ABSTRACT
ABSTRACT Objective: To evaluate the role of music as a distraction technique to minimize anxiety during dental care in children aged 7 to 9 years when submitted to local anesthetic procedure. Method: This study was carried out in the Dentistry Module of the State University of Southwestern Bahia, located in the city of Jequié, Bahia, Brazil. It was performed through the application of the Facial Image Scale, measurement of heart rate and blood pressure with the aid of the digital sphygmomanometer at two different times during pediatric dentistry care with and without the influence of classical music. Data were tabulated in the Statistical Package for Social Sciences software, version 21.0, expressed as medians and interquartile range. For inferential statistics, the Shapiro-Wilk normality test was used and the analysis of the effect of music was calculated using the paired T-tests and Wilcoxon, considering a significance level of 95%. Results: The sample consisted of 7 children, mostly male, with a median of 8 years of age. Regarding the psychophysiological variables, no significant variations were observed compared to before and after in the groups with music and without music. Conclusion: In this study, no differences were found regarding the reduction of anxiety in the group in which music was used. Additional studies with a representative sample are needed.
RESUMO Objetivo: avaliar o papel da música como técnica de distração para minimizar a ansiedade durante o atendimento odontológico em crianças de 7 a 9 anos de idade quando submetidas a procedimento anestésico local. Métodos: Este estudo foi realizado no Módulo de Odontologia da Universidade Estadual do Sudoeste da Bahia, situado na cidade de Jequié - BA. Foi realizado a partir da aplicação da Facial Image Scale, mensuração da frequência cardíaca e pressão arterial com auxílio do esfigmomanômetro digital em dois momentos distintos ao longo do atendimento em odontopediatria com e sem a influência da música clássica. Os dados foram tabulados no software Statistical Package for Social Sciences, versão 21.0, expressos como medianas e intervalo interquartílico. Para a estatística inferencial, utilizou-se o teste de normalidade Shapiro-Wilk e a análise do efeito da música foi calculada utilizando os testes T-pareado e o Wilcoxon, considerando nível de significância de 95%. Resultados: A amostra foi constituída por 7 crianças, pertencendo sua maioria ao sexo masculino, com uma mediana de 8 anos de idade. Em relação às variáveis psicofisiológicas, não foram observadas variações significativas em comparação ao antes e depois nos grupos com música e sem música. Conclusões: Neste estudo não foram encontradas diferenças no que diz respeito à redução da ansiedade no grupo em que a música foi utilizada, havendo necessidade de estudos adicionais, com amostra representativa.
ABSTRACT
Abstract: The aim of this study was to evaluate the prevalence of cleft lip and/or palate (CL/P) and associated factors in patients treated at a referral service in Brazil's Midwest. Data were obtained from medical records on file between 2010 and 2017 for this epidemiologic and associational study. A descriptive analysis of the sociodemographic and clinical data was carried out, after which the data were analyzed using the chi-square test and Poisson regression with robust variance. A total of 1,696 medical records were eligible. The requests for rehabilitation were mainly for children in the early years of life, and were mostly for patients from low-income families in the state of Goiás. CL/P was more prevalent in its most severe morphological representation (cleft lip and palate), and the most frequently affected side was the left. Syndromic cleft was present in 4.1% of the cases, and the Pierre Robin sequence and Apert syndrome appeared more frequently. Adjusted multivariate Poisson regression showed an association between cleft palate and the presence of syndromes, since the prevalence was 2.33 times higher in this case than that of no syndrome. Cleft lip and palate were associated with males, whereas cleft palate was associated with females. This study highlights the importance of collecting and analyzing epidemiological data, managing health service planning, and allocating funds to assist cleft patients.
Subject(s)
Humans , Male , Female , Child , Cleft Lip/epidemiology , Cleft Palate/epidemiology , Brazil/epidemiology , PrevalenceABSTRACT
Qualidade vida é um conceito amplo, referente à percepção subjetiva das funções físicas, psicológicas e sociais. A avaliação da qualidade de vida de adolescentes é importante para subsidiar as políticas públicas de promoção e atenção à saúde desse grupo. Nesse contexto, este artigo tem o objetivo de avaliar a qualidade de vida relacionada à saúde bucal de adolescentes de 11 a 15 anos de idade. Trata-se de um estudo do tipo Survey, com amostra aleatória de 224 adolescentes de três colégios públicos de uma cidade do Sudoeste baiano. Para a avaliação da qualidade de vida e aspectos da saúde bucal, foi aplicado o questionário CPQ 11-14. A escala de Likert de cinco pontos foi usada para quantificar as opções pelos escores. Foi feita a divisão da pontuação do CPQ por percentis para elaborar a proposta de interpretação do escore do questionário, utilizando os percentis 25% (baixo impacto), 50% (médio impacto) e 75% (elevado impacto). A mediana da idade foi de 12 anos, sendo 54,46% da amostra correspondente ao sexo feminino (122). Na comparação da média do CPQ entre as escolas de acordo com o sexo, observou-se que o feminino obteve as maiores pontuações. Na correlação entre o CPQ e faixa de idade, constatou-se que a maior mediana está concentrada na faixa etária de 11 anos. A presença de problemas orais teve domínio mais elevado. Conclui-se, a partir dos resultados, que a saúde bucal interferiu na qualidade vida dos adolescentes avaliados, sendo que a maior parte deles obteve um impacto considerado moderado.
Quality of life is a broad concept regarding the perception of physical, psychological and social functions. An assessment of the quality of life of adolescents is important to support public policies for the promotion and health care of this group. This article aims at evaluating the quality of useful life in oral health in adolescents aged 11 to 15 years. This is a research-type study with a random sample of 224 adolescents from three public schools in a city in the southwest of Bahia, Brazil. To assess quality of life and aspects of oral health, a CPQ 11-14 questionnaire was applied. A 5-point Likert scale was used to quantify options by scores. The CPQ score was divided by percentage to make a proposal to interpret the questionnaire, using the percentiles 25% (low impact), 50% (medium impact) and 75% (high impact). The median age was 12 years old, with 54.46% being female (122). When comparing the average CPQ between schools according to sex, women suffer the lowest number of scores. In the correlation between CPQ and constant age range, which is the highest median concentrated in the age group of 11 years. The presence of oral problems using higher domain. Oral health affected the quality of life of the affected adolescents, with most adolescents affected by an impact considered to be moderate.
La calidad de vida es un concepto amplio con respecto a la percepción de las funciones físicas, psicológicas y sociales. Una evaluación de la calidad de vida de los adolescentes es importante para apoyar las políticas públicas de promoción y atención médica a este grupo. Este estudio tuvo como objetivo evaluar la calidad de vida en salud bucal de adolescentes de 11 a 15 años de edad. Este es un estudio de tipo survey realizado con una muestra aleatoria de 224 adolescentes de tres escuelas públicas en una ciudad del suroeste de Bahia (Brasil). Para evaluar la calidad de vida y los aspectos de la salud oral, se aplicó el cuestionario CPQ 11-14. Se usó la escala Likert de cinco puntos para cuantificar las opciones por puntajes. El CPQ se dividió por porcentaje para hacer una propuesta de interpretación del puntaje del cuestionario utilizando los percentiles 25% (bajo impacto), 50% (mediano impacto) y 75% (alto impacto). La mediana de edad fue de 12 años, siendo el 54,46% mujeres (122). Al comparar el CPQ promedio entre las escuelas según el sexo, se observó que las mujeres obtuvieron los mayores puntajes. En la correlación entre CPQ y rango de edad, la mediana más alta estuvo concentrada en el grupo de edad de 11 años. La presencia de problemas bucales tuvo un dominio superior. Se concluye que la salud oral influyó en la calidad de vida de los adolescentes, y la mayoría de ellos se vieron afectados por un impacto considerado moderado.
Subject(s)
Public Policy , Quality of Life , Oral Health , Delivery of Health Care , Age GroupsABSTRACT
Objective: To evaluate levels of anxiety in children and adolescents related to age and experience of visits to the dentist using the modified Venham Picture Test (VPTm). Material and Methods: This is a quantitative cross-sectional study with convenience sample. Children and adolescents of both sexes, subdivided into age groups of 6-9 years (A1 and A2) and 10-13 years (B1 and B2), in the waiting room of a Dental Clinic, were grouped according to the experience of visits to the dentist (have been to the dentist / have never been to the dentist). Descriptive statistics were mean, standard deviation and frequency of cases. The Kolmogorov- Smirnov (K-S) was used for normality analysis, with 95% significance level. Inferential statistics was performed using the Chi-Square and Mann-Whitney tests, with p<0.05. Results: In total, 60 children and 60 adolescents were evaluated, 65 (54.16%) males and 55 (45.83%) females. No differences were observed between genders in groups A1 and A2 (p = 0.30) and B1 and B2 (p = 0.94). The highest means of the VPTm scale were observed in groups A2 and B2 (2.87 ± 2.30 and 2.13 ± 1.29) and the lowest in groups A1 and B1 (1.13 ± 1.45 and 1.20 ± 1.29), respectively. Statistical differences were observed for the mean VPTm scores between age groups A1 and A2 (p = 0.004) and B1 and B2 (p = 0.018). Conclusion: The level of anxiety was inversely proportional to age, so younger children were more anxious; it was also observed that children and adolescents who had never been to the dentist tended to be more anxious.