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The aim of this study was to verify the perception of the oral health team regarding work safety and aspects related to changes in dental practices during the COVID-19 pandemic. A descriptive, exploratory, quantitative, and qualitative cross-sectional study was conducted using an electronic questionnaire sent via email to health professionals (n = 197) affiliated with the Brazilian Public Health System (SUS), from December 2020 to September 2021, in a municipality located in the northeast of the state of São Paulo, Brazil. The variables of interest were sociodemographic characteristics and those related to the professionals' perception of oral health care during the pandemic and its impact on these workers' occupational safety. Descriptive statistics were performed, and the absolute and relative frequencies of quantitative variables were calculated, whereas lexical analysis was performed for textual content using the descending hierarchical classification (CHD). Out of the total sample, elective and urgent/emergency care was provided by 58.95% (n = 56); physical barriers were absent between the teams in 54.74% (n = 52); minimally invasive techniques were applied in 71.58% (n = 68); personal protective equipment (PPE) was replaced in 81.05% (n = 77) between appointments; and occupational safety was reported by 49.47% (n = 47). Textual analysis showed a decrease in appointments and consultations, with a longer interval between appointments. The professionals noticed changes in dental practices during the pandemic, mainly regarding the use of PPE, the type of treatment performed, the number of treated patients, and the greater time interval between consultations. The physical infrastructure of health units and the availability of PPE to patients needed some adjustments. A significant number of workers felt safe in providing dental care during the pandemic.

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Fundamentos: O desequilíbrio entre o dever profissional e o medo na COVID-19 causaram instabilidade emocional nos trabalhadores da saúde. Objetivos: Avaliar a ansiedade dos profissionais da Atenção Primária à Saúde (APS) e fatores associados e analisar a percepções, positivas e negativas, da pandemia. Metodologia: Estudo transversal descritivo-exploratório, quanti-qualitativo, com profissionais da APS, em município do Estado de São Paulo, Brasil, de dezembro/2020 a março/2021. Realizou-se estatística descritiva e aplicou-se, ao nível de 5%, o teste Qui-quadrado. Para o conteúdo textual, efetuou-se a análise léxica pela Classificação Hierárquica Descendente. Principais resultados: Foi identificado que mais de 50% dos participantes apresentaram ansiedade e ela esteve associada ao fato de ter contraído COVID-19 (p-valor = 0.0327); à interferência nas atividades diárias (P-valor < 0.0001) e com a profissão (p-valor = 0.0483). Os pontos negativos foram a saúde mental; condições de trabalho; atendimentos e comportamento. Os positivos foram biossegurança, autocuidado e uso de equipamentos de proteção individual. Conclusões: A maioria dos profissionais da APS apresentou ansiedade e esteve associada aos fatores sociodemográficos. A pandemia trouxe pontos positivos e negativos na ótica dos profissionais da APS (AU).

Fundaments: The imbalance between professional duty and fear during the in COVID-19 pandemic caused emotional instability in health workers. Objectives: To assess anxiety in Primary Health Care (PHC) professionals and associated factors and analyze the positive and negative perceptions of the pandemic. Methodology: This is a descriptive-exploratory, quantitative and qualitative cross-sectional study, with PHC professionals, in a municipality in the state of São Paulo, Brazil, from December 2020 to March 2021. Descriptive statistics were carried out, and the chi-square test was applied at the 5% level. For textual content, lexical analysis was carried out by Descending Hierarchical Classification. Main results: It was identified that more than 50% of participants had anxiety, and it was associated with having contracted COVID-19 (p-value = 0.0327), interference with daily activities (p-value < 0.0001) and occupation (p-value < 0.0001) -value = 0.0483). Negative points were mental health, working conditions, service and behavior. Positive points were biosafety, self-care and personal protective equipment use. Conclusions: Most PHC professionals presented anxiety, and it was associated with sociodemographic factors. The pandemic brought positive and negative points from PHC professionals' perspective (AU).

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OBJECTIVE: The objective was to carry out a systematic review on the acceptance of parents to vaccinate their children against COVID-19 and the factors that contribute for vaccination hesitancy. METHODS: The Preferred Reporting Items for Systematic Re- views and Meta-Analyses (PRISMA) guidelines and the Patient, Intervention, Comparison and Outcome (PICO) strategy were followed. A search was carried out in the VHL Regional Portal, PubMed, Scielo, Web of Science, Embase and Scopus databases. We included articles that assessed the rate of acceptance and/or hesitation of parents and the factors that affect the decision about vaccination against COVID-19 for their children in cross-sectional studies. Laboratory studies, animal models, tests and case reports that elected other aspects related to COVID-19 were excluded. The methodological quality of the studies was based on the JBI Critical Appraisal Checklist for Studies Reporting Prevalence Data, developed by the Joanna Briggs Institute. RESULTS: From the 708 articles found, 237 studies remained after removal of duplicates. Titles and abstracts of these publications were evaluated and, applying the exclusion criteria, 56 articles were selected. Inclusion criteria were employed and 28 studies were eligible. Overall average vaccination acceptance rate was 55.81%, and the main reasons for vaccine hesitancy were uncertainty of vaccine efficacy and safety, concerns about side effects, and lack of access to relevant information. CONCLUSION: The research results can be useful for the development of health education and parental awareness strategies in order to promote greater adherence to vaccination against COVID-19.

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Abstract The aim of this study was to verify the perception of the oral health team regarding work safety and aspects related to changes in dental practices during the COVID-19 pandemic. A descriptive, exploratory, quantitative, and qualitative cross-sectional study was conducted using an electronic questionnaire sent via email to health professionals (n = 197) affiliated with the Brazilian Public Health System (SUS), from December 2020 to September 2021, in a municipality located in the northeast of the state of São Paulo, Brazil. The variables of interest were sociodemographic characteristics and those related to the professionals' perception of oral health care during the pandemic and its impact on these workers' occupational safety. Descriptive statistics were performed, and the absolute and relative frequencies of quantitative variables were calculated, whereas lexical analysis was performed for textual content using the descending hierarchical classification (CHD). Out of the total sample, elective and urgent/emergency care was provided by 58.95% (n = 56); physical barriers were absent between the teams in 54.74% (n = 52); minimally invasive techniques were applied in 71.58% (n = 68); personal protective equipment (PPE) was replaced in 81.05% (n = 77) between appointments; and occupational safety was reported by 49.47% (n = 47). Textual analysis showed a decrease in appointments and consultations, with a longer interval between appointments. The professionals noticed changes in dental practices during the pandemic, mainly regarding the use of PPE, the type of treatment performed, the number of treated patients, and the greater time interval between consultations. The physical infrastructure of health units and the availability of PPE to patients needed some adjustments. A significant number of workers felt safe in providing dental care during the pandemic.

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OBJECTIVE: to identify the frequency of occurrence of sickness absenteeism, according to the profile of Primary Health Care (PHC) professionals, and verify if there was an impact of the pandemic on absence duration and reason. METHODS: a cross-sectional study, from January/2019 to December/2020, with PHC professionals from a municipality in northeastern São Paulo. Descriptive statistics were performed, with frequency calculation. RESULTS: of the 977 PHC professionals, 633 (64.79%) used a medical certificate to justify their absence from work in 2019, and 837 (85.67%) in 2020. The main reason for leave was diseases of the musculoskeletal system and connective tissue in the two years. The mean duration of leave was 7.33 days (SD=17.33) in 2019 and 9.88 days (SD=16.05) in 2020. Nursing assistants were the ones who took the most leave in both years. CONCLUSIONS: there was an impact of the pandemic on absence duration and reason.

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OBJECTIVE: To evaluate the prevalence and severity of malocclusion and its impact on oral health-related quality of life (OHRQoL) and self-reported satisfaction of patients with anorexia and bulimia nervosa. METHODS: The sample consisted of sixty women who attended a specialized mental health clinic of a Brazilian medical school. Participants were distributed into two groups: patients with anorexia and bulimia nervosa (ABN; n=30) and control patients without eating disorders (CN; n=30). The dental occlusion was evaluated by the Dental Aesthetic Index; the OHRQoL was assessed using the OHIP-14 questionnaire; and the self-reported satisfaction with the appearance of teeth, speech ability and chewing was obtained by interviews. RESULTS: Severe and very severe malocclusion were observed in 26.67% and 46.67% of patients in the ABN group, respectively, while the CN group showed 80.00% of patients without abnormality/mild malocclusion. ABN group showed a higher proportion of patients (p < 0.05) with tooth loss, spacing in the region of incisors, maxillary misalignment, and mandibular misalignment in relation to CN group. ABN group presented lower (p< 0.05) OHRQoL and self-reported satisfaction with the appearance of teeth, speech ability and chewing, compared to the CN group. There was a significant positive correlation (p< 0.05) between the Dental Aesthetic Index and OHIP-14 scores in the ABN group. CONCLUSIONS: The prevalence of severe malocclusion in ABN group was high, with a negative impact on OHRQoL and self-reported satisfaction with the chewing ability, speech ability and appearance of teeth.

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Chronic kidney disease (CKD) has become a global public health challenge. The objective of this study was to analyze the relationship between self-perception of oral health and clinical condition among patients with CKD. This isa quanti-qualitative survey conducted in a CKD specialized service. The sample consisted of 60 patients who underwent oral examinations to have their severity of caries (DMFT) and need for dental prosthesis checked. Age, sex, time on dialysis, marital status, skin color, education and pre-existing diseases were also analyzed. Among the kidney patients who agreed to undergo the clinical examinations and showed communication skills, some were selected, and three focus groups were created, with the participation of a moderator and six to 10 kidney patients in each group. Their speeches were processed in the IRAMUTEQ software and analyzed through the similarity analysis and word cloud techniques. As for profile, the patients were aged 60.23 ± 10.87 years old; were male (73.33%); were on dialysis for 41.90 ± 56.57 months; were married (61.67%); were white (76.67%); had incomplete primary education (41.66%); had arterial hypertension (76.67%); had a DMFT index of 22.55 ± 8.39; 43.33% needed an upper complete denture; and 30.00% needed a lower complete denture. The similarity analysis revealed many doubts and uncertainties about current health services, which can be proven by the words 'no' and 'treatment'. The quanti-qualitative analysis showed a high rate of dental loss and the need for complete dentures and suggests inequities in oral health care for chronic kidney disease patients, especially in tertiary care. There was a positive representation regarding oral health, but the lexicographical analyses of the textual corpusconfirmed the self-perception of lack of dental care.

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ABSTRACT Objective: To evaluate the prevalence and severity of malocclusion and its impact on oral health-related quality of life (OHRQoL) and self-reported satisfaction of patients with anorexia and bulimia nervosa. Methods: The sample consisted of sixty women who attended a specialized mental health clinic of a Brazilian medical school. Participants were distributed into two groups: patients with anorexia and bulimia nervosa (ABN; n=30) and control patients without eating disorders (CN; n=30). The dental occlusion was evaluated by the Dental Aesthetic Index; the OHRQoL was assessed using the OHIP-14 questionnaire; and the self-reported satisfaction with the appearance of teeth, speech ability and chewing was obtained by interviews. Results: Severe and very severe malocclusion were observed in 26.67% and 46.67% of patients in the ABN group, respectively, while the CN group showed 80.00% of patients without abnormality/mild malocclusion. ABN group showed a higher proportion of patients (p < 0.05) with tooth loss, spacing in the region of incisors, maxillary misalignment, and mandibular misalignment in relation to CN group. ABN group presented lower (p< 0.05) OHRQoL and self-reported satisfaction with the appearance of teeth, speech ability and chewing, compared to the CN group. There was a significant positive correlation (p< 0.05) between the Dental Aesthetic Index and OHIP-14 scores in the ABN group. Conclusions: The prevalence of severe malocclusion in ABN group was high, with a negative impact on OHRQoL and self-reported satisfaction with the chewing ability, speech ability and appearance of teeth.

RESUMO Objetivo: Avaliar a prevalência e gravidade da má oclusão e seu impacto na qualidade de vida relacionada à saúde bucal (QVRSB) e a satisfação autorreferida de pacientes com anorexia e bulimia nervosa. Métodos: A amostra foi composta por 60 mulheres que compareceram a uma clínica especializada em saúde mental de uma faculdade brasileira de Medicina. Os participantes foram distribuídos em dois grupos: pacientes com anorexia e bulimia nervosa (ABN; n=30) e pacientes sem distúrbios alimentares (CN; n=30). A oclusão dentária foi avaliada pelo Índice de Estética Dental; a QVRSB foi avaliada usando o questionário OHIP-14; e a satisfação autorreferida com a aparência dos dentes, capacidade de fala e mastigação foi avaliada por meio de entrevistas. Resultados: Má oclusão grave e muito grave foi observada em 26,67% e 46,67% dos pacientes no grupo ABN, respectivamente, enquanto o grupo CN apresentou 80,00% dos pacientes sem anormalidade/má oclusão leve. O grupo ABN apresentou maior proporção de pacientes (p<0,05) com perda dentária, espaçamento na região dos incisivos, desalinhamento maxilar e desalinhamento mandibular, em relação ao grupo CN. O grupo ABN apresentou menor (p<0,05) QVRSB e satisfação autorreferida com a aparência dos dentes, capacidade de fala e mastigação, em comparação ao grupo CN. Houve uma correlação positiva (p<0,05) entre o Índice de Estética Dental e o escore do OHIP-14 no grupo ABN. Conclusões: A prevalência de má oclusão grave no grupo ABN foi alta, com impacto negativo na QVRSB e satisfação autorreferida com a aparência dos dentes, capacidade de fala e mastigação.

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ABSTRACT Objective: to identify the frequency of occurrence of sickness absenteeism, according to the profile of Primary Health Care (PHC) professionals, and verify if there was an impact of the pandemic on absence duration and reason. Methods: a cross-sectional study, from January/2019 to December/2020, with PHC professionals from a municipality in northeastern São Paulo. Descriptive statistics were performed, with frequency calculation. Results: of the 977 PHC professionals, 633 (64.79%) used a medical certificate to justify their absence from work in 2019, and 837 (85.67%) in 2020. The main reason for leave was diseases of the musculoskeletal system and connective tissue in the two years. The mean duration of leave was 7.33 days (SD=17.33) in 2019 and 9.88 days (SD=16.05) in 2020. Nursing assistants were the ones who took the most leave in both years. Conclusions: there was an impact of the pandemic on absence duration and reason.

RESUMEN Objetivo: identificar la frecuencia de ocurrencia del ausentismo-enfermedad, según el perfil de los profesionales de la Atención Primaria de Salud (APS), y verificar si hubo impacto de la pandemia en la duración y motivos de las ausencias. Métodos: estudio transversal, de enero/2019 a diciembre/2020, con profesionales de la APS de un municipio del nordeste del estado de São Paulo. Se realizó estadística descriptiva, con cálculo de frecuencia. Resultados: de los 977 profesionales de APS, 633 (64,79%) utilizaron el certificado médico para justificar su ausencia al trabajo en 2019 y 837 (85,67%) en 2020. El principal motivo de baja fue por enfermedades musculoesqueléticas y del tejido conectivo en los dos años. La duración media de la licencia fue de 7,33 días (DE=17,33) en 2019 y de 9,88 días (DE=16,05) en 2020. Los auxiliares de enfermería fueron los que más disfrutaron de licencia en ambos años. Conclusiones: hubo un impacto de la pandemia en la duración y motivos de las ausencias.

RESUMO Objetivo: identificar a frequência de ocorrência do absenteísmo-doença, de acordo com o perfil dos profissionais da Atenção Primária à Saúde (APS), e verificar se houve impacto da pandemia na duração e motivos dos afastamentos. Métodos: estudo transversal, no período de janeiro/2019 a dezembro/2020, com os profissionais de APS de um município do nordeste do estado de São Paulo. Realizou-se estatística descritiva, com cálculo de frequências. Resultados: dos 977 profissionais da APS, 633 (64,79%) utilizaram o atestado médico para justificar sua ausência no trabalho em 2019, e 837 (85,67%), em 2020. O principal motivo dos afastamentos foi as doenças osteomusculares e do tecido conjuntivo nos dois anos. A duração média dos afastamentos foi de 7,33 dias (DP=17,33) em 2019 e de 9,88 dias (DP=16,05) em 2020. Os auxiliares de enfermagem foram os que mais se afastaram em ambos os anos. Conclusões: houve impacto da pandemia na duração e motivos dos afastamentos.

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Oobjetivo desta pesquisafoi avaliar os estudantes de uma faculdade pública de Odontologia localizada no Brasil, no que diz respeito à ansiedade e depressão, relacionando os escores de cada transtorno com as características pessoais, acadêmicas, e socioeconômicas dos discentes. Trata-se de um estudo transversal, no qual participaram 423 estudantes de Odontologia. Foram entregues três instrumentos de avaliação a serem preenchidos, sendo eles o Inventário de Ansiedade de Beck (BAI), Inventário de Depressão de Beck (BDI), e um questionário para registro do perfil de cada estudante.Os testes de Mann Whitney e Kruskal Wallis foram utilizados para comparação dos escores entre os grupos.Ovalor médio dos escores de ansiedade e depressão foram, respectivamente,15,21±10,78 e 12,08±8,38. Ser calouro, não praticar atividades físicas, ser ateu ou agnóstico, utilizar redes sociais por mais de três horas diárias, vontade de desistir da Odontologia em algum momento do curso, ter procurado ajuda psicológicaprofissionaldurante o curso e ter baixa renda foram considerados fatores que resultaram em escores mais elevados de ansiedade e depressão nos universitários.Asintomatologia de depressão e ansiedade foi verificada nos discentes, sendo que características pessoais e acadêmicas podeminfluenciar em sua saúde mental (AU).

The aim of this study was to evaluate the students of a public dental school located in Brazil, regarding anxiety and depression, relating the scores of each disorder withthe students' personal, academic, and socioeconomic characteristics. This is a cross-sectional study in which 423 dental students participated. Three assessment instruments were submitted to be completed, namely the Beck Anxiety Inventory (BAI), Beck Depression Inventory (BDI), and a questionnaire to record the profile of each student. Mann Whitney and Kruskal Wallis tests were used to compare scores between groups. The average value of anxiety and depression scores were, respectively, 15.21± 10.78 and 12.08± 8.38. Being freshman, not practicing physical activities, being atheist or agnostic, using social networks for more than three hours a day, willingness to give up dentistry at some point of the course, having sought psychological help from professionals during the course, and having low income, were factors that resulted in higher scores for anxiety and depression in college students. The symptoms of depression and anxiety were verified in the students, and personal and academic characteristics can influence their mental health (AU).

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