is a documentary analysis of the papers presented at the 35th SBPqO annual meeting, which included 3008 Brazilian studies. Also, 92 abstracts from the POAC category published between 2016 and 2018 were analyzed, verifying the subarea of public health, study type, and statistical tests employed. Result Of the 3008 works, 63.6% were from the Southeast region, 67% were conducted in public institutions, and 38.5% were supported by funding agencies (FAPESP, CAPES and CNPq). The titles analyzed using IRAMUTEQ presented predominance of themes related to dental caries epidemiology, quality of life, and chronic non-communicable diseases in children, pregnant women, women, elderly, and indigenous people. In the POAC category, the studies addressed health promotion (46%), oral health epidemiology (27%), health education (17%), and oral health care (10%). Statistical analysis was described in only 36% of the abstracts, of which 48% were from cross-sectional studies and 78% from surveys that employed association tests. Conclusion Brazilian scientific production in this filed came predominantly from the Southeast region and public institutions. There was connection between the themes and the Priority Research Agenda, and cross-sectional studies addressing health promotion predominated in POAC.

Abstract Objective: To analyze prenatal care in the primary care of the Brazilian Unified Health System. Material and Methods: This is a survey cross sectional research with inquiry-type quantitative-qualitative approach. Data collection was performed in 28 cities of the São Paulo state, through on- site observations and interviews with health secretaries, coordinators of primary and oral health care. The following variables were analyzed: Primary health care services for pregnant woman as educational activities, presence of care and referral protocol and the organization of oral health care. Content analysis was performed for the answers of the open questions and the quantitative treatment of the discursive data was obtained through the categorial analysis. For the answers of the closed questions a descriptive analysis was performed. Results: The total number of participants interviewed was 84 managers. It was observed that 78.6 %% of cities carried out educational activities; 42.9% do not have an active care protocol and 57.1% do not have formal referral guidelines to high-risk pregnancies. The rapid tests for HIV, Syphilis, Hepatitis B and C were confirmed by 53.6% of managers and only 39.3% reported evaluating the vaccine situation. As to dental care, 71.4% of the municipalities do not have an established guideline; 46.4% reported that access occurs through spontaneous demand; 32.1% do not consider pregnant woman a priority care group and 67.9% have instituted prenatal dental care. Conclusion: Prenatal care has guaranteed educational activities, but it has deficiencies related to the work process and to the management of services, due, for the most part, to the inexistence of assistance and organizational protocols.

RESUMO Objetivo: O objetivo foi realizar análise documental de protocolos de atenção à saúde bucal de gestantes. Método: Trata-se de um estudo transversal, descritivo realizado em 2019. Foram realizadas buscas na rede mundial de computadores pelos protocolos sobre saúde materna disponibilizados para acesso público por municípios e estados brasileiros. Foram consideras as seguintes palavras-chave na estratégia de busca: “protocolo”, “guia”, “linha-guia”, “diretrizes” e “orientação”. Na página do Ministério da Saúde, foram consultados os seguintes documentos: Política Nacional de Saúde Bucal, Acolhimento à demanda espontânea: queixas mais comuns na atenção básica e Protocolos de atenção básica: saúde das mulheres. Nos protocolos, foram analisadas as variáveis acesso aos serviços de saúde, estabelecimento da primeira consulta odontológica, descrição de procedimentos indicados e fluxograma para referência e contrarreferência. Resultados: Foram encontrados 12 protocolos municipais, 5 estaduais e 8 internacionais. Nos protocolos nacionais, a maioria não contempla todas as variáveis analisadas, nos procedimentos indicados há grande discordância e o sistema de referência e contrarreferência foi pouco abordado. Nos documentos internacionais a maioria aborda cuidados gerais sobre a atenção odontológica na gestação; alguns abordam a prescrição medicamentosa, forma e a importância do trabalho em equipe multiprofissional para o sucesso da iniciativa, práticas alimentares e problemas relacionados à carie dentária na gestação. Conclusões: Observou-se que a dimensão “tipos de procedimentos indicados” foi mais contemplada. As dimensões “acesso”, “primeira consulta odontológica” e “referência e contrarreferência” não foram citadas em todos os protocolos.

ABSTRACT Objective: The aimed was to analyze health care protocols for pregnant women with a focus on oral health. Method: This is a cross-sectional, descriptive, documental study on oral health conducted on health care protocols for pregnant women in 2019. Searches conducted in the internet identified maternal health protocols made publicly available by Brazilian municipalities and states. In this search, we considered the following keywords in the Portuguese language: “protocolo” (protocol), “guia” (guide), “linha-guia” (guideline), “diretrizes” (guidelines), “documento” (document) and “orientação” (guidance). It was consulted the following documents by the Brazilian Ministry of Health: National Oral Health Policy, Reception to spontaneous demand: most common complaints in basic care and Basic care protocols: women’s health. The following variables were analyzed: the entry point of each pregnant woman in the health care system, their first dental appointment, the reference and the counter-reference system between the levels of care and the procedures performed by the dentist. Results: It was collected a total of 12 municipal protocols, 5 state and 8 international protocols. Most of these documents did not include all the variables analyzed and in national documents, the procedures reported presented a great disagreement and the reference and counter-reference system was little approached. Most of international documents presented a description of general gestation care, changes in women’s period, and the need for prenatal dental care. Conclusions: It was observed that the “procedures indicated” was dimensions most contemplated. The referral and counter-reference system was not mentioned in all documents.

Abstract: The objective of this study was to analyze and compare the filling of the dental certificates by the students of the fourth year of the den tistry course of a Brazilian public university and professionals of specialization courses in the area. The respondents were given a blank sheet written "Certificate", for them to fill out. The period analyzed was from 2014 to 2016. The test was used to compare two proportions and the chi-square test, with a significance level of 5%. A total of 336 individuals participated in the study, of which 167 (49.7%) were fourth year students of the Dentistry course and 169 (50.3%) professionals of specialization courses of the School of Dentistry of Araçatuba. Only 73 (21.7%) correctly filled the certificate. Among the errors, we emphasize the students' insertion of the International Statistical Clas sification of Diseases without the patient's consent and among profes sionals the lack of the General Registry. There was a significant statis tical difference between the categories regarding the correct filling of the certificate (p = 0). We concluded that the dental certificates are filled incorrectly by a considerable portion of the respondents, with minor errors among dentistry students.

Resumen: Este estudio tuvo el objetivo de analizar y comparar la cumplimentación de certificados médicos por estudiantes del cuarto año del curso de Odontología de una universidad pública brasileña y por profesionales de cursos de especialización específicos del área. Entre 2014 y 2016, se dejó a los encuestados una hoja de papel en blanco en cuyo encabezamiento sólo constaba la palabra “Certificado”, a fin de que se lo elaboraran de la manera que juzgaran más adecuada. Se utilizó test para comparación de dos proporciones y Test de Chi- Cuadrado con nivel de significación del 5%. Participaron de la inves tigación 336 individuos, de los cuales 167 (49,7%) eran estudiantes y 169 (50,3%), profesionales de cursos de especialización de la Facultad de Odontología de Araçatuba. Solamente 73 (21,7%) individuos ela boraron el certificado correctamente. Entre los errores de los estu diantes se destaca la inserción de la Clasificación Estadística Interna cional de Enfermedades sin el consentimiento del paciente, y, de los profesionales, la falta del Documento Nacional de Identidad. Hubo diferencia estadística significativa entre las categorías respecto a la correcta cumplimentación del certificado (p=0). Se concluyó que una parte considerable de los encuestados rellena los certificados odonto lógicos incorrectamente, con menores errores entre los estudiantes de Odontología.

Resumo Introdução O Código de Ética Odontológica (CEO), Resolução CFO-118 de maio de 2012, é um documento que preconiza a atuação ética dos profissionais registrados no Conselho Federal de Odontologia, com a intenção de orientação, reflexão e normatização do exercício profissional. Objetivo Analisar o conteúdo do CEO vigente, de forma a identificar aspectos relevantes abordados neste documento. Material e método Realizou-se uma pesquisa documental, descritiva, do CEO de 2012. Os conteúdos textuais dos artigos, parágrafos e incisos da Resolução CFO-118/2012 foram processados pelo software IRAMUTEQ e analisados pelas técnicas lexicográficas de Classificação Hierárquica Descendente (CHD), Análise de Similitude e Nuvem de Palavras. Resultado Na análise quantiqualitativa do corpus textual, foram observadas 5.340 palavras, com média de 89,0 palavras por artigo do CEO. Do total, foram encontradas 1.417 palavras distintas e 1.073 destas, que apresentaram média superior a 3,1 ocorrências por artigo, foram incluídas pelo software na CHD. Esta classificação resultou em seis classes: “Equipe de Saúde”, “Relacionamento Profissional-Paciente”, “Vedações”, “Publicidade e Propaganda”, “Conjunto Normativo” e “Prestação de Serviços”, sendo esta última a mais prevalente (20,1%) e caracterizada pelas palavras: tratamento (χ2=35,6), custo (χ2 =16,5) e trabalho (χ2=16,1). A partir das seis classes, foram identificados três grandes ramos: profissional (29,2%), assistencial (39,3%) e publicidade e propaganda (31,5%). Conclusão A análise léxica demonstrou valorização da prestação de serviços, priorização do ramo assistencial da profissão e de virtudes relacionadas ao profissional, segundo análise do CEO de 2012.

Abstract Introduction The Code of Dental Ethics (CDE), Resolution CFO-118 of May 2012, is a document that advocates the ethical performance of professionals registered in the Federal Council of Dentistry with the intention of orientation, reflection and standardization of professional practice. Objective To analyze the content of the current CEO in order to identify relevant aspects addressed in this document. Material and method A documentary research, descriptive of the 2012 CDE was carried out. The textual contents of the articles, paragraphs and subsections of CFO-118/2012 Resolution were processed by the IRAMUTEQ software and analyzed by Descending Hierarchical Classification (CHD), Similitude Analysis and Word Cloud. Result In the quanti-qualitative analysis of the textual corpus, 5,340 word were observed, with a mean of 89.0 words per CEO article. Of the total, 1,417 distinct words were found and 1,073 of these, which presented an average of more than 3.1 occurrences per article, were included by the software in CHD. This classification resulted in six classes: “Health Team”, “Professional-Patient Relationship”, “Fences”, “Advertising and Marketing”, “Normative Set” and “Services”, the latter being the most prevalent (20, 1%), and characterized by the words: treatment (χ2 = 35.6), cost (χ2 = 16.5) and work (χ2 = 16.1). From the six classes, three major branches were identified: professional (29.2%), care (39.3%) and advertising and marketing (31.5%). Conclusion The lexical analysis demonstrated the valorization of the service rendering, the prioritization of the profession care sector and the virtues related to the professional according to analysis of the CDE of 2012.

Abstract Dental caries in 5-to-8-year-old children with cow's milk protein allergy (CMPA) and lactose intolerance (LI), their treatment needs, and the consumption of milk-based products and milk derivatives by these patients were investigated. A cross-sectional study was undertaken with 200 children in southern Brazil in 2017. The clinical examination was based on the World Health Organization criteria and a questionnaire was sent to parents or legal guardians to collect information on the children's food intake, pre-existing systemic diseases, medication use, and CMPA and LI. Standardization was performed to verify concordance among examiners (kappa = 0.96). Caries prevalence was 67.50% in children with CMPA or LI, but 34.37% in those without these conditions. The mean dmft (decayed, missing, and filled teeth) index in children with CMPA or LI was 1.75 ± 1.84, significantly higher than among non-allergic or lactose-tolerant children (0.83 ± 1.60) (p < 0.001). In children with CMPA or LI, the mean for treatment needs was 1.58 ± 1.50. Lactose-free milk was the most frequently consumed food among allergic/intolerant children (65.00%), with a mean dmft of 2.00 ± 2.08, higher than that obtained for those without CMPA/LI (0.82 ± 0.87), showing no significant difference (p = 0.129). Although dental caries and treatment needs in primary dentition were associated with CMPA or LI, children's intake of replacement foods did not pose any risk for the development of carious lesions. Statistically significant differences were obtained for the prevalence and severity of dental caries. This shows the need for treatment of children with CMPA or LI, who had the worst caries prevalence and severity rates.