ABSTRACT
Introdução: Embora os levantamentos epidemiológicos venham demonstrando redução significativa, ainda é possível observar, entre a população infantil, alta prevalência da doença cárie, a qual é responsável pelo desenvolvimento de morbidades além do comprometimento da saúde sistêmica da criança. O objetivo deste estudo foi avaliar a conduta dos pediatras relacionada à saúde bucal infantil e a viabilidade de integração entre a pediatria e a odontopediatria. Métodos: Foi aplicado um questionário semiestruturado, previamente submetido a teste-piloto, aos pediatras da cidade de Pelotas, RS. Todos os profissionais foram registrados, obtendo-se uma taxa de resposta de 81,25% (n=53). Através de análise bivariada, foi realizado teste qui-quadrado, com nível de significância de p<0,05. Resultados: Observou-se associação significativa entre o tempo de atuação do profissional e o conhecimento sobre saúde bucal (p=0,024) e o interesse em receber maiores informações (p<0,001). Entre os participantes, 82,69% responderam incorretamente alguma das questões e 88,67% desejavam receber maiores orientações. Os assuntos de maior interesse foram sobre cárie, flúor, oclusão, técnicas de higiene e idade da primeira consulta odontológica. Um Guia de Orientação para Saúde Bucal da Criança, baseado nos resultados da pesquisa, foi distribuído aos pediatras. Conclusões: Detectou-se que os profissionais com formação acadêmica mais recente apresentaram um conhecimento e conduta mais adequados quando comparados aos demais, sendo possível inferir que existe a necessidade de métodos de educação continuada. Os pediatras concordam com a importância da condição bucal para o desenvolvimento de uma boa saúde sistêmica, sentem-se parcialmente responsáveis nesta questão e avalizam o desenvolvimento de ações integradas com a odontopediatria para execução de medidas promotoras de saúde bucal.
Introduction: Although epidemiological surveys have been showing a significant reduction, there still is a high prevalence of dental caries among children. Dental caries are responsible for the development of morbidities as well as impairment of the systemic health. The aim of this study was to evaluate pediatricians approach to childrens oral health and the feasibility of integrating pediatrics with pediatric dentistry. Methods: We applied a semi-structured, previously piloted questionnaire to pediatricians in the city of Pelotas, RS. All of the physicians were included, and we obtained a response rate of 81.25% (n = 53). Through bivariate analysis, a chi-square test was performed with a significance level of p <0.05. Results: There was a significant association between time working as a physician and knowledge about oral health (p = 0.024) and an interest in receiving more information (p <0.001). Among participants 82.69% answered some questions incorrectly, and 88.67% wanted to receive further guidance. The subjects that raised most interest were caries, fluorine, occlusion, oral hygiene techniques, and age at the first dental visit. A Guideline for Childrens Oral Health based on the results of the survey was distributed to pediatricians. Conclusions: More recently graduated physicians were found to show a more appropriate knowledge and approach as compared to the others, and it is possible to infer that there is a need for methods of continuing education. Pediatricians agree on the importance of oral health conditions for the development of good systemic health, feel partially responsible for this issue, and endorse the development of integrated actions with pediatric dentistry in order to implement measures to promote oral health.
Subject(s)
Humans , Child , Dental Care for Children , Dental Caries , Oral HealthABSTRACT
This study aimed to evaluate the frequency of radiographic findings in primary teeth, as well as theirsupporting tissues, following dental trauma, and the occurrence of sequelae according to the trauma type.One radiograph was taken soon after the trauma, and two follow-up radiographs, with approximately sixmonth intervals between each, were taken of 116 traumatized teeth from 65 patients at the Pelotas DentistrySchool in Pelotas, Santa Catarina, Brazil. One hundred and ninety-five radiographs were analyzed to evaluate:tooth position, periodontal ligament space, root integrity, alveolar bone, and root canal aspects. Data wereshown in the form of absolute and percentage frequencies. The Wilcoxon test (p<0.05) was used to detectdifferences in the images. The widening of the periodontal ligament and pathological root resorption, althoughwith different evolutions, represented the most frequent findings. In the first radiograph, 35.6% of the teethwere diagnosed as presenting a widening of the periodontal ligament, as compared to 15.1% in the finalradiograph. Pathological root resorption varied from 9.6% in the first radiograph to 35.8% in the final exam.Whereas alveolar bone resorption prevailed in intrusion cases and root canal obliteration in concussion/subluxation cases, tooth displacement occurred most often in intrusion and lateral luxation/extrusion cases.Concussion, subluxation, and intrusion were the conditions which were most often associated with sequelaeduring this samples period of analysis. Radiographic sequelae resulting from alveolodental trauma in theprimary dentition tend to vary. Identifying radiographic findings and relating them to the type of trauma canaid the professional in defining the prognosis and a proper treatment plan.