Anunzziatta Fabruccini

Universidad de la República

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LÁ

Licet Álvarez

Universidad de la República

RÁ

Ramón Álvarez-Vaz

Universidad de la República

Marisa Maltz

Universidade Federal do Rio Grande do Sul

Lina Naomi Hashizume

Universidade Federal do Rio Grande do Sul

Fernando Massa

Universidad de la República

Luana Severo Alves

Universidade Federal de Santa Maria

Susana Lorenzo

Universidad de la República

LÁ

Licet Álvarez Loureiro

Universidad de la República

ÉA

É. Andrade

Universidad de la República

Evelyn Souza

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Universidad de la República

Universidad de Montevideo

Universidad La República

Universidade Federal do Rio Grande do Sul

University of Rio Grande and Rio Grande Community College

Universidad Católica del Uruguay

Institut d'Estadística de Catalunya

Hospital de Clínicas de Porto Alegre

Universidade Federal do Rio Grande

Departamento de Salud

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Epidemiología de las Enfermedades Periodontales en el Uruguay. Pasado y presente

Odontoestomatología (2017)

É. Andrade Susana Lorenzo Licet Álvarez Anunzziatta Fabruccini Maria Victoria García

El objetivo del artÃculo fue realizar una revisiÃ³n sobre la Enfermedad Periodontal en Uruguay. Fueron consultadas bases de datos internacionales (PUBMED, SCOPUS, EBSCO, SciELO). Paralelamente la bÃºsqueda abarcÃ³ fuentes nacionales (Biblioteca Nacional de OdontologÃa, Centro de documentaciÃ³n de la Facultad de OdontologÃa, Ministerio de Salud PÃºblica, DirecciÃ³n Nacional de Sanidad de las Fuerzas Armadas), complementado por bÃºsqueda manual. Los estudios hallados aportaron informaciÃ³n epidemiolÃ³gica Ãºtil, ademÃ¡s de permitir un repaso histÃ³rico sobre conceptos de epidemiologÃa, etio-patogenÃa y corrientes hegemÃ³nicas de la periodoncia. La Enfermedad Gingival representa la patologÃa mÃ¡s prevalente, mientras que los cuadros periodontales destructivos afectan fundamentalmente a los adultos. La edad, el origen geogrÃ¡fico, la clase social y el hÃ¡bito de fumar son indicadores fuertemente asociados con dichos trastornos. De la lectura pormenorizada de los artÃculos recopilados se plantean sugerencias a ser consideradas en los prÃ³ximos relevamientos epidemiolÃ³gicos.

10.22592/ode2017n30a3

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Comparative effectiveness of water and salt community‐based fluoridation methods in preventing dental caries among schoolchildren

Community Dentistry And Oral Epidemiology (2016)

Anunzziatta Fabruccini Luana Severo Alves Licet Álvarez Ramón Álvarez-Vaz Cristiano Susin

Abstract Objective To compare the effectiveness of water and salt community‐based fluoridation methods on caries experience among schoolchildren. Methods Data derived from two population‐based oral health surveys of 12‐year‐old schoolchildren exposed to different community‐based fluoridation methods were compared: artificially fluoridated water in Porto Alegre, South Brazil and artificially fluoridated salt in Montevideo, Uruguay. Data on socio‐demographic characteristics, maternal education and oral hygiene were collected. Dental caries was defined according to the WHO criteria (cavitated lesions) and to the modified WHO criteria (active noncavitated lesions and cavitated ones). The association between community‐based fluoridation methods and dental caries was modelled using logistic (caries prevalence) and Poisson regression ( DMFT ). Odds ratios ( OR ), rate ratios ( RR ), and the 95% confidence intervals ( CI ) were estimated. Results A total of 1528 in Porto Alegre and 1154 in Montevideo were examined (response rates: 83.2% and 69.6%, respectively). Adjusted estimates for caries prevalence and DMFT showed that schoolchildren from Porto Alegre were less affected by dental caries than their counterparts from Montevideo, irrespective of the criteria used. After adjusting for important characteristics, schoolchildren exposed to fluoridated salt had significantly higher likelihood of having caries ( WHO criteria) than those exposed to fluoridated water ( OR for prevalence=1.61, 95% CI =1.26–2.07; RR for DMFT =1.32, 95% CI =1.16–1.51). Similar differences were observed using the modified WHO criteria. Conclusion Fluoridated water appears to provide a better protective effect against dental caries than fluoridated household salt among schoolchildren from developing countries.

Water fluoridation

10.1111/cdoe.12251

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Fluoride Availability and Stability in Children's Toothpastes in Uruguay.

PubMed (2017)

Licet Álvarez Loureiro Anunzziatta Fabruccini Maurício José Santos Moreira Marisa Maltz Lina Naomi Hashizume

The purpose of this study was to evaluate the availability and stability of fluoride in children's toothpastes in Uruguay.Six commercial brands of children's toothpaste available in Uruguay were tested. Analyses were made when the dentifrices were purchased (fresh samples) and after one year of storage (aged samples). Total fluoride (TF) and total soluble fluoride (TSF) concentrations were determined using an ion specific electrode.Four of the children's dentifrices showed TF concentration similar to that specified on the package. Three products showed similar concentrations of TF and TSF with no variations after the one-year storage period. Two dentifrices showed an initial insoluble fluoride concentration greater than 50 percent, which increased with toothpaste aging.Most tested toothpastes showed a decrease in the soluble fluoride content with aging. The high quantity of insoluble fluoride found in two tested dentifrices may compromise their anti-caries efficacy.

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Toothpaste

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Efecto del pretratamiento con clorhexidina en la resistencia de unión a dentina desmineralizada

Odontoestomatología (2023)

Andrés García María del Carmen López Jordi Anunzziatta Fabruccini Judith Liberman

Objetivo: Analizar la resistencia de unión a dentina sana y desmineralizada, en forma inmediata y a los 6 meses, utilizando un pretratamiento de clorhexidina (CHX) 2%. Método: 40 terceros molares sanos con desarrollo radicular incompleto se desgastaron exponiendo dentina. Las piezas fueron sometidas a ciclado de pH. Se dividieron aleatoriamente en 2 grupos: con y sin CHX. En dentina se crearon 4 botones de resina utilizando adhesivo universal mediante autoacondicionamiento. Las muestras se almacenaron en agua destilada a 37ºC hasta su análisis. El microcizallamiento se ejecutó a las 24 horas y a los 6 meses de envejecimiento. Resultados: El grupo de dentina sana, sin CHX inmediato presentó mayor resistencia adhesiva (23,37±1,84). El grupo de dentina desmineralizada, sin CHX, envejecido presentó la menor resistencia adhesiva (8,87±1,51). Conclusiones: La CHX al 2% previo a la aplicación del adhesivo no mejora los valores de resistencia de unión a dentina sana ni desmineralizada a corto o largo plazo.

10.22592/ode2023n42e230

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Concentración de fluoruros en la sal de uso doméstico comercializada en Montevideo, Uruguay

Odontoestomatología (2021)

Ana Paula Dall’Onder Anunzziatta Fabruccini Licet Álvarez Loureiro Lina Naomi Hashizume

Objectives: The aim of this study was to evaluate the concentration of fluoride (F) in household salt marketed in Montevideo, Uruguay. Methods: Fourteen household salt brands marketed in Montevideo, Uruguay were analyzed to determine the F concentrations. Salt samples were prepared and F concentrations were determined using a fluoride-specific electrode connected to an ion analyzer.Results: Most of the salt brands showed values lower than 250 mgF/kg. Coarse salt samples showed higher F concentrations compared to the refined salt samples (p < 0.05). Salt brands contained sodium fluoride presented higher F concentrations than salt brands contained potassium fluoride (p < 0.05). Only two brands had F concentrations close to that informed in product packages. Conclusions: Household salt brands marketed in Montevideo (Uruguay) present a great variability in their F concentrations.

Sodium fluoride

Sodium salt

10.22592/ode-23-38-e213

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Salud Bucal y Enfermedades no transmisibles en pacientes de un centro de enseñanza universitaria, Montevideo-Uruguay. Parte 1

Odontoestomatología (2020)

Susana Lorenzo Estela Skapino Mariana Musto Patrícia Olmos Rueda Ramón Álvarez-Vaz

Non-communicable diseases (NCD) share behavioral and metabolic risk factors with oral diseases and both represent a public health problem. Objective: to find out the prevalence of NCD and its behavioral and metabolic risk factors in people who attend at College of Odontology of the University of the Republic. Methods: A Cross-sectional study was conducted and a questionnaire related to socio-demograhic characteristics and habits linked to behavioral risk factors was applied. Anthropometric measurements of arterial pressure and capillary glucose were taken. Results: The final sample were 602 individuals. A high prevalence of physical inactivity, problematic alcohol intake, excessive salt consumption, hypertension and diabetes was found. These figures were larger than those found at the national level. Conclusions: Due to the high prevalence of various risk factors, the installation of a preventive-educational program in the waiting rooms of the Faculty is recommended.

10.22592/ode2020n36a7

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Availability and stability of soluble fluoride content in commercial fluoride dentifrices available in Uruguay

Figshare (2021)

Anunzziatta Fabruccini Licet Álvarez Marisa Maltz Lina Naomi Hashizume

ABSTRACT Objective The aim of this study was to evaluate the availability and stability of soluble fluoride fraction in commercial fluoride toothpastes available in Uruguay. Methods Fourteen fluoride toothpastes from four different manufacturers were analyzed. Randomized and blinded analyses were performed in duplicate for each dentifrice at the time of purchase (fresh samples) and after 12 months of storage at room temperature (aged samples). Total fluoride and total soluble fluoride concentrations were measured using a fluoride specific electrode. Results Total fluoride concentrations in all of the products were lower than the F levels specified by the manufacturers. Total soluble fluoride fractions were lower than the total fluoride concentrations in fresh samples of five toothpastes and in aged samples of ten toothpastes (p < 0.05). Three toothpastes had insufficient and unstable total soluble fluoride fractions (< 60%) and five toothpastes had only unstable total soluble fluoride fractions (<1000 ppm) after 12 months. Conclusion Based on theresults of this study, it can be concluded that from fourteen Uruguayan commercial fluoride toothpastes analyzed in this study, three toothpastes have insufficient and unstable chemically active F fractions and five other toothpastes have the lack of stability which may compromise their efficacies. Review the guidelines on fluoride dentifrices in Uruguay is necessary, in order to ensure optimum benefit for population.

Dentifrice

10.6084/m9.figshare.14327542

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Sociodemographic, behavioral, and clinical indicators for added value of radiography in caries diagnosis in adolescents: A cross-sectional study

Oral Surgery Oral Medicine Oral Pathology and Oral Radiology (2022)

Licet Álvarez Luana Severo Alves Anunzziatta Fabruccini Marisa Maltz

Cross-sectional study

10.1016/j.oooo.2022.01.015

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Medidas de desigualdad en salud bucal: una experiencia para los escolares de 12 años de la ciudad de Montevideo, Uruguay

Odontoestomatología (2022)

Ramón Álvarez-Vaz Anunzziatta Fabruccini

Introducción: La reducción de las desigualdades socioeconómicas en salud oral es una meta de la OMS para el 2020 dentro los países. Analizando el proceso de transición epidemiológica en la población infantil de los paı́ses industrializados, se observa una disminución de la Caries dental, donde el ı́ndice CPO-D a los 12 años se redujo de 6 a 1 en 25 años. En este contexto, se presenta una metodología de análisis para crear indicadores fáciles de ser medidos e interpretados parala toma de decisiones clínicas y de gestión en servicios de salud bucal.Materiales y métodos: A partir de una batería de medidas de desigualdad, basadas en la teoría de la información, se presentan índices para medir brechas entre diferentes Unidades Geodemo- gráficas (barrios, lugares de trabajos, centros de estudio).Todos los ı́ndices que en forma convencional se calculan para medir patología bucal mediante transformaciones pueden ser expresados como tasas, sobre los que se aplican una ı́ndices para mostrar desigualdad entre individuos o grupos de individuos agregados a nivel de las UG Para eso se trabaja con Índices basados en rangos usando diferencias o cocientes de tasas. Se trabaja también con Índices basados en concentración como el Índice de Gini. Finalmente dentro de la medidas de desigualdad se trabaja con el Índice de Theil para evaluar nivel de uniformidad en una variable o la divergencia de Kullback Leibler para comparar distribuciones de probabilidad y establecer brechas.Resultados: Los resultados surgen del análisis de una encuesta poblacional de Salud Bucal en escolares de 12 años en Montevideo. A través de 4 Escenarios, 1 basal y otros 3 que suponen diferentes formas de intervención para lograr un descenso en la prevalencia de CARIES, se muestra que trabajando a nivel de las UG, las brechas que hay no son muy importantes.

10.22592/ode2022nesp1e528

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Creación de indicadores alternativos para la vigilancia en salud oral mediante Regresión Beta

Odontoestomatología (2022)

Ramón Álvarez-Vaz Fernando Massa Elena Vernazza Anunzziatta Fabruccini

En el ámbito de la Epidemiologı́a y Salud Pública, pueden existir limitaciones en los indicadores generalmente utilizados ya que muchas veces no toman en cuenta la estructurada multivariada de la información o si la toman, lo hacen a través de algoritmos de cálculo que generan indicadores univariados para ganar en simplicidad, y no miden, por lo tanto, correctamente los fenómenos bajo estudio. En particular, cuando los datos responden a modelos de conteo, es necesario transformar los datos en proporciones, utilizando modelos adecuados, al tener variables de respuesta que pueden ser modeladas mediante distribuciones de probabilidad de tipo Beta.

10.22592/ode2022nesp1e524

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