ABSTRACT
Se presenta una niña de 12 años con diagnóstico de trastorno del espectro autista (TEA), epilepsia y déficit intelectual, quien fue llevada a la clínica odontológica para pacientes con necesidades especiales de la Facultad de Odontología de la Universidade Federal Rio Grande do Sul, por sangrado gingival a la altura del diente 21, luego de caer por una convulsión. El examen clínico identificó una paciente con lesiones de caries activas y se observó la presencia de biofilm visible en casi todas las superficies dentales. El examen radiográfico del diente 21 mostró una fractura en el tercio medio radicular del mismo. Se realizaron todos los procedimientos dentales necesarios para realizar el tratamiento de endodoncia del 21, rellenando el conducto con pasta de hidróxido de calcio. Al inicio de la atención odontológica, la paciente presentó un comportamiento agitado que requirió un manejo especializado, manteniendo siempre al cuidador en el ambiente clínico, para que el paciente se sintiera bienvenido. Se concluyó que el conocimiento de las particularidades de la paciente reportada con TEA fue de suma importancia para la realización de su tratamiento odontológico, permitiendo tener comportamientos adecuados en su rehabilitación.
A 12-year-old girl diagnosed with autism spectrum disorder (ASD), epilepsy, and intellectual deficit, was seen at the dental clinic for patients with special needs at the Dental School of the Federal University of Rio Grande do Sul, due to a gingival hemorrhage on tooth 21, after a fall due to a seizure. The clinical examination of the patient identified active caries and the presence of visible biofilm on almost all dental surfaces. A radiographic exam of tooth 21 showed a fracture in the middle-third root of the tooth. All the necessary dental procedures were carried out during the endodontic treatment on tooth 21, filling the canal with calcium hydroxide paste. During the beginning of the care, the patient presented an agitated behavior requiring specialized management, always keeping the caregiver in the same clinical setting so that the patient felt welcomed. It concluded the knowledge of the particularities of the patient-reported with ASD was of utmost importance for the conduct of her dental treatment, enabling appropriate behaviors in her rehabilitation.
ABSTRACT
Abstract Objective: To investigate the association between child's daytime caring person and risk for higher early childhood caries (ECC) experience. Material and Methods: The sample consisted of all clinical records (census) of children (0-3 years old) attended in a public dental clinic, which contained information about caries experience and child's daytime caring person (mother, grandmother or others). Caries experience was dichotomized as dmft ≤ 2 or dmft >2. Data were analyzed by the chi-square (α = 0.05). Binary logistic regression models were built. Results: From a total of 310 children, 19% of children had the grandmother as daytime caring person. There was no association between child's daytime caring person and caries experience (p=0.32). Logistic regression analysis showed that low daytime caregiver schooling (OR: 5.76 95%CI 1.18-28.18; p=0.02) and child's age (OR: 1.14 95% CI 1.09-1.19; p=0.00) were risk factors, and breastfeeding duration (> 9 months - OR: 0.38 95% CI 0.21-0.68; p=0.00), no nocturnal feeding (OR: 0.50 95% CI 0.27-0.91; p=0.02), and absence of sugar consumption between main meals (OR: 0.50 95% CI 0.28-0.89; p=0.02) were protection factors for ECC. Conclusion: A higher caries experience in early childhood is not associated to child's daytime caring person. On the other hand, the higher caries experience is associated with low caregiver schooling and older children.
Subject(s)
Humans , Male , Female , Infant , Child, Preschool , Tooth, Deciduous , Retrospective Studies , Risk Factors , Caregivers , Dental Caries/prevention & control , Brazil/epidemiology , Breast Feeding , Chi-Square Distribution , Logistic Models , Dental ClinicsABSTRACT
The prenatal aspects may influence the duration of breastfeeding of newborns, which when reduced harm to their development brings cranio-orofacial. Correlate the type of delivery and maternal diet with breastfeeding period. This was a descriptive study based on the records of the medical records of 820 dyads of mothers and newborns participating in the University Extension Baby Clinic. The results were analyzed, considering a significance level of 5 percent. The absence of complications during pregnancy was a positive factor for the occurrence of vaginal delivery in 94 percent of the sample (p< 0.001). It was found a high percentage of cesarean delivery (43 percent). The number of caesarean sections in women with cariogenic diet was higher than in women with non-cariogenic diet. The women who have a cariogenic diet does not have a tendency to breastfeed their children for more than 6 months (p<0.01). Also there was an association between vaginal delivery and longer period of 6 months of breastfeeding (p<0.001). The collected sample mode of delivery and maternal diet influence the duration of breastfeeding.
Los aspectos prenatales pueden influir en la duración de la lactancia materna de los recién nacidos y cuando ésta se reduce puede alterar el desarrollo cráneo- orofacial. El objetivo de esta investigación fue correlacionar el tipo de parto y la dieta materna con el tiempo de duración de la lactancia materna. Se realizó un estudio descriptivo sobre la base de los registros de las historias clínicas de 820 binomios madres-recién nacidos asistentes a la Clínica del Bebé de Extensión Universitaria. Se analizaron los resultados, considerando un nivel de significación del 5 por ciento La ausencia de complicaciones durante el embarazo fue un punto positivo para la ocurrencia de parto vaginal en el 94 por ciento de la muestra (p < 0,001). Se encontró un alto porcentaje de partos por cesárea (43 por ciento). El número de cesáreas en mujeres con dieta cariogénica fue mayor que en las mujeres con la dieta no cariogénica. Las mujeres que tienen una dieta no cariogénica tenían una tendencia a amamantar a sus hijos durante más de 6 meses (p<0,01). También hubo una asociación entre el parto vaginal y mayor período de 6 meses de lactancia materna (p<0,001). En la muestra analizada el tipo de parto y la dieta materna influencian la duración de la lactancia materna.