ABSTRACT Objective: To translate, cross-culturally adapt and test the psychometric properties of the Parental Feeding Style Questionnaire (PFSQ) to Brazilian Portuguese language. Material and Methods: Three stages were carried out: 1st, the 27-item of PFSQ was translated, back-translated, reviewed by a Committee of Experts and pre-tested (n=60), obtaining the cross-culturally adapted version. 2nd, the final version was self-applied by 42 mothers for internal consistency (Cronbach’s Alpha). After 2-weeks, 19 mothers answered the PFSQ again for reproducibility (Intraclass Correlation Coefficient, ICC). 3rd, 204 mothers of children aged 4-5 years answered the PFSQ for translation validation [convergent validity and exploratory factor analysis (EFA)]. Results: For subscales, Cronbach’s alpha ranged from 0.65 to 0.82; the overall reliability was 0.69, indicating substantial internal consistency. The ICC for overall PFSQ was 0.78 and for domains 0.56-0.89, indicating moderate to excellent reproducibility. ‘Control over eating’ correlated positively with ‘prompting/encouragement to eat’ and negatively with ‘instrumental feeding’; ‘prompting/encouragement to eat’ correlated positively with ‘emotional feeding’. By EFA, PFSQ items were loaded on four factors. ‘Control over eating’ and ‘prompting/encouragement to eat’ settled into two factors, whereas the ‘emotional’ and ‘instrumental feeding’ domains into one factor each. Conclusion: Despite the different factors found by AFE related to the original PFSQ, the reliability was satisfactory, making the Brazilian Portuguese version of the PFSQ adequate to assess parental feeding style.

ABSTRACT Objective: To evaluate the association of oral health-related quality of life (OHRQoL) with the longevity of ART-restorations in children after 18 months. Material and Methods: A longitudinal clinical study with 62 six- to seven-year-old children, both genders, 31 of whom underwent four weeks of oral health education strategy (OHES) followed by ART (GOHES+ART) and the others only ART (GART). The Brazilian short-version of the Child Perceptions Questionnaire (16-CPQ8-10) was used to evaluate the OHRQoL and the perception of change in oral health was assessed by a single question. Data was analyzed using Mann-Whitney, Wilcoxon and Friedman's tests. Results: After 18 months, GOHES+ART reported a greater impairment on OHRQoL, mainly in oral symptoms domain (p<0.05). In this period, greater impairment of oral symptoms was reported in children with failed restorations and with treatment considered to have a minor failure (p<0.05). In inter-group analysis, the GOHES+ART, with 2 to 4 restorations, Class I, of small size, located in the upper arch and with a smaller failure, reported more oral symptoms than the GART. Conclusion: In the long-term, children submitted to OHES followed by ART reported more oral symptoms. Factors such as number, class, size and location of the restorations need to be considered for the implementation of an efficient and effective oral health program, as well as for greater longevity of ART-restorations.

Abstract This study aimed to assess whether complementing atraumatic restorative treatment (ART) with oral health educational strategies (OHES) improves the perception of oral health-related quality of life (OHRQoL) and clinical oral outcomes. A controlled clinical trial included 93 six- to eight-year-old students from five public schools of Piracicaba, Saltinho, and Charqueada municipalities (State of São Paulo, Brazil) divided into 3 groups (31 children each) which received: OHES (caries-free), ART (dental caries), and ART plus OHES (dental caries). OHRQoL (CPQ8-10-ISF:16), dental caries, biofilm control, and gingivitis were assessed before and 1 month after interventions by one calibrated examiner. OHES consisted of an educational interactive activity performed once a week for four weeks. Data were analyzed using mixed model ANOVA, Chi-square, and Sign tests. After 1 month of follow-up, improvement in gingivitis status, OHRQoL total score, and Functional Limitations, Emotional Well-Being and Social Well-Being domains scores were found in all groups (p < 0.05). The improvement in biofilm control was observed only in the OHES group (p < 0.001; power = 0.98), while a decrease in Oral Symptoms scores was observed only in ART+OHES group (p <0.001; power = 0.99) and a significant change in the perception of oral health was observed in the two groups that received ART (p < 0.05). In conclusion, improvement in overall OHRQoL and oral status was observed in all children, although the effect of including health educational strategies in the treatment plan was determinant for the perception of an improved oral health after restorative treatment.

RESUMO A reabsorção radicular é caracterizada pela perda de cemento e/ou dentina da raiz do dente como resultado de uma ação odontoclástica interna ou externa. Este caso relata uma reabsorção cervical precoce da raiz dos dentes decíduos numa criança de 8 anos de idade. Grande reabsorção radicular nas faces mesiais dos caninos decíduos superiores e inferiores direito e esquerdo (dentes #53, #63, #73 e #83), com envolvimento assintomático da polpa, foi detectada durante o exame radiográfico de rotina para planejamento ortodôntico. O paciente foi submetido à exodontia dos dentes comprometidos, utilizando duas técnicas distintas: convencional e alternativa. A técnica convencional, fórceps, foi escolhida para os caninos esquerdo maxilar e mandibular (dentes n.º 63 e n.º 73). E a técnica alternativa utilizando o instrumento periótomo, normalmente necessário para exodontias prévias a cirurgia de implantes dentários, foi utilizada para os caninos direito maxilar e mandibular (dentes n.º 53 e n.º 83). O instrumento periótomo demonstrou ser uma alternativa para melhorar a cirurgia pediátrica devido ao melhor comportamento e cicatrização do paciente, e à redução da duração do procedimento.

ABSTRACT Root resorption is characterized by the loss of cementum and / or dentin from the tooth root as a result of internal or external odontoclastic action. This case reports a premature cervical root resorption of deciduous teeth in an 8-year-old boy. Large root resorption on the mesial faces of the maxillary and mandibular right and left deciduous canines (teeth #53, #63, #73 and #83), with asymptomatic pulp involvement, was detected during routine radiographic examination for orthodontic planning. The patient was managed with extraction of the affected teeth using two different techniques: conventional and alternative. The conventional technique, forceps, was used for the maxillary and mandibular left canines (teeth #63 and #73). And alternative technique using the periotome device, usually required for extraction during dental implant surgery, was used for the maxillary and mandibular right canines (teeth #53 and #83). The periotome device showed to be an alternative to improve pediatric surgery due to better patient behavior and healing, and to reduced procedure length.

Abstract Objective: To perform the transcultural adaptation to Brazil and validation of the Halitosis Associated Life-quality Test (HALT) for use in adolescents. Material and Methods: Students aged 12 to 15 years, of both sexes, with healthy permanent dentition, attending public schools in Piracicaba, Brazil, were selected for this study. The HALT was translated, backtranslated, reviewed by an expert committee and submitted to a pre-test. In the first phase (n = 13), 15% of the sample did not understand items 2, 12 and 15; therefore, these items were reformulated and resubmitted to 13 adolescents. The version with a sociocultural adaptation was self-applied by 56 adolescents (64% females, 13.4 ± 1.0 years), of whom 25 participated in the test-retest. The presence of visible biofilm, gingival bleeding, calculus and tongue coating, was evaluated. Self-perception of halitosis after exhalation/breathing was assessed by a single question. Results: The HALT score ranged from 0 to 62 points (mean = 10.1±13.4) and the floor effect was 5.4%. Internal consistency was excellent (Cronbach's alpha = 0.92) and reproducibility was moderate (Intraclass Correlation Coefficient = 0.59). Individuals with “excessive” tongue coating had a higher HALT score than those with mild and/or moderate coating (p<0.001). Multiple linear regression analysis indicated that only the male sex was related to a higher HALT score (p<0.05). Conclusion: The Brazilian Portuguese version of the HALT was easily understood by adolescents. Those with greater tongue coating accumulation reported more frequently the presence of halitosis, which was only associated to male sex.