ABSTRACT
Aim: Appoint the main chronic diseases and the most frequent medications used by the patients by the graduation students of Dentistry between 2012 and 2014/A,through patients'dentistry records. Material and Methods: Two studies were performed: one retrospective in patients' dentistry records, attended at the Clinical School of Dentistry and a cross-sectional study with the students enrolled between the 6th and 9th semester in 2014/B. After the record, the data were inserted on an Excel® spreadsheet to posterior analysis by simple frequency. Results: Eighty-eight charts were evaluated and applied a questionnaire to 61 students. The most prevalence disease in the attended patients at the clinic and mentioned by the students was the systemic arterial hypertension, 77.25% and 60.66% respectively. Fifty-eight students (95%) affirmed confirming the patients' anamnesis with systemic arterial hypertension, mellitus diabetes and chronic disease. The most used medications by these patients are those to control the systemic arterial hypertension, mellitus diabetes and heart diseases. Seventy-two percent affirmed interest on the purpose of patients' medication; 32.79% say to research about their interaction. By dentistry records analyzed we found that only 5.6% took notes about the time of use of the medications. Conclusions: The chronic diseases most found in patients were the arterial hypertension, mellitus diabetes and heart diseases. The main medications are used to control diseases previously mentioned. One update of anamnesis record is suggested by the students.
ABSTRACT
Introdução: Alterações patológicas na cavidade bucal associadas ao Diabetes mellitus (DM) podem incluir gengivite, doença periodontal, disfunção da glândula salivar (xerostomia), suscetibilidade para infecções bucais, síndrome de ardência bucal e alteração do paladar. Objetivo: Verificar o conhecimento técnico-científico de cirurgiões-dentistasque atuam na atenção básica do Sistema Único de Saúde (SUS) sobre o DM. Material e método: O estudo foi realizado nos municípios de Birigui-SP, Maringá-PR e Três Lagoas-MS, e os profissionais que consentiram (n = 76) responderam a um questionário sobre o tema. Os dados foram analisados quantitativamente. Resultado: Os dados obtidos junto a estes profissionais mostram que a maioria (94,7%) prestou consultas odontológicas a pacientes portadores de Diabetes; muitos (97,4%) sabem o que é o DM; sobre outros tipos de DM, 77,6% afirmaram que conhecem, sendo o mais citado - por 55,9% dos profissionais - o DM Gestacional; o DM2 foi apontado como o mais prevalente por 59,2%. A faixa normal de glicose em jejum foi citada corretamente por 2,6% dos participantes. Aobesidade foi apontada por 98,7% dos participantes como fator de risco para o DM. Grande parte (96,0%) assinalou corretamente quais os principais sinais e sintomas que levam à suspeita de DM. A doença periodontal foi apontada por 92,1% como manifestação bucal do paciente portador de DM. Conclusão: Os cirurgiões-dentistas devem desenvolver um conhecimento específico sobre o DM, estando atentos aos níveis normais de glicemia e prontos para identificar e atender o portador de DM.
Introduction: Pathological changes in the bucal cavity associated with Diabetes mellitus (DM) may include gingivitis, periodontal disease, salivary gland dysfunction and xerostomia (dry mouth), susceptibility to bucalinfections, burning mouth syndrome, and altered taste. Objective: This study assessed the technical and scientific knowledge of dentists working in primary care in the National Health System (SUS) on the DM. Material and method: The study was conducted in the municipalities of Birigui-SP, Maringá-PR and TrêsLagoas-MS, with the participation of 76 dentists working in the SUS primary care system.These professionals agreed to answer to a questionnaire developed for this study and the results of the questions were submitted to a quantitative analysis.Result: Showed that 94.7% were in contact with diabetic patients; 97.4% know what is DM; about other types of DM, 77.6% said they know, the most mentioned (by 55.9%) was the gestational DM. The DM2 was indicated as the most prevalent by 59.2%; the normal range of fasting blood glucose level was quoted correctly by 2.6% of the participants;obesity was reported by 98.7% of participants as a risk factor for DM; 96.0% stated correctly what are the main signs and symptoms related to Diabetes; periodontal disease was reported by 92.1% as an bucal manifestation in diabetic patients. Conclusion: The dentist needs to develop specific knowledge about DM, being able to identify normallevels of blood glucose and ready to identify and meet the bearer of DM.
Subject(s)
Humans , Unified Health System , Dental Care for Chronically Ill , Dentists , Dental Care , Diabetes Mellitus , Oral Manifestations , Periodontal Diseases , Taste , Xerostomia , Blood Glucose , Burning Mouth Syndrome , Surveys and Questionnaires , GingivitisABSTRACT
El propósito de este trabajo es determinar las manifestaciones bucodentales en niños con insuficiencia renal crónica y/o transplantados en el Servicio de Nefrología Infantil del Hospital de Niños J. M. de los Ríos en Caracas - Venezuela. Se realizó un estudio descriptivo, de campo e intencional donde se seleccionaron 30 pacientes niños con edades entre los 7 y 17 años con insuficiencia renal crónica y/o transplantados de riñón y 30 niños no comprometidos sistémicamente. Todos los pacientes tenían un consentimiento informado de los padres y/o representantes como también los del grupo control. Se utilizó una Historia Clínica con datos socioepidemiológicos; se utilizó instrumental básico para el examen clínico intrabucal, revelador de placa dentoalveolar, vasillas indicadoras universal de Ph para la recolección de saliva y titulación de las mismas. El 77% de la población con insuficiencia renal crónica presentó hipoplasia del esmalte, el 93% presentó caries y la población control presentó el 50%, el 50% presentó gingivitis generalizada y el grupo control el 20%, el pH salival es más ácido en los niños con insuficiencia renal crónica y el grupo control mostró un pH neutro y alcalino y el 93% presentó xerostomía y el grupo control no presentó dicha afección; el 86% de los niños con insuficiencia renal crónica presentaron retardo de crecimiento, un 75% de retraso dentario y el 97% presentaron aumento del vello corporal. Los pacientes con insuficiencia renal crónica presentan alteraciones del aparato masticatorio que son propias de la enfermedad y también como consecuencia del tratamiento aplicado, por tal motivo el odontopediatra juega un papel importante en la instrucción a padres y/o representantes, médicos y paramédicos para el control y tratamiento de lesiones en boca de estos niños
The chronic renal shortage, is one of the nefropatias more known, which is a transtorn of etiology characterized by the decrease of Renal Function progress. The purpose of this work is to determine the oral dental patologic, in children with chronic renal shortage or transplanted at Servicio Infantil del Hospital de Niños J.M. de Los Rios in Caracas, Venezuela. A a descriptive study was made, in which were chosen 30 children patients from 7 to 17 years old with chronic renal shortage and/ or kidney transplanted, and 30 children not involved with this illness. All patients were authorized by their parents as well as the control Group. A clinical history was used with socioepidemiologic data, also the basic instruments to clinic intra- oral exam. The 77 % of population with chronic reanl shortage showed, the 93% showed dental cavity and the control population showed the 50%, the 50% showed and the control Group the 20%, the is more acid in childrens with chronic renal shortage and the control Group a neutral PH, and the 93% showed , and the control Group do not showed xerestomia; the 86 % of childrens with chronic renal shortage showed delay in raising, one 75 % of dental delay and the 97% showed an increase of corporal The patients with chronic renal shortage showed alterations in chewing apparatus, which are commons of this illness and also the consequence of treatment used, for this reason the dentist has an important rol in teaching to parents, medic and paramedic the control and treatment of this lesions in children.