O lazer e o idoso : uma possibilidade de interven����o

Universidade Estadual de Campinas . Faculdade de Educa����o F��sica

Remo : cargas concentradas de for��a e sua rela����o com a altera����o de diferentes indicadores funcionais

Universidade Estadual de Campinas . Faculdade de Educa����o F��sica

Basquetebol

Universidade Estadual de Campinas. Faculdade de Educa����o F��sica

An��lise biomec��nica da postura durante a ortostase e a locomo����o

Universidade Estadual de Campinas . Faculdade de Educa����o F��sica

Dental caries profile in Monte Negro, Amazonian state of Rond��nia, Brazil, in 2008

OBJECTIVE: This epidemiological survey assessed the dental caries profile in Monte Negro, a small town in the Amazonian state of Rond��nia, Brazil, and its relationship with the northern region, national and global goals for oral health in the years 2000 and 2020. MATERIAL AND METHODS: The groups randomly examined were composed of individuals aged 5, 12, 15 to 19, 35 to 44, 65 to 74 years, living in both rural and urban areas. RESULTS: The means dft (standard deviation) and DMFT (standard deviation) for the groups were, respectively, 3.15 (3.12), 3.41 (2.69), 5.96 (4.19), 16.00 (7.30) and 25.96 (9.82). Caries-free individuals were 34.42%, 14.81% and 8.16% in the preschoolchildren, schoolchildren and adolescent groups, respectively. The Significant Caries Index percentages applied to the two younger groups were 6.65 and 6.70, and they increased to 32.00 in the individuals aged 65 to 74 years. Care Index percentages for adolescents, adults and elderly groups were, respectively, 29.40, 25.00 and 1.41. The dental caries profile in Monte Negro in 2008 shows that, 8 years after the year 2000, no FDI/WHO goal for any age settled in 1982 has been achieved. Dental caries increased with age and the main dental problem of adult and elderly groups was tooth loss. CONCLUSION: Oral health promotion and prevention of oral disease policies are urgent needs. Setting of oral health goals and targets to people living in Monte Negro or Amazonia to be pursuit and achieved in a near future is an important action to do because of the culture, sanitary conditions and socioeconomic aspects of this particular population.

Oral health conditions among the elderly in Southeastern S��o Paulo State

OBJECTIVE: This study aimed to asses oral health conditions in a population aged 60 years and over living in Botucatu, Southeastern Brazil. A cross-sectional population-based study was carried out using a random sample (N=372) of the urban population aged 60 years and over from the city of Botucatu, in 2005. World Health Organization criteria and codes for oral health epidemiological surveys were used. Re-examination was carried out in 10% of individuals aiming to evaluate intra-examiner agreement. Statistical analysis was performed by one-way ANOVA or Kruskal-Wallis ANOVA, as applicable. Also, the t-test was used in the absence of homoscedasticity. Fisher's exact test was used for situations where the categories with less than five units were observed. Adjusted residuals and multiple-comparison analysis were conducted to identify associations between variable categories and subgroups. The intra-examiner agreement was 98% and Kappa statistics result was 0.95. Loss component represented 90.68% of DMF-T index, which was 29.85. The prevalence of edentulism was 63.17%. Upper and lower dentures were found in 80% and 58% respectively, with complete denture as the most commonly used. In those studied, 15% required upper and 38% lower dentures. There was more need for complete denture in both jaws. Approximately 20% had soft tissue alterations. For periodontal conditions, most sextants were excluded (81.81%). Periodontal pockets (4 - 5 mm) were seen in 11.29% of the examined individuals. The oral health status of the elderly population in Botucatu is poor, as well as in other Brazilian cities. The results of this study may help planning collective health actions, giving an accurate description of the oral problems among the elderly.

Epidemiologia do Padr��o Face Longa em escolares do Ensino Fundamental do munic��pio de Bauru - SP

OBJETIVO: o objetivo deste trabalho foi classificar e determinar a preval��ncia dos indiv��duos portadores de comprometimento vertical nas rela����es faciais, conforme a severidade da discrep��ncia e, especialmente, dos portadores de Padr��o Face Longa. M��TODOS: a amostra constou de 5.020 sujeitos de nacionalidade brasileira, de ambos os sexos, com idades entre 10 anos e 16 anos e 11 meses, matriculados no Ensino Fundamental do munic��pio de Bauru-SP. O exame da morfologia facial constou da observa����o direta da face, em normas frontal e lateral, sempre com os l��bios em repouso, buscando identificar aqueles indiv��duos que apresentassem comprometimento vertical nas rela����es faciais. Esses, uma vez identificados, foram classificados, considerando-se a severidade, em tr��s subtipos: moderado, m��dio e grave. Para fins de determina����o da preval��ncia dos portadores de Padr��o Face Longa, apenas os classificados como dos subtipos m��dio e grave foram considerados. RESULTADOS: observou-se uma preval��ncia de 34,94% de comprometimento vertical nas rela����es faciais e 14,06% de Padr��o Face Longa. CONCLUS��O: os resultados obtidos no presente estudo permitiram concluir que a preval��ncia do comprometimento vertical nas rela����es faciais e do Padr��o Face Longa foi maior do que a presumida com base na literatura.

Preval��ncia de sobrepeso e obesidade e fatores associados em adolescentes na regi��o centro-oeste do estado de S��o Paulo (SP, Brasil)

Objetivou-se avaliar a rela����o entre o ��ndice de Massa Corporal (IMC) e o ��ndice CPOD em 207 adolescentes de 12 anos, de 8 escolas p��blicas e particulares da regi��o centro-oeste do estado de S��o Paulo. A amostra foi constitu��da por 380 adolescentes aos 12 anos, de ambos os g��neros, sendo examinados 207. Utilizou-se o ��ndice CPOD, IMC para peso, medida de estatura, e aplicou-se question��rio sobre h��bitos alimentares, caracter��sticas antropom��tricas e atividade f��sica. Quanto ao peso corp��reo, 55,93% apresentaram normal (G4), 35,59% de baixo peso (G3), 8,47% de pr��-obesos (G2), nas escolas particulares. Nas p��blicas, 52,03% apresentaram normal, baixo peso 41,22%, pr��-obesos 4,73% e obesos (G1) 2,03%; n��o houve diferen��a significativa (p=0,45). Verificou-se que o CPOD nas escolas p��blicas foi 2,16 e nas particulares, 0,23 (p<0,05), sendo que 39,2% das crian��as estavam livres de c��rie nas municipais e nas particulares, 88,1%. N��o houve correla����o do maior IMC com o incremento de CPOD. Houve correla����o negativa entre condi����es socioecon��micas e ��ndice de c��rie dent��ria. Concluiu-se que os grupos pr��-obesos e obesos, embora houvesse maior frequ��ncia de ingest��o de alimentos, n��o apresentaram correla����o com o incremento de c��rie dent��ria, mas as condi����es socioecon��micas foram determinantes para essa ocorr��ncia.

Novo protocolo para as a����es de sa��de bucal coletiva: padroniza����o no armazenamento, distribui����o e uso do material de higiene bucal

Este trabalho avaliou o material de higiene bucal usado em escolas para estabelecer um protocolo ��s a����es de higiene bucal coletiva. O estudo foi dividido em duas etapas: 1��- 20 respons��veis pelos procedimentos coletivos com escolares de Bauru e S��o Jos�� dos Campos - SP responderam a dois question��rios sobre o uso de cinco kits de higiene bucal coletiva. A an��lise estat��stica foi realizada atrav��s do teste Wilcoxon (p < 0,05); 2�� - 178 escolares de 4 a 8 anos de Bauru e Bariri-SP dispensaram na escova uma quantidade de creme dental e dentifr��cio l��quido para a pr��tica da escova����o, a qual foi pesada atrav��s de uma balan��a port��til. A an��lise estat��stica foi obtida atrav��s do coeficiente de correla����o de Pearson e a an��lise de covari��ncia (p< 0,05). O kit 5 obteve graus de satisfa����o e muita satisfa����o quando comparado aos kits 1 a 4. A quantidade de creme dental dispensada pelos escolares foi em m��dia 0,41g (Bauru) e 0,48g (Bariri). N��o houve diferen��a estat��stica entre os escolares de Bauru e Bariri em rela����o ao dentifr��cio l��quido (m��dia de 0,15g). O dentifr��cio l��quido, atrav��s da "t��cnica da gota", foi considerado pr��tico, dispensando uma pequena quantidade padronizada. O kit 5 demonstrou ser uma boa alternativa ao estabelecimento de um protocolo de a����es em sa��de bucal coletiva no SUS.

O risco espacial e fatores associados ao edentulismo em idosos em munic��pio do Sudeste do Brasil

Objetivou-se identificar fatores associados ao edentulismo e o seu risco espacial em idosos. Foi realizado um estudo transversal em uma amostra de 372 indiv��duos de 60 anos e mais, no Munic��pio de Botucatu, S��o Paulo, Brasil, em 2005. Raz��es de preval��ncia brutas e ajustadas foram estimadas por meio de regress��o de Poisson, com estimativa robusta da vari��ncia e procedimentos de modelagem hier��rquica. A an��lise espacial foi realizada por estimativas de densidade de Kernel. A preval��ncia de edentulismo foi de 63,17%. Os fatores sociodemogr��ficos associados ao edentulismo foram a baixa escolaridade, o aumento do n��mero de pessoas por c��modo, n��o possuir autom��vel e idade mais avan��ada, presen��a de comorbidades, aus��ncia de um cirurgi��o-dentista regular e ter realizado a ��ltima consulta h�� tr��s anos ou mais. A an��lise espacial mostrou maior risco nas ��reas perif��ricas. Obteve-se uma melhor compreens��o da perda dent��ria entre os idosos, subsidiando o planejamento de a����es em sa��de coletiva.

Programa preventivo da c��rie dent��ria baseado no controle mec��nico da placa bacteriana em crian��as, por meio da profilaxia profissional peri��dica: Resultados ap��s 25 anos de acompanhamento

OBJETIVOS: o objetivo deste trabalho foi verificar a incid��ncia de c��rie dent��ria em um programa de preven����o aplicado durante 25 anos em cl��nica particular. METODOLOGIA: participaram desse programa 640 crian��as de ambos os g��neros, na faixa et��ria de 3 a 15 anos de idade. O programa foi baseado no controle mec��nico da placa bacteriana dent��ria por meio da profilaxia profissional com jato de bicarbonato de s��dio com uma periodicidade mensal. A incid��ncia de c��rie foi verificada por meio de exames cl��nicos durante as sess��es de atendimento e radiogr��ficos anualmente. A m��dia de idade das crian��as ao ingressarem no programa foi de 7,8 anos. RESULTADOS: antes de ingressar no programa, as crian��as apresentaram, em m��dia, 5,3 faces cariadas, enquanto ap��s o programa a m��dia foi de 0,18. A incid��ncia de c��ries por ano antes do programa foi de 0,9 faces cariadas e durante o programa de 0,03. O tempo de perman��ncia das crian��as no programa foi, em m��dia, de 52,6 meses, e a m��dia de faltas foi de 0,5 falta por ano. Esses resultados demonstram o sucesso do programa, principalmente por ter uma filosofia que procura o equil��brio da biodiversidade da cavidade bucal, sem o risco de produzir efeitos colaterais indesej��veis. CONCLUS��ES: conclui-se, assim, que esse parece ser o caminho mais curto para resolver o problema da c��rie dent��ria, ou seja, o controle mec��nico da placa bacteriana dent��ria atrav��s da profilaxia profissional mensal, pois �� um m��todo de preven����o poss��vel de ser aplicado em qualquer crian��a, independentemente de suas condi����es psicomotoras e sociais, e que proporciona a melhor rela����o custo-benef��cio, al��m de estar de acordo com os conceitos mais atuais de c��rie e de seus fatores etiol��gicos. Em fun����o da faixa et��ria das crian��as, o programa �� de suma import��ncia para cl��nicas de Odontopediatria e Ortodontia.

Comparison of periodontal parameters in individuals with syndromic craniosynostosis

Craniosynostosis syndromes are characterized by premature closure of one or more cranial sutures, associated with other malformations, the most frequent of which are the Crouzon and Apert syndromes. Few studies in the literature have addressed the oral health of these individuals. The purpose of this study was to compare the periodontal status of individuals with Apert, Crouzon, Pfeiffer and Saethre-Chotzen syndromes before toothbrushing and compare the efficiency of plaque removal before and after mechanical toothbrushing. The probing depth, plaque index (according to L��e and O'Leary), clinical attachment level, gingival index (according to Silness and L��e) and amount of keratinized mucosa were evaluated before toothbrushing, and the O'Leary plaque index was assessed before and immediately after toothbrushing, on the same day, in 27 individuals aged 11 to 36 years. There was statistically significant difference in the mean probing depth and clinical attachment level among regions (p=0.00; p=0.01, respectively). The gingival index did not reveal statistically significant differences. With regard to the plaque index, the left region exhibited higher plaque index values than the right and anterior regions. No significant results were found in the analysis of keratinized mucosa. Comparison of the O'Leary plaque index before and after toothbrushing revealed statistically significant difference for all syndromes except for the Pfeiffer syndrome (p<0.05). In conclusion, there was no difference in the periodontal status among individuals with syndromic craniosynostosis. The posterior region was more affected than the anterior region as to the presence of plaque, loss of insertion and probing depth. Individuals with Pfeiffer syndrome exhibited greater toothbrushing efficiency than individuals with the other craniosynostosis syndromes.

Communicative and psycholinguistic abilities in children with phenylketonuria and congenital hypothyroidism

The Neonatal Screening for Inborn Errors of Metabolism of the Association of Parents and Friends of Special Needs Individuals (APAE) - Bauru, Brazil, was implanted and accredited by the Brazilian Ministry of Health in 1998. It covers about 286 cities of the Bauru region and 420 collection spots. Their activities include screening, diagnosis, treatment and assistance to congenital hypothyroidism (CH) and phenylketonuria (PKU), among others. In 2005, a partnership was established with the Department of Speech-Language Pathology and Audiology, Bauru School of Dentistry, University of S��o Paulo, Bauru, seeking to characterize and to follow, by means of research studies, the development of the communicative abilities of children with CH and PKU. OBJECTIVE: The aim of this study was to describe communicative and psycholinguistic abilities in children with CH and PKU. MATERIALS AND METHODS: Sixty-eight children (25 children aged 1 to 120 months with PKU and 43 children aged 1 to 60 months with CH) participated in the study. The handbooks were analyzed and different instruments were applied (Observation of Communication Behavior, Early Language Milestone Scale, Peabody Picture Vocabulary Test, Gesell & Amatruda's Behavioral Development Scale, Portage Operation Inventory, Language Development Evaluation Scale, Denver Developmental Screening Test, ABFW Child Language Test-phonology and Illinois Test of Psycholinguistic Abilities), according to the children's age group and developmental level. RESULTS: It was observed that the children with PKU and CH at risk for alterations in their developmental abilities (motor, cognitive, linguistic, adaptive and personal-social), mainly in the first years of life. Alterations in the psycholinguistic abilities were also found, mainly after the preschool age. Attention deficits, language and cognitive alterations were more often observed in children with CH, while attention deficits with hyperactivity and alterations in the personal-social, language and motor adaptive abilities were more frequent in children with PKU. CONCLUSION: CH and PKU can cause communicative and psycholinguistic alterations that compromise the communication and affect the social integration and learning of these individuals, proving the need of having these abilities assisted by a speech and language pathologist.

Clinical, microscopic and imaging findings associated to Mccune-Albright syndrome: report of two cases

McCune-Albright syndrome is characterized by the triad caf��-au-lait cutaneous spots, polyostotic fibrous dysplasia and endocrinopathies. This article presents two cases of McCune-Albright syndrome in a middle-aged woman and a young girl. Both patients presented caf��-au-lait spots on the face and other parts of the body and expansion of the mandible with radiopaque-radiolucent areas with ground-glass radiographic appearance, and were diagnosed as having fibrous dysplasia and endocrine disorders. The patient of Case 1 had fibrous dysplasia on the upper and lower limbs, thorax, face and cranium, early puberty, hyperglycemia, hyperthyroidism and high serum alkaline phosphatase levels. The patient of Case 2 presented lesions on the upper limbs and evident endocrine disorders. In both cases presented in this article, the initial exam was made because of the mandibular lesion. However, a diagnosis of fibrous dysplasia must lead to investigation of the involvement of other bones, characterizing polyostotic fibrous dysplasia, which is manifested in a number of diseases. An accurate differential diagnosis is mandatory to determine the best treatment approach for each case.

Avalia����o cefalom��trica das altera����es verticais e anteroposteriores associadas ao uso do expansor maxilar com cobertura oclusal

INTRODU����O: os aparelhos expansores maxilares com cobertura oclusal t��m sido sugeridos para controlar o aumento na dimens��o vertical da face ap��s a expans��o r��pida da maxila, por��m ainda n��o h�� um consenso na literatura sobre seus reais efeitos. OBJETIVO: o objetivo deste trabalho foi avaliar as altera����es cefalom��tricas verticais e anteroposteriores associadas �� expans��o da maxila realizada com o aparelho expansor com cobertura oclusal. M��TODOS: a amostra foi composta por 25 crian��as, de ambos os g��neros, com idades entre 6 e 10 anos, portadoras de mordida cruzada posterior esquel��tica. Ap��s a expans��o maxilar, o pr��prio aparelho expansor foi utilizado como conten����o fixa. Foram analisadas telerradiografias em norma lateral tomadas antes do in��cio do tratamento e ap��s a remo����o do aparelho expansor. CONCLUS��O: com base nos resultados, p��de-se concluir que o uso do aparelho expansor com cobertura oclusal n��o alterou significativamente as medidas cefalom��tricas verticais e anteroposteriores das crian��as.