Abstract This exploratory study investigated whether children with dental decay were more likely to have COVID-19 than those without caries. The children underwent dental inspection and blood collection for detection of SARS-CoV-2 antibodies. Fifty-four children aged 6 to 9 years participated in the survey, which was conducted between March and June 2020 in the municipality of Ipojuca, Pernambuco, Brazil. The diagnosis of caries was performed using the dmft and DMFT indices. Parents reported signs and symptoms of sickness in their children during this period. The serology test aimed to verify the immune response of the children to coronavirus by detecting IgM/IgG antibodies. Statistical analyses were performed at P < 0.05. The majority of the children presented caries (68.5%). Of the nine children who tested positive for COVID-19 (16.7%), eight presented IgG antibodies to the virus, and only one had IgG and IgM antibodies to SARS-CoV2. Children who tested positive for SARS-CoV-2 had a higher percentage of caries lesions than those who tested negative for SARS-CoV-2 (77.8% vs 65.9%), but this difference was not statistically significant.

ABSTRACT Objective: To evaluate the influence of non-invasive treatment associated with the use of infiltrating resin for managing caries lesions in primary teeth. Material and Methods: A systematic review was performed by selecting articles from 6 online databases, using a search algorithm and eligibility criteria for data extraction and data synthesis for the papers included. Clinical trials involving primary teeth with incipient caries lesions (1/2 of the enamel or 1/3 of the outer dentin) were included, presenting full text and answering the study's guiding question. This study used the RoB 2 tool for the risk of bias assessment and GRADE for certainty of evidence. Random effects meta-analyses were implemented, and lesion progression treatment effects were estimated through relative risk (RR) and associated 95% confidence intervals. Results: A total of 440 studies were found. After analyzing the inclusion criteria and removal of duplicates, eight studies were analyzed for quality evidence. Five of the eight studies included in this review contributed to the meta-analysis, all with some reflections regarding the risk of bias. Overall, the results of the meta-analysis showed that non-invasive treatment, when associated with the use of infiltrating resins, significantly reduced the risk of caries progression in relation to the treatment without this addition for follow-up periods ranging from 12 months to 2 years (RR 0.51 [0.40-0.65]). Conclusion: There is moderate certainty of evidence that the use of infiltrating resins associated with non-invasive treatments decreases the risk of caries progression in primary teeth with incipient caries lesions (1/2 of the enamel or 1/3 of the dentin outer) when combined with non-invasive control methods alone.

RESUMO JUSTIFICATIVA E OBJETIVOS: As dores musculoesqueléticas (DME) possuem relação com fatores psicogênicos e qualidade de sono, evidenciando que essa tríade se refere a um processo biopsicossocial. O objetivo deste estudo foi analisar a associação entre má qualidade de sono e DME em adolescentes. MÉTODOS: Realizou-se estudo observacional, com delineamento transversal, no qual foram analisados 545 adolescentes, na faixa etária entre 11 e 15 anos. A qualidade do sono foi avaliada através do Índice de Qualidade do Sono de Pittsburgh (PSQI), a presença de DME pelo Questionário Nórdico de Sintomas Osteomusculares (QNSO), disfunções temporomandibulares pelo Eixo II dos Critérios Diagnósticos de Pesquisa em Disfunção Temporomandibular (RDC/TMD) e a sonolência diurna excessiva através da Escala de Sonolência de Epworth (ESE). Para avaliar associação entre duas variáveis categóricas, foi utilizado o teste Qui-quadrado de Pearson ou o teste Exato de Fisher. RESULTADOS: A prevalência da má qualidade do sono, distúrbios do sono, DME e sonolência diurna excessiva foram 66,8, 9,5, 87,5 e 30,5%, respectivamente. Observou-se associação entre qualidade do sono e quantidade de horas de sono por noite [OR=1,49; (1,01 a 2,21)], e entre distúrbios do sono e DME na parte superior das costas [OR=1,9; (1,0 a 3,3)] e nos punhos e mãos [OR=2,8; (1,4 a 5,7)]. No entanto, não foi verificada associação entre qualidade do sono e DME [OR=1,29; (0,76 a 2,17)]. CONCLUSÃO: Foi verificada associação entre distúrbios de sono e DME, bem como entre qualidade do sono e quantidade de horas dormidas por noite.

ABSTRACT BACKGROUND AND OBJECTIVES: Musculoskeletal pain (MSP) is related to psychogenic factors and quality of sleep, showing that this triad is a biopsychosocial process. The aim of this study was to analyze an association between poor sleep quality and MSP in adolescents. METHODS: This study has an observational, cross-sectional character, in which 545 adolescents, aged between 11 and 15 years, were analyzed. Sleep quality was assessed using the Pittsburgh Sleep Quality Index (PSQI), the presence of MSP using the Nordic Musculoskeletal Questionnaire (NMQ), temporomandibular disorder using the Axis II of the Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD) and excessive daytime sleepiness using the Epworth Sleepiness Scale (ESS). Pearson Chi-square or Fishers Exact test were used to assess the association between two categorical variables. RESULTS: The prevalence of poor sleep quality, sleep disorders, MSP and excessive daytime sleepiness were, respectively, 66.8, 9.5, 87.5 and 30.5%. An association was observed between the quality of sleep and the number of hours of sleep per night [OR = 1.49; (1.01 to 2.21)], and between sleep disorders and MSP in the upper back [OR=1.9; (1.0 to 3.3)], and the wrists and hands [OR=2.8; (1.4 to 5.7)]. However, there was no association between sleep quality and MSP [OR=1.29; (0.76 to 2.17)]. CONCLUSION: An association was found between sleep disorders and MSP, as well as between the number of hours slept per night and quality of sleep.

Abstract: The new coronavi rus, which has spread worldwide, has spiraled out of control in Brazil. The number of infected children has increased, and more Infants Special Care Units are needed to prevent deaths. This study aims to report the most common signs and symptoms in children infected by seasonal respiratory viruses and those infected by COVID-19. This knowledge is essential to educate pediatric dentists, who may contribute to identifying the difference in symptoms and notify the cases, thus preventing the spread of COVID-19. This study was carried out in a Family Health Center of Ipojuca, state of Pernambuco, Brazil, and included 54 children seen for dental emergency care. The parents provided information about the signs and symptoms of their children’ s health conditions during the lockdown from March to July 2020. All children had a serological test to detect any exposure to the virus. Kolmogorov-Smirnov and Mann-Whitney tests were used to assess the distribution of the data and compare the quantitative variables between the groups. Among the study participants, 16.7% tested positive for COVID-19. The most prevalent symptoms were headache (38.9%), sneezing (35.2%), and fever (20.4%); six out of nine children with a positive test had symptoms after infection of an adult in the family. Children infected with COVID-19 showed similar clinical signs to those with negative results. Pediatric dentists should acquire knowledge to report on sick children and prevent the spread of the disease.

Resumo Objetivo: Avaliar a associação entre Senso de Coerência (SOC) e Qualidade de Vida (QV) em adolescentes cardiopatas. Métodos: Foi realizado um estudo transversal com 164 adolescentes portadores de cardiopatias congênitas ou valvares, com idade entre 10 e 18 anos, atendidos em um Centro de Referência na cidade de Recife - Brasil. As informações coletadas contêm dados censitários, tipo de cardiopatia, situação econômica identificada de acordo com os Critérios Brasileiros de Classificação Econômica (ABEP), além de uma avaliação do Senso de Coerência e da Qualidade de Vida. Resultados: Tanto o Sentido de Coerência (50,09) quanto a Qualidade de Vida (72,23) exibiram valores médios elevados. Senso de Coerência foi positivamente correlacionado com todas as dimensões da Qualidade de Vida (p<0,001). As dimensões social e escolar foram as pontuações mais altas e mais baixas, respectivamente. A análise de regressão linear revelou que o Sentido de Coerência influenciou as dimensões escolar e emocional. Conclusões: Este estudo demonstra que o Sentido de Coerência é um fator de proteção na vida dos adolescentes. Esse fator auxilia na melhora da percepção de Qualidade de Vida e no enfrentamento com sucesso das adversidades do dia a dia e do estresse crônico.

Abstract Objective: The aim of this study was to assess the association between the Sense of Coherence (SoC) and Quality of Life (QoL) in adolescents with heart disease. Methods: A cross-sectional study was carried out with 164 adolescents with congenital or valvular heart disease, aged between 10 and 18 years, treated in a referral center in the city of Recife – Brazil. The information collected contains census data, type of heart disease, economic status identified according to the Brazilian Criteria for Economic Classification (ABEP), as well as an evaluation of the SoC and the QoL. Results: The SoC (50.09) and QoL (72.23) exhibited high average scores. The SoC was positively correlated with all dimensions of the QoL scale (p<0.001). The social and school dimensions, respectively, presented the highest and lowest scores. The linear regression analysis revealed that the SoC influenced the school and emotional dimensions. Conclusions: This study demonstrates that the SoC is a protective factor in the life of adolescents. This factor helps on the improvement of perception of QoL and on successfully dealing with daily adversities and chronic stress.

Abstract As the pandemic progressed, the incidence of viruses among children also increased. This study investigates the presence of oral lesions in hospitalized children by analyzing data collected from medical records of infants seen at the pediatric Infectious disease unit at the General Hospital of the University of Pernambuco, Recife, Brazil, from March to August 2020. This study includes children aged 0 to 12 years diagnosed with severe symptoms of COVID-19. The data describe the frequencies and percentages of categorical variables, expressed as mean, median, and standard deviation. The chi-square test evaluated the association of oral manifestations according to the presence of comorbidities. Of 89 children, 20.2% had oral manifestations, and mucositis was the most prevalent lesion (12.4%). Of the 18 children with oral manifestations, 12 did not present comorbidities, but 7.9% had multisystem inflammatory syndrome and 5.6% had Kawasaki disease. Results show that children with oral lesions had longer hospital stays. These findings indicate the need for further studies to clarify the relationship between the oral manifestations of COVID-19 in pediatric patients for screening of the virus by dentists.

Este estudo buscou analisar a influência do uso de telas digitais na qualidade do sono de adolescentes. Esta revisão sistemática foi registrada no PROSPERO (CRD42020203403) e realizada de acordo com as diretrizes do PRISMA. Foram incluídos estudos que abrangem a faixa etária de 10 a 19 anos sem restrição de idioma ou data de publicação e que responderam à seguinte pergunta condutora: “O uso da tela digital influencia a qualidade do sono dos adolescentes?”. A busca por artigos incluiu as seguintes bases de dados: (MEDLINE/PubMed), LILACS, SciELO, Scopus, EMBASE, Web of Science, IBECS, Cochrane Library, ClinicalTrials.gov e Open Gray. Os descritores utilizados foram “Qualidade do Sono”, “Tempo de Tela” e “Adolescente”. A Escala de Newcastle-Ottawa (NOS) foi utilizada para avaliar a qualidade metodológica dos estudos de coorte e a escala NOS modificada foi usada para avaliar os estudos transversais. Foram encontrados 2.268 artigos, dos quais 2.059 foram selecionados para leitura de títulos e resumos após a exclusão das duplicatas. Foram então selecionados 47 artigos para leitura na íntegra, dos quais 23 foram escolhidos para compor esta revisão. O uso excessivo de telas digitais foi associado à má qualidade e menor duração do sono, apresentando como principais consequências despertares noturnos, maior latência do sono e sonolência diurna. Ademais, o uso do celular antes de dormir foi associado à má qualidade do sono em adolescentes. A avaliação da qualidade metodológica classificou sete estudos como sendo de baixa qualidade e 16 de qualidade moderada. Concluímos que o uso de telas digitais influenciou a qualidade do sono dos adolescentes.

This study aimed to analyze the influence of digital screen use on adolescents’ quality of sleep. This systematic review was recorded on PROSPERO (CRD42020203403) and conducted according to PRISMA guidelines. Studies covering adolescents from 10 to 19 years were included without language or publication restrictions which answered the following guiding question: “Does the use of digital screen influence adolescents’ quality sleep?”. Article search included the following databases: (MEDLINE/PubMed), LILACS, SciELO, Scopus, EMBASE, Web of Science, IBECS, Cochrane Library, ClinicalTrials.gov, and Open Gray. The following descriptors were used: “Sleep Quality”, “Screen Time”, and “Adolescent”. The Newcastle-Ottawa Scale (NOS) assessed the methodological quality of the cohort studies, and a modified NOS was used to assess the cross-sectional ones. In total, 2,268 articles were retrieved, of which 2,059 were selected for title and abstract reading, after duplicates were deleted. After this stage, 47 articles were selected for full reading, resulting in the 23 articles which compose this review. Excessive use of digital screens was associated with worse and shorter sleep, showing, as its main consequences, night awakenings, long sleep latency, and daytime sleepiness. The use of mobile phones before bedtime was associated with poor quality of sleep among adolescents. Our evaluation of the methodological quality of the chosen studies found seven to be poor and 16, moderate.

Este estudio buscó analizar la influencia del uso de pantallas digitales en la calidad del sueño de los adolescentes. Esta revisión sistemática se registró en PROSPERO (CRD42020203403) y se realizó de acuerdo con los lineamientos de PRISMA. Se incluyeron los estudios en que participaron el grupo etario entre los 10 y los 19 años, sin restricción de idioma o fecha de publicación, y que respondieran a la siguiente pregunta orientadora: “¿El uso de la pantalla digital influye en la calidad del sueño de los adolescentes?”. La búsqueda de artículos se realizó en las siguientes bases de datos: (MEDLINE/PubMed), LILACS, SciELO, Scopus, EMBASE, Web of Science, IBECS, Cochrane Library, ClinicalTrials.gov y Open Gray. Los descriptores utilizados fueron “Calidad del sueño”, “Tiempo de pantalla” y “Adolescente”. Se utilizaron la Escala Newcastle-Ottawa (NOS) para evaluar la calidad metodológica de los estudios de cohortes y la NOS modificada para evaluar los estudios transversales. Del total de 2.268 artículos encontrados, se seleccionaron 2.059 para la lectura de títulos y resúmenes después de excluidos los duplicados. Luego se seleccionaron 47 artículos para lectura completa, de los cuales 23 fueron elegidos para componer esta revisión. El uso excesivo de las pantallas digitales estuvo asociado con la mala calidad y menor duración del sueño, teniendo como principal consecuencia los despertares nocturnos, el aumento de la latencia del sueño y la somnolencia diurna. Además, el uso del teléfono celular antes de acostarse se asoció con una mala calidad del sueño en los adolescentes. La evaluación de la calidad metodológica clasificó siete estudios como de baja calidad y 16 como de calidad moderada. Se concluyó que el uso de las pantallas digitales influye en la calidad del sueño de los adolescentes.

Este estudo buscou analisar a influência do uso de telas digitais na qualidade do sono de adolescentes. Esta revisão sistemática foi registrada no PROSPERO (CRD42020203403) e realizada de acordo com as diretrizes do PRISMA. Foram incluídos estudos que abrangem a faixa etária de 10 a 19 anos sem restrição de idioma ou data de publicação e que responderam à seguinte pergunta condutora: “O uso da tela digital influencia a qualidade do sono dos adolescentes?”. A busca por artigos incluiu as seguintes bases de dados: (MEDLINE/PubMed), LILACS, SciELO, Scopus, EMBASE, Web of Science, IBECS, Cochrane Library, ClinicalTrials.gov e Open Gray. Os descritores utilizados foram “Qualidade do Sono”, “Tempo de Tela” e “Adolescente”. A Escala de Newcastle-Ottawa (NOS) foi utilizada para avaliar a qualidade metodológica dos estudos de coorte e a escala NOS modificada foi usada para avaliar os estudos transversais. Foram encontrados 2.268 artigos, dos quais 2.059 foram selecionados para leitura de títulos e resumos após a exclusão das duplicatas. Foram então selecionados 47 artigos para leitura na íntegra, dos quais 23 foram escolhidos para compor esta revisão. O uso excessivo de telas digitais foi associado à má qualidade e menor duração do sono, apresentando como principais consequências despertares noturnos, maior latência do sono e sonolência diurna. Ademais, o uso do celular antes de dormir foi associado à má qualidade do sono em adolescentes. A avaliação da qualidade metodológica classificou sete estudos como sendo de baixa qualidade e 16 de qualidade moderada. Concluímos que o uso de telas digitais influenciou a qualidade do sono dos adolescentes.

This study aimed to analyze the influence of digital screen use on adolescents’ quality of sleep. This systematic review was recorded on PROSPERO (CRD42020203403) and conducted according to PRISMA guidelines. Studies covering adolescents from 10 to 19 years were included without language or publication restrictions which answered the following guiding question: “Does the use of digital screen influence adolescents’ quality sleep?”. Article search included the following databases: (MEDLINE/PubMed), LILACS, SciELO, Scopus, EMBASE, Web of Science, IBECS, Cochrane Library, ClinicalTrials.gov, and Open Gray. The following descriptors were used: “Sleep Quality”, “Screen Time”, and “Adolescent”. The Newcastle-Ottawa Scale (NOS) assessed the methodological quality of the cohort studies, and a modified NOS was used to assess the cross-sectional ones. In total, 2,268 articles were retrieved, of which 2,059 were selected for title and abstract reading, after duplicates were deleted. After this stage, 47 articles were selected for full reading, resulting in the 23 articles which compose this review. Excessive use of digital screens was associated with worse and shorter sleep, showing, as its main consequences, night awakenings, long sleep latency, and daytime sleepiness. The use of mobile phones before bedtime was associated with poor quality of sleep among adolescents. Our evaluation of the methodological quality of the chosen studies found seven to be poor and 16, moderate.

Este estudio buscó analizar la influencia del uso de pantallas digitales en la calidad del sueño de los adolescentes. Esta revisión sistemática se registró en PROSPERO (CRD42020203403) y se realizó de acuerdo con los lineamientos de PRISMA. Se incluyeron los estudios en que participaron el grupo etario entre los 10 y los 19 años, sin restricción de idioma o fecha de publicación, y que respondieran a la siguiente pregunta orientadora: “¿El uso de la pantalla digital influye en la calidad del sueño de los adolescentes?”. La búsqueda de artículos se realizó en las siguientes bases de datos: (MEDLINE/PubMed), LILACS, SciELO, Scopus, EMBASE, Web of Science, IBECS, Cochrane Library, ClinicalTrials.gov y Open Gray. Los descriptores utilizados fueron “Calidad del sueño”, “Tiempo de pantalla” y “Adolescente”. Se utilizaron la Escala Newcastle-Ottawa (NOS) para evaluar la calidad metodológica de los estudios de cohortes y la NOS modificada para evaluar los estudios transversales. Del total de 2.268 artículos encontrados, se seleccionaron 2.059 para la lectura de títulos y resúmenes después de excluidos los duplicados. Luego se seleccionaron 47 artículos para lectura completa, de los cuales 23 fueron elegidos para componer esta revisión. El uso excesivo de las pantallas digitales estuvo asociado con la mala calidad y menor duración del sueño, teniendo como principal consecuencia los despertares nocturnos, el aumento de la latencia del sueño y la somnolencia diurna. Además, el uso del teléfono celular antes de acostarse se asoció con una mala calidad del sueño en los adolescentes. La evaluación de la calidad metodológica clasificó siete estudios como de baja calidad y 16 como de calidad moderada. Se concluyó que el uso de las pantallas digitales influye en la calidad del sueño de los adolescentes.

Abstract Temporomandibular disorders (TMD) is a term used to describe a set of clinical conditions that may compromise the temporomandibular joint (TMJ) and masticatory muscles and/or associated structures, considered the most frequent cause of orofacial pain of non-dental origin. In recent years, many forms of physical therapy have been used in the treatment of TMD to reduce pain and improve the range of mandibular movement present in this impairment. Among these resources are kinesiotherapy (exercise), electrothermal and manual therapy, acupuncture, training posture, mobilizations, and biofeedback. Objectives To determine if exercises with or without occlusal splints are effective in reducing pain in patients with temporomandibular disorders (TMD) of myogenic origin. Methodology This systematic review was registered in the International Prospective Register of Systematic Reviews (CRD 42019134244). Controlled trials published in PubMed, Scopus, and Cochrane Library following PRISMA guidelines up to April 2022 were randomized and included. The population above 18 years, which evaluated the effectiveness of exercise with or without occlusal splints in reducing pain in patients with TMD of myogenic origin, diagnosed through the Research Diagnostic Criteria for Temporomandibular Disorders, was also included. There was no restriction on the period of publication. Cochrane risk of bias analysis was performed. Results Of the five included articles, all showed a reduction of pain, but without significant differences between the interventions performed. Additionally, studies that evaluated the quality of life and mandibular movements showed a reduction in pain, but no significant differences between therapies. Conclusion The analyzed studies showed no difference in the improvement of pain, quality of life, and mandibular movements between the groups that performed only exercises or the associated treatments.

One's first social contacts beyond his family happens at school. How children and adolescents settle themselves at school influences their social relations during adulthood. Through a social inclusion perspective, this qualitative and interdisciplinary study aimed to get to know social representations developed by students regarding Down's Syndrome adolescents. Its basic referential theory was the Social Representation Theory. Data was collected through participant observation and semi-structured interviews with students who shared their classroom with adolescents with Down´s Syndrome. Data collected was submitted to methodological procedures of Speech Analysis, dialectically with Social Representation Theory. It was observed that relation between students with and without Down's Syndrome is positive and that the latter worries about how the former is treated by other people. Therefore, they stand for equity in adolescents with Down's Syndrome´s social relations. Nevertheless, the idea of capacitism was unveiled in representations, which is a great obstacle for inclusion.

En la escuela, los primeros contactos sociales del individuo tienen lugar más allá del núcleo familiar. La forma en que los niños y adolescentes se establecen en la escuela influye en la forma en que construyen relaciones sociales en la edad adulta. A través de la perspectiva de la inclusión social, este estudio, de carácter cualitativo, con un enfoque interdisciplinario, tuvo como objetivo conocer las representaciones sociales elaboradas por pares escolares sobre el adolescente con Síndrome de Down. El marco teórico básico de esta investigación fue la Teoría de las Representaciones Sociales. La recolección de datos se realizó a partir de la observación participante y entrevistas semiestructuradas realizadas a estudiantes que asistían al aula con un adolescente con Síndrome de Down. Los contenidos recolectados fueron sometidos a los procedimientos metodológicos de Análisis del Discurso, basados ​​en una dialéctica con la Teoría de las Representaciones Sociales. Se observó que las relaciones entre pares son positivas y que se preocupan por la forma en que la sociedad los trata, por lo que defienden la equidad en las relaciones sociales con la persona con Síndrome de Down. Sin embargo, también se desveló el fenómeno del capacitismo, un gran obstáculo para el desafío de la inclusión social.

Na escola acontecem os primeiros contatos sociais do indivíduo para além do núcleo familiar. O modo como as crianças e os adolescentes se estabelece na escola influencia como constroem as relações sociais na vida adulta. Através da perspectiva da inclusão social, esse estudo, de natureza qualitativa, com aporte interdisciplina, teve como objetivo conhecer as representações sociais elaboradas por pares escolares a respeito do adolescente com Síndrome de Down. O referencial teórico basilar para esta pesquisa foi a Teoria das Representações Sociais. A coleta de dados se deu com base na observação participante e em entrevistas semiestruturadas realizadas com estudantes que frequentavam sala de aula com uma adolescente com Síndrome de Down. Os conteúdos coletados foram submetidos aos procedimentos metodológicos da Análise do Discurso, a partir de uma dialética com a Teoria das Representações Sociais. Observou-se que as relações entre os pares são positivas e que se preocupam com o modo que a sociedade lida com eles, portanto, defendem a equidade nas relações sociais com a pessoa com Síndrome de Down. Entretanto, também desvelou-se o fenômeno do capacitismo, um grande obstáculo ao desafio da inclusão social.

Abstract Objective: To evaluate sleep quality and excessive daytime sleepiness in undergraduate dentistry students. Material and Methods: This research is characterized as an observational study of transversal type, having analysed undergraduate students in dentistry from a public university in the State of Pernambuco, Brazil. The sample consisted of 325 students enrolled between the 1st and 10th academic semester. Sleep quality was evaluated using the Pittsburgh Sleep Quality Index (PSQI), while excessive daytime sleepiness was analysed through the Epworth Sleepiness Scale (ESS). The t-Student and Mann-Whitney tests were used for the numerical values, with the F-test (ANOVA) or the Kruskal-Wallis test being used to compare more than two categories. Results: It was observed that 71.1% of students presented a poor sleep quality, with more than half of the students exhibiting excessive daytime sleepiness (58.1%). A relationship between sleep quality and the academic semester was verified. However, gender and age were not associated with sleep quality or with excessive daytime sleepiness. Conclusion: A high prevalence of poor sleep quality and excessive daytime sleepiness was observed among undergraduate students in dentistry. The data suggest that the undergraduate degree in Dentistry can influence the students’ quality of sleep, regardless of age or gender.

ABSTRACT Introduction: Caries diagnosis errors have become a public health problem. Objective: Verify the consistency in terms of decision-making between Brazilian dentists from the country’s public health system and the International Caries Detection and Assessment System (ICDAS), and evaluate the influence of professional experience on the management of the decay. Methods: There are 80 dentists in the public health service of Recife city, Brazil. All dentists were invited to participate in this cross-sectional study. Forty dentists agreed to answer questions about their decision-making in relation to the treatment of occlusal caries in low, moderate and high-risk caries situations. The time of clinical experience, the use of methods for the assessment of caries risk and the lesion activity were also inquired about. The T-test was applied with a significance level of 5 % to compare the correlation between the International Caries Detection and Assessment System scores regarding the mean age of participants. Results: The disagreement between the dentists and the criteria used by the International Caries Detection and Assessment System for decision-making were mainly related to the sound surfaces or lesions restricted to the tooth enamel. It was thus verified that lack of consistency for the low-risk condition reached a score of 3 (32 %), while moderate (95 %) and high-risk (85 %) conditions lay at a classification code of 0. The time of professional experience was not considered to have interfered with decision-making on any scale, regardless of the risk condition of the patient (p> 0.05). Conclusions: A divergence in terms of decision-making between dentists of the public health system and the International Caries Detection and Assessment System could be observed, specifically regarding sound surfaces or surfaces with lesions restricted to the tooth enamel. Furthermore, professional experience was seen as not influencing the management of caries.

RESUMEN Introducción: Los errores de diagnóstico de caries se han convertido en un problema de salud pública. Objetivo: Verificar la concordancia de la toma de decisiones entre los dentistas brasileños del sistema de salud pública del país y el Sistema Internacional de Detección y Evaluación de Caries (ICDAS), así como evaluar la influencia de la experiencia profesional en el manejo de la caries. Métodos: De los 80 dentistas que existen en servicio público de salud en la ciudad de Recife, Brasil, todos fueron invitados a participar en este estudio transversal. Cuarenta dentistas acordaron responder sobre su toma de decisión en relación con el tratamiento de la caries oclusal en situaciones de caries de bajo, moderado y alto riesgo. El tiempo de experiencia clínica, el uso de métodos para la evaluación del riesgo de caries y la actividad de la lesión también fueron cuestionados. La prueba T, para un nivel de significancia del 5 %, fue aplicada para comparar la correlación entre los escores del Sistema Internacional de Detección y Evaluación de Caries en relación con el promedio de edad de los participantes. Resultados: El desacuerdo entre los dentistas y los criterios utilizados por el ICDAS para la toma de decisiones se concentró en los códigos de clasificación que representan superficies sanas o lesiones restringidas al esmalte de los dientes. Se verificó así que la falta de consistencia para la condición de bajo riesgo se concentró en la puntuación de 3 (32 %), mientras que las condiciones moderada (95 %) y de alto riesgo (85 %) se concentraron en los códigos de clasificación de 0. El factor tiempo de experiencia profesional no interfirió en la prevalencia de concordancia de la toma de decisión para cualquier escore, independientemente de la condición de riesgo del paciente (p> 0,05). Conclusiones: Se pudo observar una divergencia en cuanto a la toma de decisiones entre los dentistas del sistema de salud pública y el Sistema Internacional de Detección y Evaluación de Caries, específicamente con respecto a superficies sanas o superficies con lesiones restringidas al esmalte de los dientes. Además, la experiencia profesional no influyó en el manejo de la caries.

Abstract Aims: To analyze the average and individual responses of sleep quality and daytime sleepiness in adolescents after four weeks of strength training. Methods: 19 adolescents with sleep problems recruited in the Federal Institute of Pernambuco, were subject to anthropometric evaluations as well as those for body composition assessment, a 1 repetition maximum test, the sleep parameters (Pittsburgh Sleep Quality Index-PSQI and Epworth Sleepiness Scale-ESS) and were submitted to four weeks of strength-training, performed alternately by segment, two sessions per week, according to recommendations for this population. Results: A decrease in the average PSQI score was observed (10.3±3.3 vs 8.8±4.0; p=0.006), but not in ESS (p>0.05), after intervention. The individual analyses demonstrated that ~63% of adolescents experienced reductions ≥ 3 points in the PSQI and ~58% of them experienced reductions ≥ 3 points in the measure of daytime sleepiness. The prevalence of poor sleep quality and daytime sleepiness reduced from 84.2% to 68.4% and from 52.6% to 31.6%, respectively. The comparisons of high and low responders to exercise training show that adolescents who reduced ≥3 points in the score of a least one sleep parameter presented lower weight, fat mass, and fat percentage (p<0.05). Conclusion: A short-term strength-training program is able to improve global sleep quality, but not daytime sleepiness in adolescents. Furthermore, the changes after training are highly heterogeneous. Further studies are required to better understand the effects of strength training on sleep parameters of adolescents.

RESUMO Esta revisão integrativa da literatura objetivou analisar as evidências científicas disponíveis sobre a relação entre as maloclusões e a disfunção da tuba auditiva. Através dos descritores "malocclusion","eustachian tube", "otitis media", fez-se uma busca na Biblioteca Virtual em Saúde / Bireme, incluindo artigos publicados em inglês, português e espanhol, sem limite de data de publicação. Os artigos repetidos nas bases de dados, relatos de caso e os que não se apresentaram em formato de artigo científico, tais como resenhas, teses, editoriais, dissertações e cartas foram excluídos. Após análise foram selecionados 09 artigos que preenchiam os critérios de inclusão estabelecidos, sendo que a maioria foi conduzido no continente Europeu e apenas um estudo foi realizado no Brasil. Foi possível verificar uma escassez de artigos sobre a relação entre as maloclusões e a disfunção da tuba auditiva. Não houve um consenso entre os estudos disponíveis sobre a relação entre as desordens da orelha média e as maloclusões, no entanto os estudos de intervenção mostraram que a expansão rápida da maxila tem efeito positivo no funcionamento da tuba auditiva. Em meio a escassez de artigos, verifica-se a necessidade de mais estudos sobre essa temática para que a Odontologia e a Fonoaudiologia, juntamente com as demais áreas da saúde, possam contribuir na escolha de tratamentos que possibilitem uma melhora na qualidade de vida desta população.

ABSTRACT This integrative literature review aimed to analyze the scientific evidence available on the relationship between malocclusions and auditory tube dysfunction. A search was carried out on the Virtual Health Library / Bireme/Medicine(r), using the descriptors "malocclusion", "Eustachian tube", "otitis media", to identify articles published in English, Portuguese and Spanish, of any publication date. Articles excluded were those repeated in databases, case reports and reviews, theses, editorials, essays and letters that did not appear in scientific paper format. Following analysis, 9 articles were selected that met the established inclusion criteria, most conducted on the European continent, and one only in Brazil. A shortage of articles on the relationship between malocclusions and auditory tube dysfunction became apparent. There was no consensus among the available studies on the relationship between the middle ear disorders and malocclusions; however, intervention studies have shown that rapid maxillary expansion has a positive effect on the functioning of the auditory tube. The current lack of articles indicates the need for more studies on this topic for dentistry and speech therapy, alongside other areas of health, to be able to contribute to the choice of treatments that allow improvements in the lives of people with these conditions.