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18 rev port estomatol med dent cir maxilofac . 2026;67(1):11-20

the Portuguese Air Force military population, indicating a CRediT authorship contribution statement
sample with a good distribution of these characteristics. An-
other limitation of this study is the reliance on self-reported Sónia Ferreira: Conceptualisation, Data curation, Formal anal-
oral health problems, which, in addition to being subjective, ysis, Investigation, Methodology, Writing – original draft; Sónia
might overlook subclinical conditions not perceived by par- Mendes: Conceptualisation, Formal analysis, Methodology,
ticipants. Additionally, the statistical analysis tests used are Supervision, Validation, Writing – review & editing; Mário
bivariate, assessing only the relationship between two vari- Bernardo: Conceptualisation, Formal analysis, Methodology,
ables at a time and not controlling for the effects of other Supervision, Validation, Writing – review & editing.
potentially relevant variables. Finally, the study focused on
military personnel who had attended their mandatory annu-
al appointments. Future studies should compare those who orcid
attended with those who did not, to assess potential differ-
ences in oral health outcomes. Even considering these lim- Sónia Ferreira 0000-0002-5292-1544
itations, the present study provides valuable information for Sónia Mendes 0000-0001-8831-5872
an under-researched population and can inform the planning Mário Bernardo 0000-0002-9204-7230
of additional studies and the implementation of targeted oral
health promotion strategies.
references

Conclusions 1. FDI World Dental Federation. FDI policy statement on oral
health and quality of life. Int Dent J. 2020;66:11–2.
2. Monteiro R. Qualidade de vida relacionada com a saúde oral
The HUDBI scores of the study population are reasonable but em pacientes com diabetes tipo 2: relação com variáveis
have potential for improvement. Twice-daily brushing was sociodemográficas, comportamentais e clínicas [tese]. Lisboa:
widely adopted, whereas dental floss was less common. Oral Universidade Nova de Lisboa – Escola Nacional de Saúde
health attitudes and behaviors were better among older indi- Pública; 2018.
viduals, those with higher military ranks, those with higher 3. Lago CCL, Camelier FWR, Santos CO, Coutinho MR,
levels of education, and those who brushed and flossed more Bittencourt S, Camelier AA. Associação entre a doença
frequently. A significant proportion of the military population periodontal e a doença pulmonar obstrutiva crônica: uma
revisão de literatura. J Dent Public Health. 2018;9:121–34.
reported having caries and dental trauma, emphasizing the 4. Ferrão A, Sousa I. Padrões de aptidão dentária para o pessoal
need to reinforce preventive strategies and oral health educa- navegante militar em missões OTAN. Rev Cient Acad Força
tion programs. Aérea. 2018;182-194.
5. Fernandes NA, Ramos PM, Borges GL, Rosa TA, Bessa CA.
NATO – Kosovo Force. Prevalência da cárie dentária em
Acknowledgments militares portugueses. Rev Port Estomatol Med Dent Cir
Maxilofac. 2017;58(S1):33.
6. Simecek JW, Diefenderfer KE. An evaluation of U.S. Navy
The authors would like to thank Força Aérea Portuguesa for Dental Corps classification guidelines. Mil Med. 2010;175:895–
their availability and cooperation in distributing the study 900.
questionnaire. 7. Wojcik BE, Fedorowicz WS, Humphrey RJ, Colthirst PJ,
Guerrero AC, Simecek JW, et al. Risk of dental disease,
nonbattle injuries and severity of dental disease in deployed
Conflict of interest U.S. Army personnel. Mil Med. 2015;180:570-7.
8. Shetty K, Sindhu R, Manipal S, Prabu D, Mohan R, Bharathwaj
VV. Aviation dentistry: is it an unexplored field of dentistry?
The authors have no conflicts of interest to declare.
A cross sectional study. J Aerosp Technol Manag. 2020;12:e2420.
9. National Academies of Sciences, Engineering, and Medicine.
Nutrient composition of rations for short-term, high-
Ethical disclosures intensity combat operations. Washington, DC: The National
Academies Press; 2006.
Protection of human and animal subjects. The authors 10. Pathak A, Saxena V, Jain M, Tiwari V, Sharva V, Upadhyaya S.
declare that no experiments were performed on humans or Oral health related quality of life in relation to oral health
status among residents in the surrounding areas of rural
animals for this study. health training center attached to a medical college hospital.
J Orofac Res. 2015;5:118–24.
Confidentiality of data. The authors declare that they have 11. Martins D, Botelho J, Júdice A, Proença L, Mendes JJ, Machado
followed their work center protocols on access to patient data V. Prevalence of periodontitis and associated factors among
and for its publication. Portuguese Air Force pilot cadets: a cross-sectional study.
Front Public Health. 2025;13:1724111.
12. Azevedo L, Martins D, Fialho J, Veiga N. Oral health behaviors
Right to privacy and informed consent. The authors have and dental caries in a sample of Portuguese militaries. Rev
obtained the written informed consent of the patients or sub- Port Estomatol Med Dent Cir Maxilofac. 2018;59:18–23.
jects mentioned in the article. The corresponding author is in 13. Leggett H, Mitchell A, Csikar J, Vinall-Collier K, Douglas GVA.
possession of this document. An exploration of the relationship between attitudes and