RESUMEN El uso de equipamientos de protección personal durante los tratamientos odontológicos garantiza la salud de profesionales y pacientes. Este trabajo tiene como propósito analizar, en la literatura científica, el conocimiento de estudiantes y profesionales de odontología sobre el uso de equipos de protección personal, antes y después de la pandemia COVID-19. Para ello se realizó una revisión integrativa en las bases de datos: Scielo, Pubmed, BVS y Web of Science, incluyendo artículos publicados entre agosto del 2010 y agosto del 2022. Fueron seleccionados 14 artículos, disponibles íntegramente en las bases de datos seleccionadas. Se excluyeron tesis, artículos de revisión, duplicados y aquellos donde la metodología no respondía al objetivo propuesto. En los 14 artículos seleccionados, el método para obtención de datos fue el cuestionario. Los estudios fueron realizados en Brasil, Yemen, Cuba, México, Líbano, Turquía, India, Londres, y Colombia. Seis estudios se realizaron antes de la pandemia y 8 de ellos después de su inicio. Todas las investigaciones evaluaban conocimientos, actitudes, prácticas y factores relacionados con el uso de equipos de protección personal. Se concluye que el uso de equipos de protección personal antes de la pandemia ya era una práctica esencial para garantizar la seguridad de profesionales, estudiantes y pacientes durante los procedimientos odontológicos; con la pandemia de COVID-19 nuevos protocolos fueron establecidos y con ellos nuevos equipamientos como el uso del protector facial y la mascarilla N95.

ABSTRACT The use of personal protective equipment during dental treatments guarantees the professionals and patients’ health. This researcher’s purpose is to analyze in scientific literature the dental students and professionals’ knowledge regarding the use of personal protective equipment, before and after the COVID-19 pandemic. An integrative review was carried out in the databases: Scielo, Pubmed, BVS and Web of Science, including articles published between August 2010 and August 2022. 14 articles were selected, available in full in the selected databases. Theses, review articles, duplicates and those where the methodology did not respond to the proposed objective were excluded. In the 14 selected articles, the method for obtaining data was the questionnaire. The studies were carried out in Brazil, Yemen, Cuba, Mexico, Lebanon, Turkey, India, London, and Colombia. Six studies were carried out before the pandemic and 8 of them after its start. All researches evaluated knowledge, attitudes, practices and factors related to the use of personal protective equipment. It is concluded that the use of personal protective equipment before the pandemic was already an essential practice to guarantee the safety of professionals, students and patients during dental procedures; with the COVID-19 pandemic, new protocols were established and with them new equipment such as the use of the face shield and the N95 mask.

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. COVID19 COVID 19 COVID-1 descriptive exploratory crosssectional cross sectional n 197 SUS, SUS , (SUS) 202 2021 Paulo Brazil calculated CHD. CHD . (CHD) sample urgentemergency urgent emergency 5895 58 95 58.95 56 56) 5474 54 74 54.74 52 52) 7158 71 71.58 68 68) (PPE 8105 81 05 81.05 77 4947 49 47 49.47 47. 47) consultations adjustments COVID1 1 COVID- (SUS 20 (CHD 589 5 9 58.9 547 7 54.7 715 71.5 6 810 8 0 81.0 494 4 49.4 2 58. 54. 71. 81. 49.

RESUMO Objetivo: identificar a frequência de ocorrência do absenteísmo-doença, de acordo com o perfil dos profissionais da Atenção Primária à Saúde (APS), e verificar se houve impacto da pandemia na duração e motivos dos afastamentos. Métodos: estudo transversal, no período de janeiro/2019 a dezembro/2020, com os profissionais de APS de um município do nordeste do estado de São Paulo. Realizou-se estatística descritiva, com cálculo de frequências. Resultados: dos 977 profissionais da APS, 633 (64,79%) utilizaram o atestado médico para justificar sua ausência no trabalho em 2019, e 837 (85,67%), em 2020. O principal motivo dos afastamentos foi as doenças osteomusculares e do tecido conjuntivo nos dois anos. A duração média dos afastamentos foi de 7,33 dias (DP=17,33) em 2019 e de 9,88 dias (DP=16,05) em 2020. Os auxiliares de enfermagem foram os que mais se afastaram em ambos os anos. Conclusões: houve impacto da pandemia na duração e motivos dos afastamentos.

ABSTRACT Objective: to identify the frequency of occurrence of sickness absenteeism, according to the profile of Primary Health Care (PHC) professionals, and verify if there was an impact of the pandemic on absence duration and reason. Methods: a cross-sectional study, from January/2019 to December/2020, with PHC professionals from a municipality in northeastern São Paulo. Descriptive statistics were performed, with frequency calculation. Results: of the 977 PHC professionals, 633 (64.79%) used a medical certificate to justify their absence from work in 2019, and 837 (85.67%) in 2020. The main reason for leave was diseases of the musculoskeletal system and connective tissue in the two years. The mean duration of leave was 7.33 days (SD=17.33) in 2019 and 9.88 days (SD=16.05) in 2020. Nursing assistants were the ones who took the most leave in both years. Conclusions: there was an impact of the pandemic on absence duration and reason.

RESUMEN Objetivo: identificar la frecuencia de ocurrencia del ausentismo-enfermedad, según el perfil de los profesionales de la Atención Primaria de Salud (APS), y verificar si hubo impacto de la pandemia en la duración y motivos de las ausencias. Métodos: estudio transversal, de enero/2019 a diciembre/2020, con profesionales de la APS de un municipio del nordeste del estado de São Paulo. Se realizó estadística descriptiva, con cálculo de frecuencia. Resultados: de los 977 profesionales de APS, 633 (64,79%) utilizaron el certificado médico para justificar su ausencia al trabajo en 2019 y 837 (85,67%) en 2020. El principal motivo de baja fue por enfermedades musculoesqueléticas y del tejido conectivo en los dos años. La duración media de la licencia fue de 7,33 días (DE=17,33) en 2019 y de 9,88 días (DE=16,05) en 2020. Los auxiliares de enfermería fueron los que más disfrutaron de licencia en ambos años. Conclusiones: hubo un impacto de la pandemia en la duración y motivos de las ausencias.

RESUMO Objetivo: Avaliar a prevalência e gravidade da má oclusão e seu impacto na qualidade de vida relacionada à saúde bucal (QVRSB) e a satisfação autorreferida de pacientes com anorexia e bulimia nervosa. Métodos: A amostra foi composta por 60 mulheres que compareceram a uma clínica especializada em saúde mental de uma faculdade brasileira de Medicina. Os participantes foram distribuídos em dois grupos: pacientes com anorexia e bulimia nervosa (ABN; n=30) e pacientes sem distúrbios alimentares (CN; n=30). A oclusão dentária foi avaliada pelo Índice de Estética Dental; a QVRSB foi avaliada usando o questionário OHIP-14; e a satisfação autorreferida com a aparência dos dentes, capacidade de fala e mastigação foi avaliada por meio de entrevistas. Resultados: Má oclusão grave e muito grave foi observada em 26,67% e 46,67% dos pacientes no grupo ABN, respectivamente, enquanto o grupo CN apresentou 80,00% dos pacientes sem anormalidade/má oclusão leve. O grupo ABN apresentou maior proporção de pacientes (p<0,05) com perda dentária, espaçamento na região dos incisivos, desalinhamento maxilar e desalinhamento mandibular, em relação ao grupo CN. O grupo ABN apresentou menor (p<0,05) QVRSB e satisfação autorreferida com a aparência dos dentes, capacidade de fala e mastigação, em comparação ao grupo CN. Houve uma correlação positiva (p<0,05) entre o Índice de Estética Dental e o escore do OHIP-14 no grupo ABN. Conclusões: A prevalência de má oclusão grave no grupo ABN foi alta, com impacto negativo na QVRSB e satisfação autorreferida com a aparência dos dentes, capacidade de fala e mastigação.

ABSTRACT Objective: To evaluate the prevalence and severity of malocclusion and its impact on oral health-related quality of life (OHRQoL) and self-reported satisfaction of patients with anorexia and bulimia nervosa. Methods: The sample consisted of sixty women who attended a specialized mental health clinic of a Brazilian medical school. Participants were distributed into two groups: patients with anorexia and bulimia nervosa (ABN; n=30) and control patients without eating disorders (CN; n=30). The dental occlusion was evaluated by the Dental Aesthetic Index; the OHRQoL was assessed using the OHIP-14 questionnaire; and the self-reported satisfaction with the appearance of teeth, speech ability and chewing was obtained by interviews. Results: Severe and very severe malocclusion were observed in 26.67% and 46.67% of patients in the ABN group, respectively, while the CN group showed 80.00% of patients without abnormality/mild malocclusion. ABN group showed a higher proportion of patients (p < 0.05) with tooth loss, spacing in the region of incisors, maxillary misalignment, and mandibular misalignment in relation to CN group. ABN group presented lower (p< 0.05) OHRQoL and self-reported satisfaction with the appearance of teeth, speech ability and chewing, compared to the CN group. There was a significant positive correlation (p< 0.05) between the Dental Aesthetic Index and OHIP-14 scores in the ABN group. Conclusions: The prevalence of severe malocclusion in ABN group was high, with a negative impact on OHRQoL and self-reported satisfaction with the chewing ability, speech ability and appearance of teeth.

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.

ABSTRACT Objective: To evaluate both knowledge and attitude of public elementary school teachers in Alfenas, Minas Gerais, Brazil, towards Traumatic Dental Injuries (TDIs). Material and Methods: Four hundred and seventy-one teachers from 10 schools were invited to participate in the research. Two hundred and twelve were accepted, being randomly selected to answer semi-structured questionnaires. Statistical tests Chi-Square and Fisher’s Exact Test were also used for the other variables at a significance level of 5% (p<0.05). Results: 212 teachers answered; 34% had first-aid training in college or even voluntarily (22.6%), but only 7.1% had taken training about TDIs. Only 7.5% were satisfied with the knowledge about TDIs, and 12.3% felt prepared to face it. About 10.8% had seen any type of TDI; 53.3% would report to the headmaster and 8% to the school dentist in a TDI event. The teachers’ first attitude towards TDIs would be contacting the child’s parents (63.2% and 58.5%, respectively). About 47.2% would handle the tooth properly (by the crown). Nearly 90.1% would carry out a permanent tooth dental reimplant, which would be conducted immediately (71.2%). About 36.3% of the teachers storage the avulsed tooth in a liquid: milk (46.7%) and saline solution (24.7%). The dry media mentioned were paper (18.9%) and gauze or cotton (15.1%). Most of the teachers (96.2%) stated that they would like to receive information on TDI. Conclusion: Elementary school teachers in Alfenas have partial knowledge about traumatic dental injuries.

Resumo O objetivo deste artigo é realizar uma análise dos fatores que determinam a autopercepção de saúde bucal dos brasileiros sob base metodológica multidimensional. Estudo transversal, com dados provenientes de inquérito em âmbito nacional. Foi realizada entrevista domiciliar com uma amostra de 60.202 adultos. Considerou-se a autopercepção de saúde bucal como variável desfecho e características sociodemográficas, de autocuidado e condição de saúde bucal, de utilização de serviços odontológicos, de condição de saúde geral e de trabalho como variáveis independentes. Empregou-se o teste de redução de dimensionalidade e as variáveis que apresentaram relação passaram pelo teste de regressão logística. A autopercepção negativa de saúde bucal apresentou-se relacionada à dificuldade para se alimentar, avaliação negativa do atendimento recebido durante a última consulta odontológica, autopercepção ruim da condição de saúde geral, não utilização de fio dental, perda dental superior e motivo da última consulta com o cirurgião dentista. A utilização de base metodológica multidimensional foi capaz de (re)desenhar modelos explicativos para a condição percebida de saúde bucal de adultos brasileiros, devendo, os seus resultados serem considerados na implementação, avaliação e qualificação da rede de saúde bucal.

Abstract This article aims to perform an analysis of the factors that determine the self-perception of oral health of Brazilians, based on a multidimensional methodology basis. This is a cross-sectional study with data from a national survey. A household interview was conducted with a sample of 60,202 adults. Self-perception of oral health was considered the outcome variable and sociodemographic characteristics, self-care and oral health condition, use of dental services, general health and work condition as independent variables. The dimensionality reduction test was used and the variables that showed a relationship were submitted to logistic regression. The negative oral health condition was related to difficulty feeding, negative evaluation of the last dental appointment, negative self-perception of general health condition, not flossing, upper dental loss, and reason for the last dental appointment. The use of a multidimensional methodological basis was able to design explanatory models for the self-perception of oral health of Brazilian adults, and these results should be considered in the implementation, evaluation, and qualification of the oral health network.

Resumo Este estudo buscou avaliar a relação entre fatores sociodemográficos e o impacto na Qualidade de Vida Relacionada à Saúde Bucal (QVRSB), em gestantes brasileiras usuárias do Sistema Único de Saúde. Trata-se de um estudo epidemiológico observacional transversal, desenvolvido com gestantes residentes em duas regiões com características sociodemográficas distintas. Foram entrevistadas 1.777 puérperas. Um questionário estruturado e previamente testado coletou as variáveis sociodemográficas e o Oral Health Index Profile (OHIP-14) avaliou o impacto na QVRSB. A análise estatística foi realizada utilizando o teste Qui-quadrado e a regressão logística múltipla, ambos com significância de 5%. A dimensão “desconforto psicológico” foi a única com diferença entre as puérperas da RMGV e MRSM (p=0,042). Associou-se ao impacto na QVRSB as variáveis: residir na RMGV (OR=1,69; IC95%: 1,16-2,47); ter pouca escolaridade (OR=1,80; IC95%: 1,03-3,18) e realizar consulta odontológica durante a gestação (OR=2,15; IC95%: 1,50-3,07). Os fatores sociodemográficos devem ser considerados no planejamento das ações em saúde bucal das gestantes, pois influenciam no impacto na QVRSB.

Abstract This study aimed to evaluate the relationship between sociodemographic factors and the impact on Oral Health-Related Quality of Life (OHR-QoL) in Brazilian pregnant women users of the Unified Health System. This is a cross-sectional epidemiological study developed with pregnant women living in two regions with different sociodemographic characteristics. In total, 1,777 puerperae were interviewed. A structured and previously tested questionnaire collected sociodemographic variables, and the Oral Health Index Profile (OHIP-14) assessed the impact on the OHR-QoL. The statistical analysis was performed using the Chi-square test and multiple logistic regression, both with a significance of 5%. The “psychological discomfort” realm was the only one with a difference between the puerperae of the RMGV and the MRSM (p=0.042). The following variables were associated with the impact on the OHR-QoL: residing in the RMGV (OR=1.69; 95%CI: 1.16-2.47); having a low level of schooling (OR=1.80; 95%CI: 1.03-3.18) and visit to the dentist during pregnancy (OR=2.15, 95%CI: 1.50-3.07). Sociodemographic factors should be considered in the planning of oral health actions of pregnant women, as they influence the impact on the OHR-QoL.

Objetivo: investigar a imunização contra hepatite B em auxiliares em saúde bucal (ASBs) do Sistema Único de Saúde (SUS) de nove cidades do estado de São Paulo, Brasil, em 2018. Métodos: estudo transversal, baseado em entrevista com questionário e avaliação de imunidade pelo teste anti-HBs, realização prévia do teste, seu resultado e interpretação, e orientações recebidas sobre a doença. Resultados: dos 70 ASBs registrados, 35 completaram o esquema vacinal, 29 apresentaram resultado negativo ao teste anti-HBs, 16 realizaram previamente o teste e 43 não compreendiam corretamente seu resultado; houve associação (p=0,025) entre esquema vacinal completo e recebimento de orientações. Conclusão: a maioria dos ASBs recebeu orientações sobre a doença; entretanto, uma parcela considerável não completou o esquema vacinal e apresentou resultado negativo para o teste anti-HBs; poucos realizaram o teste anteriormente e interpretaram corretamente o resultado; evidencia-se cenário alarmante, com deficiência na imunização contra hepatite B entre ASBs.

Abstract Objective: to investigate dental auxiliaries (DA) hepatitis B immunization in Brazilian National Health System (SUS) services in nine cities in São Paulo State, Brazil, in 2018. Methods: this was a cross-sectional study based on interviews using a questionnaire as well as evaluation of immunity using the anti-HBs test, evaluation of prior testing, test result and interpretation and guidance provided about hepatitis B. Results: of the 70 registered DA, 35 completed the course of vaccinations, 29 had negative anti-HBs test results, 16 had tested previously, and 43 did not correctly understand their result; there was association (p=0.025) between completed course of vaccinations and receipt of guidance. Conclusion: most DA received guidance about hepatitis B; however, a considerable portion did not complete the course of vaccinations and had negative anti-HBs test results; few DA had tested previously nor correctly interpreted the result; evidence was found of an alarming scenario in which there are severe shortcomings in DA hepatitis B immunization.

Resumen Objetivo: investigar la inmunización contra hepatitis B en auxiliares en salud bucal (ASB) del Sistema Único de Salud (SUS) del estado de São Paulo, Brasil, en 2018. Métodos: estudio transversal basado en entrevista con cuestionario y evaluación de la inmunidad por prueba anti-HBS, previa realización de la prueba,,sus resultados e interpretación, y orientaciones recibidas sobre la enfermedad. Resultados: de los 70 ASB registrados, 35 completaron el esquema de vacunación, 29 presentaron resultado negativo en la prueba anti-HBs, 16 realizaron previamente la prueba y 43 no entendían correctamente el resultado; se observó asociación (p=0,025) entre la vacunación completa y la recepción de orientaciones. Conclusión: la mayoría de los ASB recibió orientaciones; sin embargo, una parte considerable no completó la vacunación, presentando resultado negativo para la prueba anti-HBs; pocos ASB realizaron la prueba anteriormente e interpretaron correctamente el resultado; se constató un escenario alarmante, con severa deficiencia en la inmunización contra hepatitis B entre los ASB.

Objetivo: investigar a imunização contra hepatite B em auxiliares em saúde bucal (ASBs) do Sistema Único de Saúde (SUS) de nove cidades do estado de São Paulo, Brasil, em 2018. Métodos: estudo transversal, baseado em entrevista com questionário e avaliação de imunidade pelo teste anti-HBs, realização prévia do teste, seu resultado e interpretação, e orientações recebidas sobre a doença. Resultados: dos 70 ASBs registrados, 35 completaram o esquema vacinal, 29 apresentaram resultado negativo ao teste anti-HBs, 16 realizaram previamente o teste e 43 não compreendiam corretamente seu resultado; houve associação (p=0,025) entre esquema vacinal completo e recebimento de orientações. Conclusão: a maioria dos ASBs recebeu orientações sobre a doença; entretanto, uma parcela considerável não completou o esquema vacinal e apresentou resultado negativo para o teste anti-HBs; poucos realizaram o teste anteriormente e interpretaram corretamente o resultado; evidencia-se cenário alarmante, com deficiência na imunização contra hepatite B entre ASBs.

Abstract Objective: to investigate dental auxiliaries (DA) hepatitis B immunization in Brazilian National Health System (SUS) services in nine cities in São Paulo State, Brazil, in 2018. Methods: this was a cross-sectional study based on interviews using a questionnaire as well as evaluation of immunity using the anti-HBs test, evaluation of prior testing, test result and interpretation and guidance provided about hepatitis B. Results: of the 70 registered DA, 35 completed the course of vaccinations, 29 had negative anti-HBs test results, 16 had tested previously, and 43 did not correctly understand their result; there was association (p=0.025) between completed course of vaccinations and receipt of guidance. Conclusion: most DA received guidance about hepatitis B; however, a considerable portion did not complete the course of vaccinations and had negative anti-HBs test results; few DA had tested previously nor correctly interpreted the result; evidence was found of an alarming scenario in which there are severe shortcomings in DA hepatitis B immunization.

Resumen Objetivo: investigar la inmunización contra hepatitis B en auxiliares en salud bucal (ASB) del Sistema Único de Salud (SUS) del estado de São Paulo, Brasil, en 2018. Métodos: estudio transversal basado en entrevista con cuestionario y evaluación de la inmunidad por prueba anti-HBS, previa realización de la prueba,,sus resultados e interpretación, y orientaciones recibidas sobre la enfermedad. Resultados: de los 70 ASB registrados, 35 completaron el esquema de vacunación, 29 presentaron resultado negativo en la prueba anti-HBs, 16 realizaron previamente la prueba y 43 no entendían correctamente el resultado; se observó asociación (p=0,025) entre la vacunación completa y la recepción de orientaciones. Conclusión: la mayoría de los ASB recibió orientaciones; sin embargo, una parte considerable no completó la vacunación, presentando resultado negativo para la prueba anti-HBs; pocos ASB realizaron la prueba anteriormente e interpretaron correctamente el resultado; se constató un escenario alarmante, con severa deficiencia en la inmunización contra hepatitis B entre los ASB.

Resumo Este estudo buscou avaliar a relação entre fatores sociodemográficos e o impacto na Qualidade de Vida Relacionada à Saúde Bucal (QVRSB), em gestantes brasileiras usuárias do Sistema Único de Saúde. Trata-se de um estudo epidemiológico observacional transversal, desenvolvido com gestantes residentes em duas regiões com características sociodemográficas distintas. Foram entrevistadas 1.777 puérperas. Um questionário estruturado e previamente testado coletou as variáveis sociodemográficas e o Oral Health Index Profile (OHIP-14) avaliou o impacto na QVRSB. A análise estatística foi realizada utilizando o teste Qui-quadrado e a regressão logística múltipla, ambos com significância de 5%. A dimensão “desconforto psicológico” foi a única com diferença entre as puérperas da RMGV e MRSM (p=0,042). Associou-se ao impacto na QVRSB as variáveis: residir na RMGV (OR=1,69; IC95%: 1,16-2,47); ter pouca escolaridade (OR=1,80; IC95%: 1,03-3,18) e realizar consulta odontológica durante a gestação (OR=2,15; IC95%: 1,50-3,07). Os fatores sociodemográficos devem ser considerados no planejamento das ações em saúde bucal das gestantes, pois influenciam no impacto na QVRSB.

Abstract This study aimed to evaluate the relationship between sociodemographic factors and the impact on Oral Health-Related Quality of Life (OHR-QoL) in Brazilian pregnant women users of the Unified Health System. This is a cross-sectional epidemiological study developed with pregnant women living in two regions with different sociodemographic characteristics. In total, 1,777 puerperae were interviewed. A structured and previously tested questionnaire collected sociodemographic variables, and the Oral Health Index Profile (OHIP-14) assessed the impact on the OHR-QoL. The statistical analysis was performed using the Chi-square test and multiple logistic regression, both with a significance of 5%. The “psychological discomfort” realm was the only one with a difference between the puerperae of the RMGV and the MRSM (p=0.042). The following variables were associated with the impact on the OHR-QoL: residing in the RMGV (OR=1.69; 95%CI: 1.16-2.47); having a low level of schooling (OR=1.80; 95%CI: 1.03-3.18) and visit to the dentist during pregnancy (OR=2.15, 95%CI: 1.50-3.07). Sociodemographic factors should be considered in the planning of oral health actions of pregnant women, as they influence the impact on the OHR-QoL.

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 O objetivo deste artigo é realizar uma análise dos fatores que determinam a autopercepção de saúde bucal dos brasileiros sob base metodológica multidimensional. Estudo transversal, com dados provenientes de inquérito em âmbito nacional. Foi realizada entrevista domiciliar com uma amostra de 60.202 adultos. Considerou-se a autopercepção de saúde bucal como variável desfecho e características sociodemográficas, de autocuidado e condição de saúde bucal, de utilização de serviços odontológicos, de condição de saúde geral e de trabalho como variáveis independentes. Empregou-se o teste de redução de dimensionalidade e as variáveis que apresentaram relação passaram pelo teste de regressão logística. A autopercepção negativa de saúde bucal apresentou-se relacionada à dificuldade para se alimentar, avaliação negativa do atendimento recebido durante a última consulta odontológica, autopercepção ruim da condição de saúde geral, não utilização de fio dental, perda dental superior e motivo da última consulta com o cirurgião dentista. A utilização de base metodológica multidimensional foi capaz de (re)desenhar modelos explicativos para a condição percebida de saúde bucal de adultos brasileiros, devendo, os seus resultados serem considerados na implementação, avaliação e qualificação da rede de saúde bucal.

Abstract This article aims to perform an analysis of the factors that determine the self-perception of oral health of Brazilians, based on a multidimensional methodology basis. This is a cross-sectional study with data from a national survey. A household interview was conducted with a sample of 60,202 adults. Self-perception of oral health was considered the outcome variable and sociodemographic characteristics, self-care and oral health condition, use of dental services, general health and work condition as independent variables. The dimensionality reduction test was used and the variables that showed a relationship were submitted to logistic regression. The negative oral health condition was related to difficulty feeding, negative evaluation of the last dental appointment, negative self-perception of general health condition, not flossing, upper dental loss, and reason for the last dental appointment. The use of a multidimensional methodological basis was able to design explanatory models for the self-perception of oral health of Brazilian adults, and these results should be considered in the implementation, evaluation, and qualification of the oral health network.