ABSTRACT
Resumo O objetivo foi avaliar o cumprimento das metas de saúde bucal da Ação Programática da Criança em 12 Unidades de Saúde (US) de um Serviço de Atenção Primária à Saúde, Porto Alegre-RS, através de um estudo analítico transversal sobre a cobertura das consultas odontológicas anuais na primeira infância. Foram incluídas no estudo 660 crianças nascidas em 2010. Em relação à cobertura das consultas odontológicas a cada ano de vida da criança, as unidades de saúde não atingiram as metas estabelecidas (100%). A maior parte das crianças (35%) realizou sua primeira consulta no primeiro ano de vida. Em relação ao número total de consultas, 22% das crianças nunca as tiveram e apenas 8% realizaram as quatro preconizadas. Houve correlação positiva entre a razão da população total e de crianças de 0-4 anos da área adscrita com o número de profissionais da odontologia e a cobertura no primeiro ano de vida de cada US. Apesar de poucas crianças terem o acompanhamento adequado em relação à meta estabelecida, os percentuais de cobertura foram superiores aos encontrados na literatura.
Abstract The objective of this study is to assess fulfillment of the oral health goals of the Children's Preventive Health Care Initiative in 12 Health Units (HU) of a Primary Health Care Service, in Porto Alegre, in the state of Rio Grande do Sul, through a cross-sectional analytical study on the annual dental visit coverage in early childhood. The study was comprised of 660 children born in 2010. In relation to the coverage of dental visits for each year of life of children, the health units did not achieve the set targets (100%). However, a considerable number of children (35%) had their first dental visit during the first year of life. In relation to the total number of visits, 22% of the children had never gone to the dentist and only 8% did the recommended four visits. There was a positive correlation between the ratio of the total population and children from ages 0 to 4 years in the area enrolled in the initiative, on the one hand, and the number of dental professionals and coverage in the first year of life in each health unit, on the other. Although few children had adequate follow-up visits in relation to the set targets, the percentage of coverage was higher than that found in the literature.
Subject(s)
Humans , Infant , Child, Preschool , Preventive Health Services/organization & administration , Primary Health Care/organization & administration , Oral Health/statistics & numerical data , Dental Care for Children/organization & administration , Delivery of Health Care/organization & administration , Brazil , Pilot Projects , Cross-Sectional Studies , Retrospective Studies , GoalsABSTRACT
Objective: To analyze the perceptions and strategies influencing the achievement of dental visit targets in the Healthcare Program for Kids in the view of the oral health team in basic health units in Porto Alegre, Brazil. Material and Methods: Qualitative study of the descriptive-exploratory type with two focus groups at 12 Health Units in Porto Alegre, RS, with participation of 17 members of oral health teams from different units. Results: The collected data suggest the use of strategies to meet the goals of the Oral Health Program, such as an open schedule, education and health groups, days on which families attend the health unit because of the Bolsa Família Program, vaccination campaign days and home visits. The data also suggest, in order to meet the goals, working jointly with the multiprofessional team and formation of ties, allowing for a greater interaction with patients at the Health Unit, in addition to listening to the life stories of the population and the community. A better understanding of the proposal by health teams for the actions to be carried out horizontally and the greater difficulty in having children at the appointments on days when their mothers work turned out to be challenges. Conclusion: The use of these strategies tends to help and influence the maintenance and implementation of public policies oriented to dental care at an early age and reorient health practices so as to contribute to the strengthening of collectivities.
Subject(s)
Humans , Male , Female , Brazil , Child Health , Child Health Services , Oral Health , Dental Care , Focus Groups , Public Policy , Qualitative ResearchABSTRACT
Na Odontologia contemporânea, a estética sofreu uma valorizaçãosignificativa, ganhando destaque e importância. Nesse contexto, a belezaé influenciada pelo contorno, forma, simetria, alinhamento e,principalmente, pela cor dos dentes. O clareamento de dentes anterioresdesvitalizados escurecidos tem se tornado uma terapia muito requisitada,uma vez que o escurecimento dos dentes é motivo de grande insatisfaçãopor parte dos pacientes. Esta revisão de literatura tem como objetivoanalisar os dados disponíveis na literatura sobre este assunto, uma vezque a associação entre o clareamento interno e a reabsorção radicularexterna cervical é uma questão que ainda gera dúvidas na práticaodontológica. O clareamento interno apresenta resultados esteticamentesatisfatórios, no entanto, apresenta como possível efeito colateral areabsorção radicular cervical externa, que prejudica ou até mesmoinviabiliza a permanência do elemento dental na cavidade bucal. Aetiologia da reabsorção radicular externa relacionada ao clareamento écomplexa, no entanto acredita-se que o agente clareador alcance ostecidos periodontais através dos túbulos dentinários, desnature a dentina,que passa a ser considerada um tecido imunologicamente diferente,sendo reconhecida como um corpo estranho e inicia uma reaçãoinflamatória que resulta na perda localizada de tecido dental. Outralimitação do clareamento de dentes tratados endodonticamente é arecidiva da cor, ainda pouco compreendida. Apesar do clareamento dedentes desvitalizados ter um alto índice de sucesso e de sua naturezaminimamente invasiva, os possíveis efeitos colaterais, tais como areabsorção cervical externa e a recidiva de cor devem ser levados emconsideração no momento de sua indicação.
In modern Dentistry, the smile aesthetics is more valuable every day,gaining importance and prominence. In this context, the beauty isinfluenced by contour, shape, alignment, symmetry and, specially, thecolor of the teeth. The bleaching of anterior endodontically treateddarkened teeth has become a therapy very requested in the clinicalpractice of Dentistry, because stained teeth is of great concern forpatients. This literature review has as objective to analyze the availabledata on this subject, since the association between internal bleaching andexternal cervical root resorption is an issue that still raises questions indental practice. The internal bleaching has aesthetic success, however,this procedure is associated with a risk of external root resorption, whichhinders or even makes impossible the maintenance of the tooth in the oralcavity. The etiology of the external root resorption related to the internalbleaching is complex, however its believed that the bleaching chemicalsdiffuse from the pulp chamber through patent dentinal tubules to thesurrounding periodontal tissues, denatures dentin, which starts to beconsidered as a tissue with immunological differences, starting, then, to berecognized as a strange body, resulting in an inflammatory reaction whichresults, then, in the located loss of tissue. Another limitation of the internalbleaching of root-filled teeth is the discoloration. In spite of this procedureshigh success rate, the results are different from those seen at long-termfollow-up, that is, the color regression is a fact that must be studied andbetter understood.