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Item Adaptação transcultural, confiabilidade e validade da versão brasileira de pensamentos catastróficos - pais(Universidade Federal de Goiás, 2011-12-16) Cavalcante, Julianna Amaral; Costa, Luciane Ribeiro de Rezende Sucasas da; http://lattes.cnpq.br/9906371509661305; França, Cristiana Marinho de Jesus; Heck, Elisa Tavares SanabioEste estudo objetivou realizar a adaptação transcultural da versão em inglês da “PainCatastrophizingScale – Parents” para a língua portuguesa do Brasil e avaliar suas propriedades psicométricas em um grupo de crianças com e sem cárie dentária. Estudo observacional transversal realizado com uma amostra de conveniência de 240 pacientes. As propriedades psicométricas da Escala de Catastrofização da Dor – Pais (ECD-P) foram examinadas avaliando a fidedignidade e a validade deste instrumento. A análise fatorial confirmatória evidenciou que o modelo de três fatores, para a ECD-P, apresentou-se marginal, com os seguintes indicadores: qui-quadrado 241,43/62 graus de liberdade (P < 0,001), CMIN/DF 3,89, RMSEA 0,11, NNFI 0,76 e CFI 0,80. O coeficiente de correlação interna (alfa de Cronbach) para os 13 itens da ECD-P foi de 0,83. A análise da correlação item-total indicou que não haveria melhora nesse valor caso se retirasse algum item. O alfa de Cronbach foi de 0,70 (ruminação), 0,62 (ampliação) e 0,76 (desesperança).Houve correlação significante entre os escores obtidos na ECD-P e na DDQ (P < 0,001); o coeficiente de correlação de Spearman foi 0,25. Na análise discriminante, observou-se que o escore total da ECD-P diferiu significativamente (P = 0,03, teste t de student) nos grupos de crianças com cárie (28,1 ± 8,3) comparadas às sem cárie (25,4 ± 9,2). Houve correlação significante (P = 0,004) entre o escore total na ECD-P e o número de dentes cariados que cada criança apresentou (Spearman’srho 0,188). Este estudo mostrou que a versão brasileira da PCS-P, denominada ECD-P, apresentou propriedades psicométricas marginais e evidencia que a ECD-P necessita de ajustes para melhorar suas propriedades psicométricas.Item Determinantes da dor dentária em pré-escolares brasileiros: análise multinível a partir de dados do levantamento epidemiológico SBBrasil 2010(Universidade Federal de Goiás, 2014-02-14) Ferreira Júnior, Osmar Martins; Freire, Maria do Carmo Matias; http://buscatextual.cnpq.br/buscatextual/visualizacv.do?id=K4798597T6; Costa, Luciane Ribeiro de Rezende Sucasas da; http://buscatextual.cnpq.br/buscatextual/visualizacv.do?id=K4784549D2; Costa, Luciane Ribeiro de Rezende Sucasas da; Freire, Maria do Carmo matias; Oliveira, Cristiane Costa da Cunha; Castro, Anelise Daher VazDental pain in children in the preschool age has been little explored in scientific and epidemiological terms, compared to other age groups. It is known that assess pain in children under 6 years is a limiting factor for the understanding of the object of study, though dental pain in this age group is little explored regarding factors that may influence its occurrence. The aim of this study was to analyze the prevalence and factors associated with dental pain in Brazilian children aged 5 years. For this cross-sectional study, we used data related to dental pain in all 5 year-old children, both sexes, obtained from the Brasilian National Oral Health Survey (SBBrasil 2010). The dependent variable was the reporting dental pain in the last 6 months. The independent variables were contextual (cities level) that included socioeconomic and individual factors (related to children) that included sociodemographic variables, dental service use and oral health condition. Descriptive and inferential test (Rao-Scott) statistic was performed, considering the sample weights and complex samples, the IBM SPSS software, version 21.0. Multilevel analysis using hierarchical Poisson regression models was performed in MLwiN software, with prevalence ratio (PR) and 95% confidence intervals (CI) estimates. Participants were 7,280 children and the prevalence of dental pain was 22.0% (95% CI 19.1%-25.2%). It was higher among those living in cities with lower Human Development Index (PR 0.07; 95% CI 0.02-0.22), and with a higher percentage of their population with an incomplete primary education (PR 1.03; 95% CI 1.01-1.06). Indigenous children had prevalence of dental pain 1.97 (95% CI 1.19-3.26) times higher than those of white color. Families with monthly incomes of U$ 218.00 or less and between U$ 219.00 and 656.00 had prevalence of dental pain 2.67 (95% CI 1.33-5.32) and 2.11 (95% CI 1.03-4.32) times higher than families with highest income level, respectively. Children with caries experience had a 3.45 (95% CI 2.58-4.62) times higher prevalence of pain than caries-free individuals. It was concluded that the prevalence of dental pain in Brazilian preschool children was high and influenced by contextual and individual factors, revealing the need for policies that contribute to the reduction of inequalities.Item Associação de fatores individuais e familiares com o comportamento da criança na sedação odontopediátrica(Universidade Federal de Goiás, 2016-12-13) Machado, Geovanna de Castro Morais; Costa, Luciane Ribeiro de Rezende Sucasas da; http://lattes.cnpq.br/9906371509661305; Costa, Luciane Ribeiro de Rezende Sucasas da; Batista, Aline Carvalho; Sacono, Nancy Tomoko; Serra-Negra, Júnia Maria Cheib; Gonçalves, Ilda Machado FiúzaObjectives: Moderate sedation is indicated to control children’s behavior during dental care, reducing anxiety and maintaining the child's well-being. However, some sedated children do not present good behavior making it difficult to perform dental procedures. This study investigated the association of possible individual factors (temperament) and family (parents’ dental anxiety, parents’ pain catastrophizing and coping strategies adopted by parents) with the children’s behavior during dental treatment under moderate sedation. Methods: A total of 110 children/parents (<7 years), referred to sedation at Dental Sedation Center (NESO) of the Faculty of Dentistry of the Federal University of Goiás, for not have cooperated during dental care, and their parents, participated of this observational study of data from two clinical trials. Children had two appointments: clinical examination and tooth restoration, with local anesthesia and rubber dam, under moderate sedation. The restorative session was filmed for further evaluation of the children's behavior by trained and calibrated observers. The behavior was assessed using the Ohio State University Behavioral Rating Scale OSUBRS. Positive behavior was considered when the children presented 80% or more of the sum of the scores 1 and 2 (quiet or crying) during the entire session. The children’s stress was evaluated through the increased cortisol levels present in the saliva, collected in three moments: arrival, 25 min after local anesthesia, and 25 min after the end of the procedure. Children’s temperament was assessed through the Children’s Behavior Questionnaire (CBQ) answered by parents. Factors related to parents’ anxiety were thus evaluated: dental anxiety using Corah Dental Anxiety Scale; level of pain catastrophizing through the Pain-Catastrophizing Scale-parents; coping strategies through Brief COPE. Data were analyzed using descriptive statistics and the Chi-square test, Friedman, Wilcoxon, Mann-Whitney, Kruskal Wallis or t-test for independent samples. Results: More than half of the children displayed negative behavior (n = 60 54.5%). Temperament did not associate with the negative behavior of children. Extroversion/surgency (P = 0.03) and the subscales ‘activity level’ (P = 0.04), ‘impulsivity’ (P = 0.04) and ‘smiling/laughter’ (P = 0.01) differed between behavior groups, where children with positive behavior had higher scores than those who had negative behavior. In a sample of 42 children, 31 (73.8%) were reactive to stress during local anesthesia and temperament was not associated with increased levels of children’s stress. Dental anxiety and pain catastrophizing were not associated with negative children’s behavior. Parents of children with negative behavior had higher scores in maladaptive coping and Venting subscale, and lower scores in the Acceptance subscale. Conclusion: Coping strategies adopted by the parents explained, in part, negative or positive children´s behavior. These results have shown that parental coping strategies may have protective or destructive effects on children's behavior. Temperament was not associated with negative behavior and did not influence the children´s stress during the injection of local anesthesia. However, many children were stressed during this procedure, a fact that should be always considered by the professional who assist children under moderate sedation.Item Urgência odontológica na primeira infância: perfil do atendimento das Unidades de Saúde de Urgência da Secretaria Municipal de Saúde de Goiânia(Universidade Federal de Goiás, 2013-02-26) Machado, Geovanna de Castro Morais; Costa, Luciane Ribeiro de Rezende Sucasas da; http://lattes.cnpq.br/9906371509661305; Costa, Luciane Ribeiro de Rezende Sucasas da; Nunes, Maria de Fátima; Reis, Sandra Cristina Guimarães BahiaAim: The aim of this study was to describe how the community centers from the the city of Goiania handled dental emergency care in children under 6 years during 2011. Methods: This quantitative study evaluated the dental charts of children under 6 years old of age focusing on emergent dental care and assessed dental emergency risk classification, child’s age and gender, chief complaint, involved teeth, clinical procedures performed, medications prescribed and referral. Data were recorded on forms for later descriptive analysis. Results: 1,108 children under 6 years old (4.0%) were treated, 556 male (50.2%), with a mean age of 3.7 years old (±1.4). The most reported chief complaints were toothache (47.9%, n=531) and dental trauma (20.0%, n=221). The most frequently performed clinical procedures were extraction (13.0%) and endodontic treatment (13.0%). No clinical procedures were performed in 58.5% of the cases (n=649). Conclusion: Emergency dental care for children under 6 years occurs mainly as a result of dental decay. It is necessary that emergency dental public services have a more effective management of these situations.Item Desenvolvimento de um serious game de educação em saúde bucal com participação de especialistas e usuários(Universidade Federal de Goiás, 2022-02-25) Mendonça, Thaís Silva; Carvalho, Sérgio Teixeira de; http://lattes.cnpq.br/2721053239592051; Costa, Luciane Ribeiro de Rezende Sucasas da; http://lattes.cnpq.br/9906371509661305; Carvalho, Sérgio Teixeira de; Jordão, Lidia Moraes Ribeiro; Naghettini, Alessandra VitorinoChildren have experienced digital technologies since young ages, especially educational games (serious games). With the increase in smartphones, tablets, and computers, applications aimed at health promotion have multiplied. When educational games are appropriately developed, users learn content quickly and efficiently. There is a lack of scientific studies on educational games in pediatric dentistry. It was proposed to regionalize the game Barney's healthy foods, developed internationally for children's oral health education, from the perspectives of specialists and users. This descriptive study was developed in three phases: I) discussion with experts based on the improved version in Jordan; II) development of the first Brazilian version of the game; III) test of the first version with children from 4 to 8 years of age and companions. PHASE I, twelve specialists interested in health education, oral health or health technologies participated in a focus group to assess the relevance of regionalizing the game for Brazil. The transcripts of the specialists' speeches were analyzed by content analysis, which originated categories with the respective main indications of alteration: eating habits - adaptation to the Brazilian context, oral hygiene habits - inclusion of dental floss and attention to the amount of fluoride toothpaste; indicative age group – reduce to 4 to 8 years; characters – change the squirrel for an animal from the Brazilian fauna; objective – to be less prescriptive and to promote the child's autonomy to choose food. PHASE II, the original game's source code was obtained from the University of Jordan. After analyzing the feasibility of the modifications suggested by the experts, the game's programming was changed. A version was obtained with images adapted to Brazil, language in Brazilian Portuguese and content with minor changes. PHASE III, fifteen children (mean age 6.4 years, standard deviation 1.3, 9 boys) played the Brazilian version once, under the observation of the accompanying adults (13 mothers) and the researcher. The global average of correct answers in the game's tasks was 75.3% and ranged from 50.0% to 100%. Children had fun with the game, and most understood the content and its interface. The companions found the information relevant and enjoyed the gameplay for their children. We conclude that the developed Children's Oral Health Game provides relevant information on dental caries prevention after a systematic regionalization process that heard the voices of specialists and users.Item Impacto do tratamento odontológico sob sedação na qualidade de vida relacionada à saúde bucal de pré-escolares e suas famílias(Universidade Federal de Goiás, 2018-03-19) Rodrigues, Kárita Cristina Silva; Faria, Patrícia Corrêa de; http://lattes.cnpq.br/8411040100439650; Costa, Luciane Ribeiro de Rezende Sucasas da; http://lattes.cnpq.br/9906371509661305; Costa, Luciane Ribeiro de Rezende Sucasas da; Leles, Claúdio Rodrigues; Machado, Geovanna de Castro MoraisThere appears to be no evidence regarding the impact of dental treatment under sedation on oral health-related quality of life (OHRQoL) among preschoolers. The aim of the present study was to determine the viability of a prospective evaluation of the impact of dental treatment under conscious sedation on OHRQoL in preschool with non-cooperative behavior and their families. The Brazilian version Early Childhood Oral Health Impact Scale (B-ECOHIS) was administered before (T0), two weeks (T1) and three months (T2) after treatment. Socio-demographic and clinical data were obtained from interviews and dental charts. The difference in B-ECOHIS scores were categorized as “improvement” or “worsening” of OHRQoL. Forty-nine children and their caregivers participated. The high response rate (84.5%). The postoperative evaluation periods seem to have been sufficient to detect improvement in the OHRQoL. In T1, reduction of scores in the section "impact on the child" (p = 0.02) and subscale "oral symptoms" (p = 0.02). In T2, reduction of the total B-ECOHIS scores (p = 0.03), the subscale "child function" (p = 0.02) and the "family impact" section (p = 0.01). In both, the improvement of the OHRQoL of the majority of the participants was observed (T1 = 53.1%, T2 = 57.1%), and an improvement was associated with the number of teeth extracted (T1 p = 0.03) and male (T2 p = 0.03). It was concluded that the prospective evaluation of the impact of treatment under sedation on the OHRQoL is feasible. There was improvement in QRSRS after dental treatment under conscious sedation.Item Efeitos amnésicos de sedativos em procedimentos pediátricos: revisão sistemática(Universidade Federal de Goiás, 2016-02-26) Viana, Karolline Alves; Castro, Anelise Daher Vaz; http://lattes.cnpq.br/8085833761679256; Costa, Luciane Ribeiro de Rezende Sucasas da; http://lattes.cnpq.br/9906371509661305; Costa, Luciane Ribeiro de Rezende Sucasas da; Faria, Patrícia Corrêa de; Costa, Paulo Sérgio Sucasas daBackground: Some sedatives used in procedural sedation may impair memory temporarily, which could be beneficial to patients that present fear, anxiety or behavioural problems throughout dental or medical appointment, although they were sedated. Amnesia of aversive experiences may minimize chance of developing psychological trauma. To the best of our knowledge, there is no systematic review to specifically address this topic. The aim of this study was to search for scientific evidence on the amnesic effect of different sedatives in pediatric patients undergoing medical or dental procedures. Methods: Throughout October 2015, electronic databases, such as Public Medical Literature Analysis and Retrieval System Online (PubMed), Scopus and the Cochrane Library, clinical trial registries and grey literature were searched. Randomized controlled trials that assess amnesia of events that ocurred prior to or during health procedures, in children and adolescents 1–19 years old receiving sedative drugs were included. Two calibrated reviewers (Kappa≥0,8) selected articles. After confirming eligibility, data extraction was carried out and assessment of risk of bias was performed according to the 'Cochrane Collaboration's Tool for Assessing Risk of Bias in Randomized Trials'. Disagreement at all levels were resolved by consensus or by involving a third reviewer. Results: Fifty-two studies were included in this systematic review. Anterograde amnesia was observed in nearly all seventeen studies that compared sedatives with placebo. Among the twelve trials that assessed variations of the same sedative regimen, just three found greater anterograde amnesia when increased dose or different time of administration was used. Retrograde amnesia was assessed only in nine studies, and most of them found that sedatives did not affect recall of information acquired before sedative administration. Benzodiazepines are the most studied sedatives and showed greater ocurrence of anterograde amnesia. Most studies were at unclear risk of bias and the overall quality of the evidence was low. Conclusion: The scientific evidente on the amnesic effects of sedatives in children and adolescents is limited. Benzodiazepines showed to induce anterograde amnesia, but it is a weak evidence. This systematic review point out the necessity of further clinical trials that focus on memory as a primary outcome.