http://hdl.handle.net/11422/28195 Thu, 30 Jul 2026 06:58:21 GMT 2026-07-30T06:58:21Z http://hdl.handle.net/11422/29287 Title: Diagnóstico da condição pulpar por graduandos de odontologia: análise do conhecimento e construção de ebook Author(s)/Inventor(s): Pereira, Camila Leão de Azevedo Advisor: Risso, Patrícia de Andrade Abstract: Pulp and Periradicular Diagnosis (PPD) is a fundamental step in clinical decisionmaking. This dissertation was structured around two objectives: (1) to assess the knowledge of Brazilian dental students regarding pulp sensitivity tests (PST), their self-reported ability to perform different semiotechnical resources (SR), and the frequency with which these SRs are used in clinical scenarios involving asymptomatic teeth; and (2) to develop na informative ebook to support undergraduate students and professionals in PPD. To achieve the first objective, an online questionnaire was administered, consisting of four sections: (1) sample characterization, frequency of endodontic emergency care, and self-assessment of knowledge regarding PSTs; (2) knowledge about PSTs (cold, heat, and electric) – QC_PST; (3) attitudes related to performing different SRs; and (4) practices and the use of SRs in clinicals cenarios involving asymptomatic teeth. The knowledge section included nine QC_PST questions, with each correct answer assigned a score, resulting in a possible total ranging from 0 to 9. The average number of correct answers in the QC_PST was used to assess knowledge. The association between knowledge and academic or demographic variables was analyzed using the Mann-Whitney and Kruskal-Wallis tests (p<0.05). Among the 628 participating students, 51.3% considered their knowledge of PSTs to be good. However, the average number of correct answers in the QC_PST was 3.43±1.72. No statistically significant association was found be tween knowledge and the studied variables. The SRs that students reported being most proficient in were periapical radiographs (99.7%), mobility tests (98.2%), and cold sensitivity tests (97.6%), while only 6.2% feltcapable of performing electrical tests. The most frequently reported practices in the clinical scenarios presented were conducting periapical radiographs and collecting pain history, where as PSTs were less commonly used. To fulfill the second objective, an e-book was developed covering to picssuch as the concept of diagnosis, steps for diagnosing pulp conditions, instructions for performing PSTs, and the main characteristics and responses of pulp and periradicular diseases. The content was validated by five dentists specializing in Endodontics, Restorative Dentistry, or Prosthodontics, and a face validation was conducted with the target audience. The e-book was evaluated using the Clear Communication Index (CIC-CDC), achieving a score of 92 out of 100, which is considered excellent. Based on these findings, it can be concluded that although students express confidence in their knowledge of PSTs, their actual level of knowledge is relatively low. Furthermore, the use of PSTs does not appear to be a common practice among students. Given these results, the e-book can be regarded as a valuable tool for assisting both academics and professionals in the process of pulp and periradicular diagnosis. Publisher: Universidade Federal do Rio de Janeiro Type: Dissertação Thu, 27 Mar 2025 00:00:00 GMT http://hdl.handle.net/11422/29287 2025-03-27T00:00:00Z http://hdl.handle.net/11422/29281 Title: Complicações em lipoaspiração facial: uma série de casos Author(s)/Inventor(s): Kindlein, Katherine de Andrade Advisor: Esteves, Jônatas Caldeira Abstract: Facial liposuction (FL) is a technique aimed at enhancing the contours of the face and neck by removing excess subcutaneous fat. Although minimally invasive, FL is a surgery that can lead to complications, and few studies have focused on compiling cases and detailing the management of these conditions. The purpose of this study was to report the complications of a series of 22 FL cases and their therapeutic approaches. All cases were operated on using the same surgical technique and were treated in a sequentially standardized manner, from the initial consultation to outpatient discharge. The surgery and postoperative follow-ups were documented in the medical records, with case follow-up varying between 12 and 28 weeks. The complications observed were: bruising, bleeding, hematoma, seroma, skin irregularities, and fibrosis. Bruising, observed in all cases, resolved spontaneously or was accelerated with topical medication. Hematoma (1 case) and seroma (1 case) were drained. Skin irregularities (19 cases) and fibrosis (20 cases) were treated with postoperative physiotherapy and intralesional dexamethasone injections when necessary, and completely regressed between 2 and 7 months. The complications observed were of minor severity, treated on an outpatient basis and completely resolved. No patient required surgical reintervention or presented permanent sequelae. Publisher: Universidade Federal do Rio de Janeiro Type: Dissertação Thu, 24 Apr 2025 00:00:00 GMT http://hdl.handle.net/11422/29281 2025-04-24T00:00:00Z http://hdl.handle.net/11422/29206 Title: Saúde bucal e acesso de pessoas com doença falciforme na atenção primária nos municípios do estado do Rio de Janeiro entre 2013 e 2023: o que (não) dizem os sistemas de informação em saúde? Author(s)/Inventor(s): Almeida, Flávia do Bem Castilho de Advisor: Santos, Marcia Pereira Alves dos Abstract: Access to oral health and the use of the Unified Health System are directly related to (mis)information through health records provided by the systems, since they support decisionmaking by managers. Sickle cell disease (SCD) is a hereditary genetic hemoglobinopathy and a public health problem with repercussions on oral health (OH). SCD demands educational, preventive and curative actions – the latter provided, especially in primary health care (PHC) due to its early diagnosis in biological neonatal screening. This favors access to dental services and oral health teams at this level of care and navigation in the oral health care network. Health information systems (HIS) support the planning and decision-making of professionals and managers since they allow the systematization of data and the collection of individual and collective information, which is essential for qualifying specific public policies. Therefore, to a certain extent, they can measure access. This study aimed to analyze, through the HIS, the access of users with SCD to dental consultations in PHC in the state of Rio de Janeiro (RJ) between 2013 and 2023. This was an ecological study with secondary data from the HIS of Primary Care (SISAB), Outpatient (SIA) - open; and SESRJ with restricted access (HIS Webhemoglobinopathies, Horus and SESRJ/state - HEMORIO) for ICD 10 D 57, 57.0, 57.1, 52.7 and 57.8, between 2013 and 2023, in the 92 municipalities of RJ. For this, data on social profile, medical condition, use of hydroxyurea, OH teams, OH team coverage, outpatient consultation and access to dental consultation in the respective ICD and HIS mentioned above were crossed. 4,671 case records of people with SCD were obtained, which represented 3 people with SCD for every 10,000 inhabitants. Of these, approximately 68% had sickle cell anemia. The high percentage of incompleteness (99.78%) regarding race/color in the HIS made racialized analysis unfeasible. There were more records of clinical care for women (56%). OH coverage showed a tendency towards stability in most municipalities during the period studied. However, having coverage did not guarantee access to oral health services. Piraí, São José do Vale do Rio Preto (66.67%) and Cantagalo (58.33%) had the best performance in the proportion of dental care provided in PHC/people with SCD, but did not reach 01 (one) care per person with SCD/year. The age group that presented the highest proportion of OH care was 0-9 years (29%). There was no record of OH care in 42% of the municipalities with records of people with SCD in the HIS.The records about SCD in the HIS tell us that the accessoral health in PHC is very limited or even non-existent in some municipalities, showing barriers to access to oral health. The impossibility of racialized analysis is an expression of racism.There is an urgent need to implement public policies for the oral health of people with SCD in the state of Rio de Janeiro to guarantee the principle of equity. Publisher: Universidade Federal do Rio de Janeiro Type: Dissertação Wed, 30 Apr 2025 00:00:00 GMT http://hdl.handle.net/11422/29206 2025-04-30T00:00:00Z