Resumo O objetivo deste estudo transversal foi analisar os fatores associados ao estresse ocupacional entre cirurgiões-dentistas atuantes no setor privado no primeiro ano da pandemia de COVID-19 no Brasil. Incluiu 384 profissionais do estado do Paraná, cujos dados foram obtidos entre agosto e outubro de 2020 por meio de formulário online. Dois desfechos compuseram proxy de estresse ocupacional: (1) ansiedade e preocupação e (2) preparo e segurança para o trabalho durante a pandemia. As variáveis independentes foram agrupadas segundo modelo teórico explicativo em fatores individuais, organizacionais e extraorganizacionais. As associações foram testadas por regressão logística bi e multivariada. Apesar de preparados e seguros, os profissionais se sentiam ansiosos e preocupados para o atendimento clínico. Mulheres, mais jovens e que não receberam orientações sobre as medidas de segurança apresentaram maiores chances de relatar insegurança e despreparo. Profissionais mais jovens, que não participavam da tomada de decisões e que às vezes dispunham de auxiliar para o trabalho a quatro mãos, tiveram maiores chances de se sentirem ansiosos e preocupados. Além dos fatores individuais, fatores organizacionais do trabalho estão associados ao estresse ocupacional entre cirurgiões-dentistas no primeiro ano da pandemia.

Abstract This cross-sectional study examined factors associated with occupational stress among 384 dentists working in the private sector in the first year of the COVID-19 pandemic in Brazil. Data were collected from August to October 2020 through an online form. Two outcomes - (1) anxiety and worry and (2) preparation and safety for work during the pandemic - constituted a proxy for occupational stress. The independent variables were grouped according to the explanatory theoretical model into individual, organisational and extra-organisational factors. Associations were tested by bivariate and multivariate logistic regression. Although prepared and confident, dentists felt anxious and worried about providing clinical care. Women, younger respondents and those who received no guidance on safety measures were more likely to report insecurity and unpreparedness. Younger professionals, those who did not participate in decision-making and who only sometimes had an assistant for four-hand work, were more likely to feel anxious and worried. In addition to individual factors, work organisation factors were associated with occupational stress among dentists in the first year of the pandemic.

Abstract This cross-sectional study examined factors associated with occupational stress among 384 dentists working in the private sector in the first year of the COVID-19 pandemic in Brazil. Data were collected from August to October 2020 through an online form. Two outcomes - (1) anxiety and worry and (2) preparation and safety for work during the pandemic - constituted a proxy for occupational stress. The independent variables were grouped according to the explanatory theoretical model into individual, organisational and extra-organisational factors. Associations were tested by bivariate and multivariate logistic regression. Although prepared and confident, dentists felt anxious and worried about providing clinical care. Women, younger respondents and those who received no guidance on safety measures were more likely to report insecurity and unpreparedness. Younger professionals, those who did not participate in decision-making and who only sometimes had an assistant for four-hand work, were more likely to feel anxious and worried. In addition to individual factors, work organisation factors were associated with occupational stress among dentists in the first year of the pandemic.

Resumo O objetivo deste estudo transversal foi analisar os fatores associados ao estresse ocupacional entre cirurgiões-dentistas atuantes no setor privado no primeiro ano da pandemia de COVID-19 no Brasil. Incluiu 384 profissionais do estado do Paraná, cujos dados foram obtidos entre agosto e outubro de 2020 por meio de formulário online. Dois desfechos compuseram proxy de estresse ocupacional: (1) ansiedade e preocupação e (2) preparo e segurança para o trabalho durante a pandemia. As variáveis independentes foram agrupadas segundo modelo teórico explicativo em fatores individuais, organizacionais e extraorganizacionais. As associações foram testadas por regressão logística bi e multivariada. Apesar de preparados e seguros, os profissionais se sentiam ansiosos e preocupados para o atendimento clínico. Mulheres, mais jovens e que não receberam orientações sobre as medidas de segurança apresentaram maiores chances de relatar insegurança e despreparo. Profissionais mais jovens, que não participavam da tomada de decisões e que às vezes dispunham de auxiliar para o trabalho a quatro mãos, tiveram maiores chances de se sentirem ansiosos e preocupados. Além dos fatores individuais, fatores organizacionais do trabalho estão associados ao estresse ocupacional entre cirurgiões-dentistas no primeiro ano da pandemia.

RESUMO Objetivou-se descrever a condição de saúde bucal de idosos institucionalizados, com enfoque no edentulismo, na necessidade de prótese e na Autopercepção de Saúde Bucal (ASB), e explorar a associação com fatores individuais. Um estudo transversal foi realizado em Ponta Grossa, município do Sul do Brasil, com amostra de conveniência de idosos residentes em três Instituições de Longa Permanência para Idosos. Por meio de questionário estruturado, foram coletados dados sobre características demográficas, de saúde geral e bucal e acesso a serviços de saúde. No exame bucal, avaliou-se o Índice de dentes permanentes Cariados, Perdidos e Obturados (CPO-D), número de dentes presentes, uso e necessidade de prótese dentária e presença de lesões bucais. Foram avaliados 130 idosos, a maioria com mais de 80 anos (62,20%). O CPO-D médio foi de 30,62 (desvio-padrão 2,85), 62,31% dos idosos eram edêntulos, 41,54% usavam e 79,23% necessitavam de prótese dentária. As lesões bucais foram identificadas em 35,42% dos avaliados, e 64,86% dos idosos classificaram a ASB como boa. Conclui-se que a saúde bucal dos participantes foi considerada ruim, do ponto de vista clínico, levando em consideração a alta prevalência de edentulismo e a necessidade do uso de prótese dentária.

ABSTRACT The aim was to describe the oral health status of institutionalized older people, focusing on edentulism, need for dentures, and Self-Perception of Oral Health (SPOH), and to explore the association with individual factors. A cross-sectional study was carried out in Ponta Grossa, in the South of Brazil, with a convenience sample of older people living in three Long Stay Institutions for the Elderly. Using a structured questionnaire, data on demographic, general, and oral health characteristics and access to health services were collected. In the oral examination, the Index of Decayed, Missing and Filled permanent Teeth (DMFT), number of teeth present, use and need for dental prosthesis, and presence of oral lesions were evaluated. 130 older people were evaluated, most of them over 80 years old (62.20%). The mean DMFT was 30.62 (± 2.85), 62.31% of attendees were edentulous, 41.54% used, and 79.23% needed dental prosthesis. Oral lesions were identified in 35.42% of those evaluated and 64.86% of the participants classified their SPOH as good. It is concluded that the oral health of the participants was considered poor, from a clinical point of view, taking into account the high prevalence of edentulism and the need to use dental prosthesis.

Abstract This study aimed to compare the availability of supplies and amalgam and composite resin restorations among Oral Health Teams (OHT) in Brazilian regions. Secondary data were extracted from Modules I and II of the 1st (2012) and V and VI of the 2nd (2014) and 3rd cycle (2017) of the external evaluation of the National Program for Access and Quality in Primary Care2. The proportions between regions and cycles were compared using the Chi-square test with the z-test adjusted by the Bonferroni method (p<0.05). Among 2012, 2014, and 2017 there was a significant reduction in the proportion of OHT that performed amalgam restorations (87.5%, 89.2%, and 80.2%; p<0.001) and an increase in resin composite (92.5 %, 97.7%, and 99.0%; p<0.001), with the same trend in Brazilian regions (p<0.001). Amalgamator availability decreased among 2012 (99.0%), 2014 (98.4%) and 2017 (85.6%) (p<0.001). Amalgam availability was lower in 2017 (80.1%), compared to 2012 (87.5%) and 2014 (97.5%) (p<0.001). The availability of light curing decreased between 2012 (99.0%), 2014 (98.4%) and 2017 (85.6%) (p<0.001), being less available in the North (95.7%) (p<0.001). The light-curing resin increased between 2012 (94.1%), 2014 (96.6%) and 2017 (97.0%) (p<0.001), with no increase only in the North (p=0.134). While there was a reduction in supplies and amalgam restoration, there was an increase in supplies and resin composite restorations in the period evaluated in all Brazilian regions. However, regional disparities are still evident, with fewer supplies of restorative services in the North region.

Resumo Este estudo objetivou comparar a disponibilidade de fornecimentos e restaurações de amálgama e resina composta entre as Equipas de Saúde Oral (OHT) por regiões brasileiras. Os dados secundários foram extraídos dos módulos I e II do 1º (2012) e V e VI do 2º (2014) e 3º ciclo (2017) da avaliação externa do Programa Nacional de Acesso e Qualidade em Cuidados Primários. As proporções entre regiões e ciclos foram comparadas utilizando o teste Qui-quadrado com o teste z ajustado pelo método de Bonferroni (p<0,05). Entre 2012, 2014, e 2017 houve uma redução significativa na proporção de OHT que realizou restaurações de amálgama (87,5%, 89,2%, e 80,2%; p<0,001) e um aumento na resina composta (92,5%, 97,7%, e 99,0%; p<0,001), com a mesma tendência nas regiões brasileiras (p<0,001). A disponibilidade de amalgamadores diminuiu entre 2012 (99,0%), 2014 (98,4%) e 2017 (85,6%) (p<0,001). A disponibilidade de amálgama foi menor em 2017 (80,1%), em comparação com 2012 (87,5%) e 2014 (97,5%) (p<0,001). A disponibilidade de polimerização por luz diminuiu entre 2012 (99,0%), 2014 (98,4%) e 2017 (85,6%) (p<0,001), estando menos disponível no Norte (95,7%) (p<0,001). A resina fotopolimerizadora aumentou entre 2012 (94,1%), 2014 (96,6%) e 2017 (97,0%) (p<0,001), sem aumento apenas no Norte (p=0,134). Embora tenha havido uma redução nos fornecimentos e restauração de amálgamas, houve um aumento nos fornecimentos e restaurações de resina composta no período avaliado em todas as regiões brasileiras. Contudo, as disparidades regionais são ainda evidentes, com menos oferta de serviços de restauração na região Norte.

ABSTRACT The aim was to describe the oral health status of institutionalized older people, focusing on edentulism, need for dentures, and Self-Perception of Oral Health (SPOH), and to explore the association with individual factors. A cross-sectional study was carried out in Ponta Grossa, in the South of Brazil, with a convenience sample of older people living in three Long Stay Institutions for the Elderly. Using a structured questionnaire, data on demographic, general, and oral health characteristics and access to health services were collected. In the oral examination, the Index of Decayed, Missing and Filled permanent Teeth (DMFT), number of teeth present, use and need for dental prosthesis, and presence of oral lesions were evaluated. 130 older people were evaluated, most of them over 80 years old (62.20%). The mean DMFT was 30.62 (± 2.85), 62.31% of attendees were edentulous, 41.54% used, and 79.23% needed dental prosthesis. Oral lesions were identified in 35.42% of those evaluated and 64.86% of the participants classified their SPOH as good. It is concluded that the oral health of the participants was considered poor, from a clinical point of view, taking into account the high prevalence of edentulism and the need to use dental prosthesis.

RESUMO Objetivou-se descrever a condição de saúde bucal de idosos institucionalizados, com enfoque no edentulismo, na necessidade de prótese e na Autopercepção de Saúde Bucal (ASB), e explorar a associação com fatores individuais. Um estudo transversal foi realizado em Ponta Grossa, município do Sul do Brasil, com amostra de conveniência de idosos residentes em três Instituições de Longa Permanência para Idosos. Por meio de questionário estruturado, foram coletados dados sobre características demográficas, de saúde geral e bucal e acesso a serviços de saúde. No exame bucal, avaliou-se o Índice de dentes permanentes Cariados, Perdidos e Obturados (CPO-D), número de dentes presentes, uso e necessidade de prótese dentária e presença de lesões bucais. Foram avaliados 130 idosos, a maioria com mais de 80 anos (62,20%). O CPO-D médio foi de 30,62 (desvio-padrão 2,85), 62,31% dos idosos eram edêntulos, 41,54% usavam e 79,23% necessitavam de prótese dentária. As lesões bucais foram identificadas em 35,42% dos avaliados, e 64,86% dos idosos classificaram a ASB como boa. Conclui-se que a saúde bucal dos participantes foi considerada ruim, do ponto de vista clínico, levando em consideração a alta prevalência de edentulismo e a necessidade do uso de prótese dentária.

Aim To investigate surveillance, biosafety, and education strategies of Brazilian oral health care workers (OHCWs) during the first wave of the COVID-19 outbreak. Methods This was a cross-sectional study covering OHCWs from a single multicenter research centre. A self-administered and validated online questionnaire was used for data collection, including the following variables: sociodemographic, medical history, biosafety, professional experience, surveillance, and education. Results The sample consisted of 644 OHCWs (82.5% dentists, 13.2% dental assistants and 4.3% technicians), most without comorbidities (84.8%), from the public (51.7%) and private (48.3%) health systems, in 140 cities of a southern state. The most prominent measures of surveillance were waiting room distancing and visual alerts, symptom assessment, and availability of guidelines on COVID-19. Regarding biosafety measures, the lowest adherence was related to intraoral radiographs (2.7±1.4; 95%CI: 2.6–2.9), use of dental dams (2.1±1.4; 95%CI: 2.0–2.2), and availability of high-power suction systems (2.5±1.7; 95%CI: 2.3–2.6). Among OHCWs, 52.6% received guidance on measures to take during dental care in the workplace. Continuing education was mainly through documents from non-governmental health authorities (77.4%). Conclusion Surveillance and biosafety measures were adopted, but activities that reduce the spread of aerosols had less adherence. These findings underscore the importance of considering dental practices, and surveillance and education strategies to formulate policies and relevant support to address health system challenges during the COVID-19 pandemic. A coordinated action of permanent education by policymakers is necessary.

RESUMO O objetivo deste estudo transversal foi identificar adequações quanto à utilização de Equipamentos de Proteção Individual e organização do processo de trabalho no atendimento odontológico ambulatorial no Paraná durante o primeiro ano da pandemia da Covid-19. A amostra de conveniência incluiu 1.105 profissionais de saúde bucal (cirurgiões-dentistas, técnicos e auxiliares em saúde bucal) durante o primeiro ano da pandemia (agosto a outubro de 2020). Formulário on-line (Google Formulários®) foi enviado por e-mail pelo Conselho Regional de Odontologia. As medidas de enfrentamento da Covid-19 foram comparadas entre os tipos de serviços odontológicos: ambulatorial do Sistema Único de Saúde – SUS (Atenção Primária, Centro de Especialidades Odontológicos e Pronto Atendimento), clínica privada, e outros (Sistema S, forças de segurança, sindicatos, hospitais públicos e privados e clínicas de ensino). Os profissionais dos serviços ambulatoriais do SUS relataram com maior frequência que: suspenderam atendimentos eletivos, evitavam gerar aerossóis e trabalhavam a quatro mãos. Nas clínicas privadas, utilizavam frequentemente teleorientação e telemonitoramento. Nos ‘outros serviços’, houve maior proporção de redução das horas de trabalho e autoclavagem de peças de mão após cada atendimento. Conclui-se que, apesar da alta adequação às medidas de enfrentamento da Covid-19, houve diferença na prática profissional nos diferentes tipos de serviços odontológicos.

ABSTRACT This cross-sectional study aimed to identify adjustments regarding the use of Personal Protective Equipment and the organization of the work process in outpatient dental care in Paraná during the first year of the COVID-19 pandemic. The convenience sample included 1,105 oral health professionals (dental surgeons, oral health assistants, and dental hygienists) during the first year of the pandemic (August to October, 2020). An online form (Google Forms®) was sent by email by the Regional Council of Dentistry. COVID-19’s measures were compared between the types of dental services: ‘outpatient clinic of the Unified Health System – SUS’ (Primary Care, Dental Specialty Center, and Emergency Care), ‘private clinic’ and ‘other services’ (Sistema S, security forces, trade union, public and private hospitals, and teaching clinics). Professionals from SUS outpatient services reported more frequently: that they suspended elective care, avoided generating aerosols, and worked four-handed. Professionals from ‘private clinics’ used teleorientation and telemonitoring more regularly. In the ‘other services’, there was a more significant proportion reduction in work hours and handpieces autoclaving after each service. It is concluded that, despite the high adequacy of the measures to combat COVID-19, there was a difference in professional practice among the different types of dental services.

ABSTRACT This cross-sectional study aimed to identify adjustments regarding the use of Personal Protective Equipment and the organization of the work process in outpatient dental care in Paraná during the first year of the COVID-19 pandemic. The convenience sample included 1,105 oral health professionals (dental surgeons, oral health assistants, and dental hygienists) during the first year of the pandemic (August to October, 2020). An online form (Google Forms®) was sent by email by the Regional Council of Dentistry. COVID-19’s measures were compared between the types of dental services: ‘outpatient clinic of the Unified Health System – SUS’ (Primary Care, Dental Specialty Center, and Emergency Care), ‘private clinic’ and ‘other services’ (Sistema S, security forces, trade union, public and private hospitals, and teaching clinics). Professionals from SUS outpatient services reported more frequently: that they suspended elective care, avoided generating aerosols, and worked four-handed. Professionals from ‘private clinics’ used teleorientation and telemonitoring more regularly. In the ‘other services’, there was a more significant proportion reduction in work hours and handpieces autoclaving after each service. It is concluded that, despite the high adequacy of the measures to combat COVID-19, there was a difference in professional practice among the different types of dental services.

RESUMO O objetivo deste estudo transversal foi identificar adequações quanto à utilização de Equipamentos de Proteção Individual e organização do processo de trabalho no atendimento odontológico ambulatorial no Paraná durante o primeiro ano da pandemia da Covid-19. A amostra de conveniência incluiu 1.105 profissionais de saúde bucal (cirurgiões-dentistas, técnicos e auxiliares em saúde bucal) durante o primeiro ano da pandemia (agosto a outubro de 2020). Formulário on-line (Google Formulários®) foi enviado por e-mail pelo Conselho Regional de Odontologia. As medidas de enfrentamento da Covid-19 foram comparadas entre os tipos de serviços odontológicos: ambulatorial do Sistema Único de Saúde – SUS (Atenção Primária, Centro de Especialidades Odontológicos e Pronto Atendimento), clínica privada, e outros (Sistema S, forças de segurança, sindicatos, hospitais públicos e privados e clínicas de ensino). Os profissionais dos serviços ambulatoriais do SUS relataram com maior frequência que: suspenderam atendimentos eletivos, evitavam gerar aerossóis e trabalhavam a quatro mãos. Nas clínicas privadas, utilizavam frequentemente teleorientação e telemonitoramento. Nos ‘outros serviços’, houve maior proporção de redução das horas de trabalho e autoclavagem de peças de mão após cada atendimento. Conclui-se que, apesar da alta adequação às medidas de enfrentamento da Covid-19, houve diferença na prática profissional nos diferentes tipos de serviços odontológicos.

RESUMO O objetivo do trabalho foi descrever a adesão às normas de biossegurança para o enfrentamento da Covid-19 entre profissionais de saúde bucal no município de Ponta Grossa-PR. Estudo transversal e descritivo, realizado com amostra de conveniência de Cirurgiões-Dentistas (CD), Técnicos em Saúde Bucal (TSB) e Auxiliares em Saúde Bucal (ASB) dos serviços odontológicos públicos e privados em nível ambulatorial. A coleta ocorreu entre agosto e outubro de 2020, com questionário on-line enviado por e-mail via Conselho Regional de Odontologia e mídias sociais. Dos 106 profissionais de saúde bucal incluídos, 79,2% eram CD; 16%, ASB; e 4,8%, TSB. A maioria não tinha condição de risco para Covid-19 (90,6%), trabalhava em clínicas da atenção básica (54%) e não interrompeu ou se afastou do serviço (44,3%). Em relação aos atendimentos, 49,1% restringiram os atendimentos somente em casos de urgência e emergência, 33% evitaram procedimentos que geravam aerossóis. A maioria adotou uso do face shield (75,5%), máscara N95/PPF2S/ou equivalente (62,3%) e avental impermeável (53,8%). Os profissionais de saúde bucal de Ponta Grossa-PR aderiram à maioria das normas de biossegurança no enfrentamento da Covid-19, principalmente no acesso e uso de equipamentos de proteção individual, e menos na realização de procedimentos clínicos com geração de aerossóis.

ABSTRACT The aim of this research was to describe the adherence to biosafety standards to face Covid-19 among oral health professionals in the city of Ponta Grossa-PR. The cross-sectional and descriptive study was carried out with convenience sample of Dental Surgeons (DS), Technicians (OHT), and Oral Health Assistants (OHA) from public and private dental services on an outpatient basis. Data collection took place between August and October 2020, through an on-line questionnaire sent by email by the Dental Regional Council and social media. Of the 106 oral health professionals included, 79.2% were DS, 16% OHA, and 4.8% OHT. Most of them were not at risk for Covid-19 (90.6%), worked in primary care dental clinics (54%), and did not interrupt or leave the service (44.3%). In relation to care, 49.1% restricted care only in cases of urgency and emergency and 33% avoided procedures that generate aerosols. The majority adopted the use of face shield (75.5%), face mask N95 / PPF2S / or similar (62.3%), and waterproof apron (53.8%). Oral health professionals in Ponta Grossa-PR adhered to most biosafety standards for facing Covid-19, especially in terms of access to and use of personal protective equipment, and less in performing clinical procedures with the generation of aerosols.

RESUMO O objetivo do trabalho foi descrever a adesão às normas de biossegurança para o enfrentamento da Covid-19 entre profissionais de saúde bucal no município de Ponta Grossa-PR. Estudo transversal e descritivo, realizado com amostra de conveniência de Cirurgiões-Dentistas (CD), Técnicos em Saúde Bucal (TSB) e Auxiliares em Saúde Bucal (ASB) dos serviços odontológicos públicos e privados em nível ambulatorial. A coleta ocorreu entre agosto e outubro de 2020, com questionário on-line enviado por e-mail via Conselho Regional de Odontologia e mídias sociais. Dos 106 profissionais de saúde bucal incluídos, 79,2% eram CD; 16%, ASB; e 4,8%, TSB. A maioria não tinha condição de risco para Covid-19 (90,6%), trabalhava em clínicas da atenção básica (54%) e não interrompeu ou se afastou do serviço (44,3%). Em relação aos atendimentos, 49,1% restringiram os atendimentos somente em casos de urgência e emergência, 33% evitaram procedimentos que geravam aerossóis. A maioria adotou uso do face shield (75,5%), máscara N95/PPF2S/ou equivalente (62,3%) e avental impermeável (53,8%). Os profissionais de saúde bucal de Ponta Grossa-PR aderiram à maioria das normas de biossegurança no enfrentamento da Covid-19, principalmente no acesso e uso de equipamentos de proteção individual, e menos na realização de procedimentos clínicos com geração de aerossóis.

ABSTRACT The aim of this research was to describe the adherence to biosafety standards to face Covid-19 among oral health professionals in the city of Ponta Grossa-PR. The cross-sectional and descriptive study was carried out with convenience sample of Dental Surgeons (DS), Technicians (OHT), and Oral Health Assistants (OHA) from public and private dental services on an outpatient basis. Data collection took place between August and October 2020, through an on-line questionnaire sent by email by the Dental Regional Council and social media. Of the 106 oral health professionals included, 79.2% were DS, 16% OHA, and 4.8% OHT. Most of them were not at risk for Covid-19 (90.6%), worked in primary care dental clinics (54%), and did not interrupt or leave the service (44.3%). In relation to care, 49.1% restricted care only in cases of urgency and emergency and 33% avoided procedures that generate aerosols. The majority adopted the use of face shield (75.5%), face mask N95 / PPF2S / or similar (62.3%), and waterproof apron (53.8%). Oral health professionals in Ponta Grossa-PR adhered to most biosafety standards for facing Covid-19, especially in terms of access to and use of personal protective equipment, and less in performing clinical procedures with the generation of aerosols.

Abstract Objective: To analyze the role of an individual’s perception of their partner’s oral health in heterosexual couples. Material and Methods: The exploratory study with a qualitative and quantitative approach and data were collected in households in 2015. The quantitative data were analyzed using simple and multivariate binary logistic regression (p<0.05), and the qualitative using Thematic Content Analysis. Results: Of 143 participants, 113 (79.0%) were in a relationship and made up the final sample of the present study. Both women and men reported a small percentage of discomfort in relation to their partners’ oral health (23.1% vs. 14.8%; p=0.199), and only a few had received complaints about their own oral health (20.7% vs. 10.7%; p=0.179). However, almost half of the sample had been told by their partner to see the dentist (47.6% vs. 31.0%; p=0.156), and of these, most were men (48.3% vs. 25.0%; p=0.022). The men that were more likely to be told by their partners to see the dentist (OR=5.82; 95% CI: 1.71-19.80) were upper-class (OR=3.35; 95% CI: 1.05-10.67), workers (OR=7.45; 95% CI: 1.62-34.20) who were dissatisfied with their oral health (OR=3.45; 95% CI: 1.13-10.51). The participants’ reasons for complaining of their partners’ oral health or for telling them to see the dentist were related to physiopathological clinical aspects and healthcare habits. Conclusion: The women told their male partners to seek dental services more often, and future studies should explore whether women are predictors of care and the validity of this information as an indicator of the oral health condition of their male partners.

Abstract The aim of this study was to perform a cross-cultural adaptation of the Brazilian version of the Dental Neglect Scale (DNS). The process included (i) Translation; ii) Synthesis; iii) Back translation; (iv) Critical analysis by a committee of experts; (v) Pilot studies (n1=30 + n2=30); and (6) Evaluation and refinement of the instrument. The validated DNS presented a Content Validity Index (CVI) equal to 1.0 for the total score, as well as for each item. In the pilot studies, a minimum agreement level of 80% in understanding was achieved. DNS was properly adapted for Brazilian Portuguese, and it needs further study in a representative sample for reliability and construct validity assessment.

RESUMO Teve-se por objetivo analisar as condições de acessibilidade, estrutura e oferta de serviços odontológicos de Unidades Básicas de Saúde com Equipe de Saúde Bucal e compará-los entre as regiões geográficas brasileiras. O estudo quantitativo, analítico e transversal utilizou dados secundários referentes aos Módulo I, V e VI da Avaliação Externa do 2º Ciclo do Programa Nacional de Melhoria do Acesso e da Qualidade da Atenção Básica (PMAQ-AB) (2013-2014). A análise descritiva foi realizada por frequências absolutas (n) e relativas (%), e houve comparação entre regiões brasileiras pelo teste qui-quadrado com uso do Teste Z ajustado pelo método Bonferroni (p<0,05). A amostra foi constituída por 24.056 Unidades Básicas de Saúde, nas quais atuavam 29.778 Equipes de Atenção Básica; destas, 16.203 (67,3%) possuíam serviços odontológicos e abrigavam 18.119 Equipes de Saúde Bucal. De maneira geral, as Unidades Básicas de Saúde apresentavam boa estrutura física, porém, baixa acessibilidade para pessoas com deficiência. Os consultórios odontológicos apresentavam estrutura física adequada e equipamentos, instrumentos e insumos odontológicos suficientes. No entanto, exibiam alta proporção na oferta de serviço mutiladores em comparação a procedimentos que evitariam as extrações dentárias, e baixa oferta de referência especializada. Além disso, houve evidenciadas desigualdades regionais, favoráveis às regiões Sul e Sudeste.

ABSTRACT The aim of the study was to analyze the conditions of accessibility, structure and offer of dental services in Basic Health Units with the Oral Health Team and to compare them between the Brazilian geographic regions. The quantitative, analytical and cross-sectional study used secondary data referring to Module I, V and VI of the External Evaluation of the 2nd Cycle of the National Program for Improving Access and Quality of Primary Care (PMAQ-AB) (2013-2014). The descriptive analysis was performed by absolute (n) and relative (%) frequencies, and there was a comparison between Brazilian regions using the chi-square test using the Z Test adjusted by the Bonferroni method (p <0.05). The sample consisted of 24,056 Basic Health Units, in which 29,778 Primary Care Teams worked; of these, 16,203 (67.3%) had dental services and housed 18,119 Oral Health Teams. In general, the Basic Health Units had a good physical structure, but low accessibility for disabled persons. The dental offices had adequate physical structure and sufficient dental equipment, instruments and supplies. However, they exhibited a high proportion of mutilating service offerings compared to procedures that would avoid tooth extractions, and a low specialized reference supply. In addition, regional inequalities were observed, favorable to the South and Southeast regions.

RESUMO Teve-se por objetivo analisar as condições de acessibilidade, estrutura e oferta de serviços odontológicos de Unidades Básicas de Saúde com Equipe de Saúde Bucal e compará-los entre as regiões geográficas brasileiras. O estudo quantitativo, analítico e transversal utilizou dados secundários referentes aos Módulo I, V e VI da Avaliação Externa do 2º Ciclo do Programa Nacional de Melhoria do Acesso e da Qualidade da Atenção Básica (PMAQ-AB) (2013-2014). A análise descritiva foi realizada por frequências absolutas (n) e relativas (%), e houve comparação entre regiões brasileiras pelo teste qui-quadrado com uso do Teste Z ajustado pelo método Bonferroni (p<0,05). A amostra foi constituída por 24.056 Unidades Básicas de Saúde, nas quais atuavam 29.778 Equipes de Atenção Básica; destas, 16.203 (67,3%) possuíam serviços odontológicos e abrigavam 18.119 Equipes de Saúde Bucal. De maneira geral, as Unidades Básicas de Saúde apresentavam boa estrutura física, porém, baixa acessibilidade para pessoas com deficiência. Os consultórios odontológicos apresentavam estrutura física adequada e equipamentos, instrumentos e insumos odontológicos suficientes. No entanto, exibiam alta proporção na oferta de serviço mutiladores em comparação a procedimentos que evitariam as extrações dentárias, e baixa oferta de referência especializada. Além disso, houve evidenciadas desigualdades regionais, favoráveis às regiões Sul e Sudeste.

ABSTRACT The aim of the study was to analyze the conditions of accessibility, structure and offer of dental services in Basic Health Units with the Oral Health Team and to compare them between the Brazilian geographic regions. The quantitative, analytical and cross-sectional study used secondary data referring to Module I, V and VI of the External Evaluation of the 2nd Cycle of the National Program for Improving Access and Quality of Primary Care (PMAQ-AB) (2013-2014). The descriptive analysis was performed by absolute (n) and relative (%) frequencies, and there was a comparison between Brazilian regions using the chi-square test using the Z Test adjusted by the Bonferroni method (p <0.05). The sample consisted of 24,056 Basic Health Units, in which 29,778 Primary Care Teams worked; of these, 16,203 (67.3%) had dental services and housed 18,119 Oral Health Teams. In general, the Basic Health Units had a good physical structure, but low accessibility for disabled persons. The dental offices had adequate physical structure and sufficient dental equipment, instruments and supplies. However, they exhibited a high proportion of mutilating service offerings compared to procedures that would avoid tooth extractions, and a low specialized reference supply. In addition, regional inequalities were observed, favorable to the South and Southeast regions.

Abstract Objective: This cross-sectional research evaluated caries prevalence and treatment need in pre-school children using different indexes. Material and Methods: A sample of 931 children (3-5 years old) attending public schools were examined by two calibrated researchers, who recorded the caries prevalence using dmf-t and ICDAS II. The clinical records obtained directed the decision regarding the treatment needs, which were divided into non-invasive and invasive procedures according to the scores registered in the different caries indexes. Descriptive statistics were used to present the data related to each index; qui-square test was used to compare the need of invasive and non-invasive treatment in the different ages. Results: The mean dmf-t was 1.8 ± 2.9, with a 42.9% caries prevalence. Using cut-off points of ICDAS II (≥1, ≥3 and ≥4), the caries prevalence values found were 50.7%, 40.8% and 30.7%, respectively. Five-year-old children exhibited the highest caries prevalence, assessed with dmf-t or ≥3 and ≥4 cut-off points of ICDAS II (≥3: p=0.032; ≥4: p=0.015). The percentages of caries-free children were 49.1% and 57.1%, respectively for ICDAS II and dmf-t. Restorative treatment in at least one tooth was required by 30.7% and 40% of the children for ICDAS II and dmf-t. Only ICDAS II could establish the percentage of non-invasive treatments (20%). Both indices pointed out the expressive need of restorative treatment. Conclusion: The use of dmf-t in epidemiological surveys may underestimate caries prevalence whereas the ICDAS II allowed the identification of early carious lesions and the viability of the use of non-invasive procedures as caries control measures in a child population.