Efectividad del programa educativo "Sonrisas desde el vientre". Hogar Materno Isabel María de Valdivia en Sancti Spíritus / Effectiveness of the educational program " Smiles from the womb". Isabel María de Valdivia Maternity Home in Sancti Spíritus

Fundamentación: En el período de gestación el organismo de la mujer sufre modificaciones, transformaciones fisiológicas y psicológicas, además de cambios en los tejidos bucales y cambios de conducta que pueden iniciar enfermedades bucodentales o agravar las ya establecidas. Objetivo: Evaluar la efectividad del programa educativo "Sonrisas desde el vientre" en embarazadas del Hogar Materno Isabel María de Valdivia en Sancti Spíritus. Metodología: Se realizó un estudio preexperimental, con diseño antes y después en el período de enero a junio del 2022, la población estuvo constituida por 20 embarazadas ingresadas en el Hogar Materno Isabel María de Valdivia en Sancti Spíritus. Se utilizaron métodos del nivel teórico, empírico (encuesta) y estadísticos. Se midió la variable conocimiento sobre salud bucodental. Resultados: Los conocimientos antes de la aplicación de programa educativo eran insuficientes (65 %), después de aplicado el programa educativo el 75 % de las embarazadas presentó conocimientos suficientes. Conclusiones: Al culminar la implementación del programa educativo "Sonrisas desde el vientre", se logró un nivel de conocimiento suficiente sobre salud bucodental en la tercera parte de las embarazadas de este hogar materno.

Background: During pregnancy, the women's body goes through many changes, physiological and psychological transformations, as well as changes in the oral cavity tissues and behavioral changes that may initiate oral diseases or aggravate the stablished ones. Objective: To evaluate the effectiveness of the educational program "Smile from the Womb" among pregnant women at the Isabel María de Valdivia Maternity Home in Sancti Spíritus. Methodology: A pre-experimental study with a before and after design was conducted from January to June 2022, the population consisted of 20 pregnant women hospitalized at Isabel María de Valdivia Maternity Home in Sancti Spíritus. Theoretical, empirical (survey) and statistical methods were used. The variable oral health knowledge was measured. Results: Before applying the educational program the knowledge was insufficient (65%), after applying the educational program 75% of pregnant women showed sufficient knowledge. Conclusions: By the end of the "Smile from the Womb" educational program, one third of the pregnant women in this maternity home had achieved a sufficient level of knowledge about oral and dental health.

Caregivers' Sense of Coherence and Untreated Dental Caries in Children and Adolescents: A Cross-Sectional Study

ABSTRACT Objective: To associate caregivers' sense of coherence (SOC) and untreated caries with oral health status in children covered by a dental public health system. Material and Methods: A convenience sample of caregivers/children in Angra dos Reis, Brazil, was surveyed. Caregivers' SOC was evaluated using the 13-question version questionnaire. For both caregivers/children, sociodemographic information was acquired and caries experience was evaluated by DMFT/dmft and PUFA/pufa index. Statistical associations between children's untreated carious teeth and interest variables from the caregivers were evaluated by binary logistic regression assessed by generalized linear modeling. Results: A total of 233 pairs of caregivers-children were included. Children's untreated permanent and primary carious teeth represented 34.8% and 62.2% of the caries experience, respectively and at least one PUFA/pufa scored tooth was detected in 22.7% of them. Caregivers' DMFT was 13.5±7.0, while 33.6% scored on PUFA. A total of 62.1% of them presented untreated carious lesions. Results from the univariate model, correlating children's untreated caries and caregivers' attributes showed a statistical significance for SOC values (p<0.015), untreated decayed teeth (p<0.035), self-perception of oral health (p<0.022) and oral impact on daily performance (p<0.010). The multivariate logistic first model kept the statistical significance only for the caregiver's untreated decayed teeth. Conclusion: Caregivers' SOC and untreated carious teeth could be used as indicators of dental treatment needs in their offspring.

O pré-natal odontológico: contribuição da ESF, atendimento integral e conhecimento, uma revisão da literatura / The dental pre-natal: ESF contribution, comprehensive care and knowledge, a review of the literature / La atención prenatal odontológica: contribución del ESF, la atención integral y el conocimiento, una revisión bibliográfica

O pré-natal odontológico vem sendo alvo de ações estratégicas na atenção básica. É necessária a compressão que a mulher em período gestacional necessita de cuidados bucais, por esse fato o pré-natal necessita de reforços para o estabelecimento efetivo na atenção básica de forma a ser desmistificado na odontologia, e possibilitar que o cirurgião-dentista possa ser integrado com as ações voltadas para a saúde gestacional. Diante disso objetiva-se relatar sobre o pré-natal odontológico, e abordar sobre a contribuição da Estratégia Saúde da Família (ESF) nesse contexto, atuação multidisciplinar, e importância da educação e capacitação para desmistificação do atendimento a gestantes. Para isso foi realizado um levantamento bibliográfico nas bases de dados eletrônicas Scielo, portal BVS e Google Acadêmico. É visto ainda há baixa adesão das gestantes ao atendimento odontológico, embora haja uma notória representação da ESF na universalização desse cuidado. A equipe multidisciplinar no atendimento de gestantes parece colaborar para a motivação do atendimento, e fundamentar ações estratégicas interdisciplinares. Ainda é importante ressaltar que o conhecimento sobre os aspectos norteadores da gestação tem papel fundamental para desmistificar o atendimento odontológico e preparar os profissionais. Infere-se que o pré-natal odontológico vem ganhando expressividade, onde as ações da ESF, a atuação da equipe multidisciplinar e a ampliação do conhecimento acerca do assunto podem influenciar positivamente para a adesão desse grupo.

Dental prenatal care has been the target of strategic actions in primary care. It is necessary the compression that women in gestational period need oral care, for this reason prenatal care requires reinforcements for the effective establishment in primary care in order to be demystified in dentistry, and enable the dentist to be integrated with actions aimed at gestational health. Therefore, the objective is to report on dental prenatal care, and to address the contribution of the Family Strategy Health (ESF) in this context, multidisciplinary work, and the importance of education and training to demystify the care for pregnant women. For this, a bibliographic survey was carried out in the electronic databases Scielo, BVS portal and Google Scholar. It is seen that there is still low adherence of pregnant women to dental care, although there is a notorious representation of the ESF in the universalization of this care. A multidisciplinary team in the care of pregnant women seems to collaborate to motivate care, and to fundamentalize interdisciplinary strategic actions. It is also important to emphasize that knowledge about the guiding aspects of pregnancy has a fundamental role to demystify dental care and prepare professionals. It is inferred that prenatal in the dentistry has been gaining expressiveness, where the actions of the ESF, the performance of the multidisciplinary team and the expansion of knowledge on the subject can lead positively to the adhesion of this group.

La atención prenatal dental ha sido objeto de acciones estratégicas en la atención primaria. Es necesario que la mujer en el período de gestación necesite cuidados bucales, por lo que el prenatal necesita refuerzos para el establecimiento efectivo de la atención básica de forma que sea desmitificado en la odontología, y que la cirugía-dentista pueda integrarse con las acciones volcadas a la salud gestacional. Por ello, el objetivo es informar sobre la atención prenatal odontológica y abordar la contribución de la Estrategia de Salud Familiar (ESF) en este contexto, la actuación multidisciplinar y la importancia de la educación y la formación para desmitificar la atención a las embarazadas. Para ello, se realizó un estudio bibliográfico en las bases de datos electrónicas Scielo, portal BVS y Google Acadêmico. Aún así, se observa una baja adhesión de las gestantes a la atención odontológica, aunque hay una notable representación del FSE en la universalización de este cuidado. El equipo multidisciplinar en la atención a la mujer embarazada parece colaborar a la motivación de los cuidados, y basar las acciones estratégicas interdisciplinares. También es importante destacar que el conocimiento de los aspectos orientativos del embarazo desempeña un papel fundamental en la desmitificación de la atención odontológica y la preparación de los profesionales. Se infiere que el prenatal odontológico viene ganando expresividad, donde las acciones de la ESF, la actuación del equipo multidisciplinario y la ampliación del conocimiento sobre el tema pueden influir positivamente en la adherencia de este grupo.

Nivel de conocimiento, actitudes y prácticas sobre enfermedad periodontal en pacientes diabéticos / Level of knowledge, attitudes and practices on periodontal disease in diabetic patients

RESUMEN Fundamento: La diabetes mellitus y la enfermedad periodontal tienen una relación bidireccional, siendo la prevención la herramienta indispensable para lograr el mejoramiento del nivel de salud bucal. Objetivo: Identificar el nivel de conocimientos, actitudes y prácticas de la enfermedad periodontal en pacientes diabéticos. Metodología: Se realizó un estudio observacional descriptivo de corte transversal de septiembre de 2019 a abril de 2020 en la población diabética de 19 a 40 años del Consultorio Médico de Familia n.o 11 del área de salud de Zaza del Medio perteneciente al municipio Taguasco, provincia Sancti Spíritus. Se estudiaron las variables edad, sexo, nivel de conocimiento, actitudes y prácticas sobre salud bucal. Resultados: En el 67.9 % de los pacientes se observó bajo nivel de conocimientos sobre la enfermedad periodontal, actitud desfavorable el 78.6 % y prácticas deficientes el 57.1 %. Conclusiones: La mayoría de los pacientes diabéticos presentó bajo nivel de conocimientos, actitud desfavorable y prácticas deficientes para lograr la salud periodontal.

ABSTRACT Background: Diabetes mellitus and periodontal disease have a bidirectional relationship, being prevention the essential tool to achieve an improvement in the level of oral health. Objective: To identify the level of knowledge, attitudes and practices of periodontal disease in diabetic patients. Methodology: A cross-sectional descriptive observational study was conducted from September 2019 to April 2020 in the diabetic population aged 19 to 40 years at the doctor´s office 11 in Zaza del Medio health area of Taguasco municipality in Sancti Spíritus province. The variables age, sex, level of knowledge, attitudes and practices on oral health were studied. Results: 67.9 % of the patients had a low level of knowledge about periodontal disease, 78.6 % had an unfavorable attitude and 57.1 % had deficient practices. Conclusions: The majority of diabetic patients presented low level of knowledge, non-favorable attitude and poor practices to accomplish periodontal health.

Virtual reality in oral hygiene instruction: an immersive approach / Realidad virtual en la enseñanza de la higiene bucal: un enfoque inmersivo

Abstract Currently, oral health issues are increasingly been addressed and virtual reality (VR) is being used as an aid in health areas. However, there is little evidence of VR being used in preventing oral health problems. To evaluate the effectiveness of VR in oral hygiene education. Three hundred pupils, aged between 9 and 12 years, received instructions in oral hygiene by immersion VR and they gave their opinions about the performed activities. Chi-square and Fisher's exact tests were applied, with a significance level of 5%. Part perception of oral hygiene showed no statistically significant difference (P>0.550). There was an increase in the use of dental floss (P<0.001), tongue brushing (P<0.001), and tooth brushing (P<0.001). Both drawings and comments made by participants related to oral hygiene were positive regarding the project. Conclusions: The use of VR in oral hygiene instruction was effective. Most participants increased brushing and flossing frequency and produced drawings related to oral hygiene. VR is effective and should be used in dentistry for teaching and prevention , especially with children, as it presents an interactive instructional space that can be approached in a playful way. This study presents dentists with a promising alternative for changing oral hygiene habits.

Resumen Actualmente, los problemas de salud bucal se abordan cada vez más y la realidad virtual (RV) se utiliza como ayuda en las áreas de salud. Sin embargo, hay poca evidencia de que la RV se utilice para prevenir problemas de salud bucal. Evaluar la efectividad de la RV en la educación en higiene bucal. Trescientos alumnos, con edades comprendidas entre los 9 y los 12 años, recibieron instrucciones en higiene bucal por inmersión VR y opinaron sobre las actividades realizadas. Se aplicaron las pruebas de Chi-cuadrado y exacta de Fisher, con un nivel de significancia del 5%. La percepción parcial de la higiene bucal no mostró diferencias estadísticamente significativas (P>0,550). Hubo un aumento en el uso de hilo dental (P<0,001), cepillado de la lengua (P<0,001) y cepillado de dientes (P<0,001). Tanto los dibujos como los comentarios de los participantes relacionados con la higiene bucal fueron positivos con respecto al proyecto. Conclusiones: El uso de la RV en la instrucción de higiene bucal fue eficaz. La mayoría de los participantes aumentaron la frecuencia de cepillado y uso del hilo dental y produjeron dibujos relacionados con la higiene bucal. La realidad virtual es eficaz y debe utilizarse en odontología para la enseñanza y la prevención, especialmente con los niños, ya que presenta un espacio educativo interactivo que se puede abordar de manera lúdica. Este estudio presenta a los odontólogos una alternativa prometedora para cambiar los hábitos de higiene bucal.

Saúde bucal e gravidez: desafios e fragilidades no cuidado sob a perspectiva dos resultados do Previne Brasil / Oral Health And Pregnancy: Challenges And Fragilities On Care Under The Perspective Of The Results Of Previne Brasil / Salud Bucal Y Embarazo: Retos Y Debilidades En La Atención Bajo La Perspectiva De Los Resultados De Previne Brasil

Introdução: Por muitos anos a saúde bucal esteve à margem das políticas públicas de saúde no Brasil. Em 2004, com a criação da Política Nacional de Saúde Bucal, houve uma proposta de reorganização do cuidado em todos os níveis de atenção no âmbito do Sistema Único de Saúde. Quando avalia-se a qualidade da atenção em populações específicas, a análise dos indicadores torna-se cada vez mais escassa, o que impacta diretamente no financiamento das equipes da atenção básica, já que com a ascensão do novo modelo de financiamento, o Previne Brasil (Portaria n° 2.979/2019), alteram-se algumas formas de repasse para os municípios. Objetivo:Investigar o cuidado odontológico durante a gravidez sob a ótica dos resultados do Previne Brasil, com recorte temporal dos três últimos quadrimestres do ano de 2020, no município de Belém, no Pará. Metodologia:Estudo de natureza descritiva baseado nos dados disponíveis para domínio público provenientes do Sistema de Informação da Atenção Básica. Estes dados foram tabulados no software Microsoft Excel®. A análise dos dados se deu com base no referencial teórico disponível na Scientific Electronic Library Onlinee de documentos oficiais do Ministério da Saúde. Resultados:Belém possui 23,94% de cobertura de saúde bucal, com uma população que ultrapassou um milhão de habitantes. Quando se analisa a proporção de gestantes com atendimento odontológico realizado, Belém apresentou 4%, 3% e 5% respectivamente, em cada quadrimestre de 2020. Conclusões:Os dados revelam que para alcançar um nível satisfatório no acesso e oferta de serviços odontológicos no município amazônico, deve haver um fortalecimento e expansão das políticas públicas de saúde bucal, não excluindo a atenção às linhas de cuidado presentes na Política Nacional de Saúde Bucal, como as gestantes (AU).

Introduction:For several years, oral health had been on the fringe of public policies in Brazil. In 2004, with the establishment of the National Policy for Oral Health, there had been a proposal for reorganization of care in every assistance level in the scope of the Brazilian National Health System. When the quality of assistance to specific populations is availed, the analysis of the indexes becomes increasingly scarce, what directly affects the funding of primary care teams, as with the ascension of the new model of funding, the Previne Brasil (Directive nº 2.979/2019), some forms of transfer to municipalities are changed.Objective:Investigate the dental care during pregnancy under the perspective of the results of Previne Brasil, using the time frame of the three latter four-month periods of 2020, in the city of Belém, in Pará. Methodology: Descriptive study based on the data available for public domain from the Basic Care Information System. These data were tabulated on the Microsoft Excel® software. The data analysis had been done based on the theoretical framework available at the Scientific Electronic Library Online and on official documents from the Ministry of Health. Results: Belém has 23,94% of oral health coverage, with a population that has surpassed 1 million inhabitants. When the proportion of pregnant women with dental assistance is analyzed, Belém presented 4%, 3%, and 5% respectively, in each four-month period of 2020. Conclusions:The data revealed that to reach a satisfactory level of access and supply of dental health services in the Amazonian city, there must be strengthening and expansion of oral health public policies, without excluding the attention to the care lines contained on the National Policy for Oral Health, such as the pregnant women (AU).

Introducción:Durante muchos años, la salud bucal estuvo al margen de las políticas de salud pública en Brasil. En 2004, con la creación de la Política Nacional de Salud Bucal, se propuso reorganizar el cuidado en todos los niveles de atención dentro del Sistema Único de Salud. Al evaluar la calidad de la atención en poblaciones específicas, el análisis de indicadores se vuelve cada vez más escaso, lo que impacta directamente en el financiamiento de los equipos de atención primaria, ya que con el surgimiento del nuevo modelo de financiamiento, Previne Brasil (Ordenanza No. 2979/2019), algunos Se modifican las formas de transferencia a los municipios.Objetivo:Investigar la atención odontológica duranteel embarazo desde la perspectiva de los resultados de Previne Brasil, con un marco temporal de los últimos tres trimestres del año 2020, en la ciudad de Belém, en el estado de Pará. Metodología:Estudio descriptivo basado en datos disponibles para el dominio público del Sistema de Información de Atención Primaria. Estos datos se tabularon en el software Microsoft Excel®. El análisis de los datos se basó en el marco teórico disponible en la Biblioteca Científica Electrónica en Línea y documentos oficiales del Ministerio de Salud. Resultados:Belém posee el 23,94% de cobertura de salud bucodental, con una población que supera un millón de habitantes. Al analizar la proporción de embarazadas con atención odontológica, Belém presentó 4%, 3% y 5%, respectivamente, en cada cuatrimestre de 2020. Conclusiones:Los datos muestran que para alcanzar un nivel satisfactorio de acceso y oferta de servicios odontológicos en el municipio amazónico, se debe fortalecer y ampliar las políticas públicas de salud bucal, sin excluir la atención a las líneas de cuidado presentes en la Política Nacional de Salud Bucal, como las mujeres embarazadas (AU).

Pandemiadecovid-19 e aplicabilidade da teleodontologia na atenção primária à saúde a partir de experiências internacionais / COVID-19 Pandemic and applicability of teledentistry in primary health care based on international experiences / La pandemia de COVID-19 y la aplicabilidad de la teleoodntología en la atención primaria de salud a partir de experiencias internacionales

Introdução:Em contexto pandêmico do COVID-19, a teleodontologia pode desempenhar um papel fundamental no cuidado de problemas de saúde bucal principalmente na identificação precoce com critérios de prioridades em casos de urgência e emergência. Através dela é possível diagnosticar e prestar atendimento às pessoas infectadas pelo SARS-CoV-2 sem colocar em risco de infecção a equipe de profissionais que prestarão os serviços.Objetivo:Analisar experiências internacionais do uso da teleodontologia no contexto da pandemia de COVID-19 e sua aplicabilidade na Atenção Primária à Saúde, destacando possíveis dificuldades de sua implementação, bem como suas potencialidades e limitações.Metodologia:Uma revisão integrativa foi conduzida mediante as seis fases preconizadas do processo de elaboração. As buscas foram realizadas nas bases de dados PubMed, Lilacs, Bireme, SciELO, Paho, Cochrane e Wholis no período de 14 a 20 de julho de 2020. Foram selecionados artigos que abordassem experiências internacionais, no âmbito público ou privado, do uso da teleodontologia nos protocolos de atendimento odontológico.Resultados:Seis estudos foram analisados. A revisão dos artigos destacou a importância da teleodontologia como ferramenta de saúde alternativa para antecipar diagnósticos e diminuir necessidades em saúde bucal, além de contribuir para controle de disseminação viral no contexto da pandemia do COVID-19.Conclusões:Ainda se impõe como um desafio a aplicação da teleodontologia durante a pandemia de COVID-19 na Atenção Primária à Saúde, devido aos limites estruturais e financeiros que o Sistema Único de Saúde apresenta. No entanto, a partir desta revisão integrativa e de experiências internacionais aqui estudadas, observou-se que há viabilidade de implementação da teleodontologia nas Unidades Básicas de Saúde do país (AU).

Introduction:In the COVID-19 pandemic context, teledentistry can play a fundamental role in oral health treatment, especially in early identification and priority determination of urgent and emergency cases. Through it, it is possible to diagnose and provide care to people infected with SARS-CoV-2 without putting the team of professionals who will provide the services at risk of infection.Objective:To analyze international experiences in the use of teledentistry in the context of the COVID-19 pandemic and its applicability in Primary Health Care, highlighting possible difficulties in its implementation, as well as its potential and limitations.Methodology:An integrative review was conducted through the six recommended phases of the elaboration process. Searches were performed in the PubMed, Lilacs, Bireme, SciELO, Paho, Cochrane and Wholis databases, from July 14 to 20, 2020. Articles that addressed international experiences, in the public or private sphere,of the use of teledentistry in dental care protocols were selected.Results:Six studies were analyzed. The review of the articles highlighted the importance of teledentistry as an alternative health tool to anticipate diagnoses and reduce needs in oral health, in addition to contributing to the control of viral spread in the context of the COVID-19 pandemic.Conclusions:The application of teledentistry during the COVID-19 pandemic in Brazilian Primary Health Care is still a challenge, due to the structural and financial limits that its Unified Health System presents. However, from this integrative review and international experiences studied here, we observe that there is feasibility of implementing teledentistry in Brazilian Basic Health Units (AU).

Introducción: En el contexto de la pandemia por COVID-19, la teleodontología puede desempeñar un papel importante en el cuidado de la salud bucal, sobretodo en la detección precoz de los problemas, con criterios de prioridad en casos de urgencia y emergencia. Por medio de ella, es posible diagnosticar y brindar atención a las personas infectadas por el SARS-CoV-2 sin poner en riesgo de infección al equipo de profesionales que realizarán los servicios. Objetivo: Analizar experiencias internacionales del uso de la teleodontología en el contexto de la pandemia por COVID-19 y su aplicabilidad en la atención primaria de la salud, resaltando posibles dificultades de implementación, así como sus potencialidades y limitaciones. Metodología: Se realizó una revisión integrativa a través de las seis fases recomendadas del proceso de elaboración. Las búsquedas se realizaron en las bases de datos PubMed, Lilacs, Bireme, SciELO, Paho, Cochrane y Wholis del 14 al 20 de julio de 2020. Se seleccionaron artículos que abordaran experiencias internacionales, en el ámbito público o privado, en el uso de la teleodontología en los protocolos de atención odontológica. Resultados: Se analizaron seis estudios. La revisión de los artículos destacó la importancia de la teleodontología como herramientade salud alternativa para anticipar diagnósticos y reducir necesidades en salud bucal, además de contribuir al control de la propagación viral en el contexto de la pandemia por COVID-19.Conclusiones: La aplicación de la teleodontología durante la pandemia por COVID-19 en la Atención Primaria de la Salud sigue siendo un desafío, debido a las limitaciones estructurales y financieras que presenta el Sistema Único de Salud. Sin embargo, a partir de esta revisión integrativa y de las experiencias internacionales aquí estudiadas, se observó que existe la posibilidad de implementar la teleodontología en las Unidades Básicas de Salud del país (AU).

O brincar de fazer compras como estratégia educativa em saúde bucal do ensino infantil / Playingshoppingas aneducational strategy in oral health for children in early childhood education / Jugar las comprascomo estrategia educativa ensalud bucalpara niños en educacíon infantil

Introdução:A escola é um ambiente propício para o desenvolvimento de hábitos que podem ser aplicadospor toda a vida. Nessa perspectiva, as atividades educativas com escolares podem contribuir significativamente na promoção de saúde bucal e na disseminação de bons hábitos de higiene oral, sendo alternativas capazes de instruir esses sujeitos eficientemente.Objetivo:Relatar a experiência de uma intervenção lúdica de caráter educativo realizada pela equipe de um projeto de extensão com uma turma de educação infantil em escola institucional de educação básica.Metodologia:A partir do conhecimento da faixa etária dos escolares, um jogo educativo foi desenvolvido e uma ação de caráter lúdico foi elaborada. A alimentação saudável foi a temática escolhida para ser trabalhada interdisciplinariamente à conscientização sobre o papel dos alimentos no desenvolvimento da cárie dentária e das orientações de higiene oral. Ao "brincar de fazer compras", momento em que os alunos podiam escolher quais alimentos adquirir no jogo, foi possível discorrer sobre quais dessas escolhas alimentares não eram saudáveis e também orientar os participantescom macromodelosobre a forma correta de escovação e uso dofio dental.Resultados:A interação das crianças com a atividade e com toda equipe de extensionistas foi bastante satisfatória. Foi possível verificar que os mesmos assimilaram bem os assuntos trabalhados ludicamente e foi demonstrado pela intervenção que os alunos conseguiram adquirir conhecimentos práticos sobre a saúde bucal no momento de orientação de higiene oral tanto no jogo quanto na simulação da escovação com macromodelo. Conclusões:Atividades lúdicas para escolares podem ser instrumentos capazes de transmitir conhecimentos em saúde bucal satisfatoriamente ao passo que sinalizam aspectos que devem ser desenvolvidos e incorporados no cotidiano dos indivíduos desde a mais tenra idade (AU).

Introduction: School is a conducive environment for developing habits that can be extended throughout life. From this perspective, educational activities with schoolchildren can significantly contribute to promoting oral health and to disseminate good oral hygiene habits, constituting alternatives which are capable of efficiently educating these subjects. Objective:To report the experience of a playful and educational intervention carried out by the team of an extension project with an early childhood education class in an institutional school of basic education. Methodology: An educational game was developed based on the knowledge of the age range of the school children, and a playful action was elaborated. A healthy eating theme was chosen to be worked on in an interdisciplinary way to raise awareness about the role of food in developing dental caries and oral hygiene guidelines. By "playing shopping" in which students could choose which foods to buy in a game, it was possible to discuss which of these food choices were unhealthy and also guide participants with a macromodel on the correct way of brushing and flossing. Results: The interaction of children with the activity and with the entire extension team was quite satisfactory. It was possible to verify that they had assimilated the playfully addressed issues and it was demonstrated that students were able to acquire practical knowledge about oral health during the oral hygiene orientation in both the game and in the brushing simulation with the macromodel. Conclusions:Playful activities for schoolchildren may constitute instruments which are capable of satisfactorily transmitting knowledge on oral health, and can indicate aspects which must be developed and incorporated into the daily lives of individuals from a very early age (AU).

Introducción: La escuela es un entorno favorable para el desarrollo de hábitos que pueden prolongarse a lo largo de la vida. En esta perspectiva, las actividades educativas con alumnos pueden contribuir significativamente a la promoción de salud oral y de difusión de buenas costumbres de higiene oral, siendo estas alternativas capaces de educar estos sujetos eficientemente.Objetivo:Relatar la experiencia de una intervención lúdica educativo, realizada por un equipo de un proyecto de extensión, direccionada a un grupo de educación infantil en una escuela del sistema educativo básico brasileño. Metodología: A partir del conocimiento de la franja etaria , se diseñó un juego educativo y se planeó una acción de carácter lúdico. La alimentación sana fue la temática elegida para que, de este modo, además de orientaciones de cuidados orales, también se trabajara, interdisciplinariamente, la concientización sobre la relación entre los alimentos y el surgimiento de caries dentarias. Al "jugar a las compras", momento en que los alumnos podían elegir cuales alimentos iban a adquirir, fue posible debatir sobre cuales de las opciones alimentares no eran sanas y, además de eso, orientar los participantes, con un tipodonto, sobre la forma correcta de cepillarse y de usar el hilo dental. Resultados: La interacción con la actividad y con el equipo de extensión fue muy exitosa. Fue posible verificar que los alumnos comprendieron los temas trabajados lúdicamente y también que, a través de la intervención, consiguieron alcanzar conocimientos prácticos sobre salud oral, tanto en el momento de la orientación de higiene oral cuanto en la actividad de simulación de cepillado con el apoyo del tipodonto.Conclusiones:Actividades lúdicas para niños r pueden ser instrumentos capaces de proporcionar aprendizajes sobre salud oral en la medida en que señalan aspectos que necesitan ser desarrollados en las prácticas rutineras de sujetos desde muy temprana edad (AU).

A clínica e a saúde bucal no SUS: inovar e (re)construir percursos de cuidado / Clinic and oral health at SUS: innovating and (re)constructing care pathways

O artigo traz análises dos processos de trabalho e uso de tecnologias de cuidado e competências nas relações interpessoais e de vínculo. Em pesquisa multicêntrica sobre clínica ampliada e saúde bucal no Sistema Único de Saúde (SUS), utilizou-se o método clínico da clínica ampliada envolvendo pacientes e equipe de saúde. Este texto tem o objetivo de discutir a prática clínica em saúde bucal e o cuidado em saúde centrado no paciente, tendo por base os referenciais teóricos da bucalidade, do acolhimento e das tecnologias de cuidado em saúde. Traz reflexões sobre um dos cenários do estudo com a participação de quatro pesquisadores e oito estagiários (alunos de Odontologia), tendo como lócus a clínica de saúde bucal de uma UBS de São Paulo/SPAs atividades ocorreram por 13 meses (2014 e 2015), atendendo 135 pessoas. Foram realizados 375 procedimentos odontológicos no escopo da APS, com média de 1,54 retornos e de 6,38 intervenções por paciente, em 2014, e 7,25 em 2015. A maior parte das pessoas teve suas necessidades de saúde bucal atendidas em único retorno. Os pesquisadores e estagiários produziram diários de campo com impressões e percepções sobre atendimentos e este artigo traz análises a partir de uma narrativa à luz da Análise do Discurso. Ao ressignificar as práticas, assume-se novas possibilidades para o cuidar, dentro da singularidade de cada caso e com tecnologias leves, de comunicação e acolhimento/vínculo e de processos que integrem o ser, o pensar, o fazer e o estar. Destaca-se a potencialidade de práticas de saúde que se constituem no devir, na retomada da clínica como espaço de produção da subjetividades, da produção de si, apontando para a (re)construção do campo de sinais e sintomas, valorizando diferenças e descontinuidades, convidando a todos para pensar e discutir as práticas clínicas hegemônicas da Odontologia, desde a formação até os serviços de saúde (AU).

The article provides analyses of work processes and the use of care technologies and competencies in interpersonal and bonding relationships. In a multicentric research on expanded clinic and oral health at SUS, we used the clinical method of the expanded clinic comprising users and the health team. This text aims to discuss the clinical practice in oral health and patient-centered health care, based on the theoretical frameworks of buccality, welcoming, and health care technologies. It brings reflections on one of the study settings, with the participation of four researchers and eight trainees (dentistry students), having as a locus the oral health clinic of a primary care service of São Paulo/SP. The activities took place along 13 months (2014 and 2015), serving 135 users. A total of 375 dental procedures were performed, with an average of 1.54 returns per patient and 6.38 interventions per user in 2014, and 7.25 in 2015. Most users had their oral health needs met in one single return. Researchers and trainees produced field diaries with impressions and perceptions about care, and this article brings analyses from a narrative within the scope of Discourse Analysis. By resignifying the practices, we assume new possibilities for care, within the singularity of each case and with light, communication and welcoming/bonding technologies, as well as processes that integrate the being, the thinking, the doing and the being. It is emphasized the potential of health practices constituted in the becoming, in the resumption of the clinic as a space for the production of subjectivities, of production of the self, pointing to the (re)construction of the field of signs and symptoms, appreciating differences and discontinuities, and inviting everyone to think and discuss the hegemonic clinical practices of Dentistry, from the training to the health services (AU).

A pandemia e a reformulação de um projeto de extensão sobre educação em saúde bucal: relato de um ano de experiência com mídias sociais / The pandemic and the reformulation of an extension project about oral health education: report of a year of experience with social media

O objetivo deste artigo é relatar a experiência de um ano, do projeto de extensão Sorriso Saudável Futuro Brilhante, do Departamento de Odontologia da Universidade Estadual de Maringá, cujas atividades, antes puramente presenciais, em decorrência da pandemia, foram adaptadas à forma remota. Para evitar a interrupção das atividades de educação e promoção de saúde junto à comunidade e também manter os participantes motivados, foram utilizados os meios eletrônicos. A equipe, composta por 16 acadêmicos coordenados por um docente, dividiu-se em 4 grupos (G1: produção de material digital informativo; G2: arrecadação e repasse de doações para ações externas; G3:gerenciamento da rede social e divulgação das atividades; G4: produção de conteúdo científico). As ações e o conteúdo eram publicados na página do Instagram. Também foram organizados dois eventos dirigidos à comunidade odontológica. A comunicação professor/aluno ficou mais fácil com a criação do grupo de WhatsApp, e o perfil no Instagramalcançou mais de 900 seguidores em um ano, rompendo fronteiras para a divulgação dos conteúdos. Os eventos foram realizados de forma gratuita, online, com palestrantes nacionais e internacionais e participantes de diversos estados brasileiros, obtendo forte repercussão no âmbito acadêmico. Conclui-se que, embora as atividades remotas não substituam as presenciais, o novo formato do projeto se mostrou inovador, dinâmico e proveitoso para todos os envolvidos, além de apresentar baixo custo e grande potencial de abrangência, podendo funcionar de forma independente ou ainda somar-se às atividades presenciais do projeto, em ações futuras, quando a pandemia chegar ao fim (AU).

The objective of this article is reportthe one-year experience of the Sorriso Saudável Futuro Brilhante extension project, from the Department of Dentistry of the State University of Maringá, whose activities, previously purely face-to-face, as a result of the pandemic, were adapted to the remote form. In order to avoid the interruption of education and health promotion activities in the community and also to keep the participants motivated, electronic means were used. The team, composed of 16 academics coordinated by a professor, was divided into 4 groups (G1: production of informative digital material; G2: collection and transfer of donations for external actions; G3: social network management and dissemination of activities; G4: production of scientific content). Actions and content were posted on the Instagram page. Two events aimed at the dental community were also organized. Teacher/student communication became easier with the creation of the WhatsApp group, and the Instagram profilereached more than 900 followers in one year, breaking boundaries for the dissemination of content. The events were held free of charge, online, with national and international speakers and participants from several Brazilian states, with strong repercussions in the academic sphere. It is concluded that, althoughremote activities do not replace face-to-face activities, the new project format proved to be innovative, dynamic and beneficial for all involved, in addition to presenting low cost and great potential for coverage, being able to work independently or even add to face-to-face project activities, in future actions, when the pandemic comes to an end (AU).

Odontologia para Pacientes com Necessidades Especiais: uma análise das estruturas curriculares dos cursos de Odontologia da região Nordeste / Dentistry for Patients with Special Needs: an analysis of the curricular structures of Dentistry courses in the Northeast region

O estudo objetivou analisar as estruturas curriculares dos cursos de Odontologia da região Nordeste e investigar a presença do componente curricular Odontologia para Pacientes com Necessidades Especiais(OPNE). Trata-se de um estudo seccional, descritivo e quantitativo. Os dados foram coletados entre junho e dezembro de 2020 no sítio eletrônico do Ministério da Educação (e-MEC) e nos portaisdas instituições de ensino identificadas,comanálise das estruturas curriculares dos cursos. Havia138 cursos de Odontologia autorizados e cadastrados na plataformaedestes, seteforam excluídos por ausência de portal atualizado ou por ainda não ter formado pelo menos umaturma. Dos 131 cursos de graduação em Odontologia analisados, verificou-se que 62 IES (47,30%) ofertavam o componente OPNE, dentre as quais53 (40,50%) o ofertavam como componente obrigatório.O estado da Paraíba apresentou a maior frequência (n=13, 86,7%) de cursos que ofertam o componente curricular, enquanto o estado de Sergipe obteve a menor frequência (n=1, 16,7%).Conclui-se que o componente curricular OPNE é pouco ofertado nos cursos de graduação em Odontologia na região Nordeste,o que pode impactardiretamente na capacitação dos profissionais para prestar um melhor cuidado de saúde bucal para essa população (AU).

The study aimed to analyze the curricular structures of the Dentistry courses in the Northeast region and investigate the curricular component named DPSN (Dentistry for Patients with Special Needs). This is a sectional, descriptive and quantitative study. The data were collected between June and November 2020 on the Ministry of Education's (e-MEC) website and the educational institutions' portals identified by analyzing the curricular structures of the courses. There were 138 authorized Dentistry courses registered on the platform; and, of these, seven were excluded for lack of an updated portal or for not having at least one formed class. Of the 131 analyzed undergraduate courses in Dentistry, it was found that 62 HEI (47.30%) offered the DPSN component, among which 53 (40.50%) offered it as a compulsory component. The state of Paraíba showed the highest frequency (n=13, 86.7%) of the courses offering the curricular component, while the state of Sergipe obtained the lowest frequency (n=1, 16.7%). It is concluded that the DPSN curricular component islittle offered in the undergraduate courses in Dentistry in the Northeast region and directly impacts professionals' training to provide better oral health care for this population (AU).

Relationship between tooth loss, nutritional status and consumption of macro and micronutrients in elderly people from southern Brazil

Maintaining a functional natural dentition plays an important role in keeping a satisfactory nutritional status. The aim of this study was to evaluate the relationship between oral health conditions determined by the presence of edentulism and the number of missing teeth, nutritional status and consumption of nutrients by the elderly. This cross-sectional study comprised 494 independent elderly of both genders, over 60 years of age, registered at the Brazilian public health service in Londrina, southern Brazil. The data collection included: oral examinations; anthropometric measurements by calculating the Body Mass Index (BMI); analysis of food consumption based on a multiple pass 24-hour dietary recall and a food intake frequency questionnaire; and structured interviews to obtain sociodemographic information. Multiple linear regression, the Fisher's Exact test, chi-square and Mann-Whitney tests, were applied at a 5% significance level. The prevalence of edentulism was 47.3%; this predominated in females, age group from 65 to 74 years, low education level and low/medium economic classification. A larger numberof underweight and fewer number of overweight elderly were recorded among the edentulous versus dentate participants (< 0.0001). Significantly lower consumption of several nutrients, as well as fruit, was recorded among the edentulous group. In particular, carbohydrates, vitamins (B1, B9 and C), and the majority of the minerals studied were associated with a larger number of missing teeth. In conclusion, tooth loss was associated with the food consumption pattern of some macro-and micronutrients and the nutritional status of the Brazilian elderly.

Conectando sorrisos: relato de experiência em unidade de assistência à criança autista / Connecting smiles: experience report in an autistic child care unit

O Transtorno do Espectro Autista abrange um conjunto de alteraçõesbiológicas que repercutem no desenvolvimentoinfantil. Visto que a atenção à saúde bucal dessas crianças tem um papel essencial para melhoria da qualidade de vida, a formação acadêmica ganha importante relevância. Esse artigo teve por objetivo relatar a experiência e o desenvolvimentode competências de estudantes de Odontologia de uma universidade privada durante atividades acadêmicas desenvolvidas em uma instituição não governamental que atua com pacientes autistas no Ceará.Os estagiários do último ano do curso de Odontologia desenvolveram atividades durante o segundo semestre de 2020com um grupo de 22 participantes. A experiência se desenvolveu nas seguintesfases: reconhecimento do espaço, condicionamento para construção de vínculo, identificação de necessidades bucais e atividades de intervençãocoma realização deescovação, aromaterapia e tratamento restaurador atraumático.O estágio mostrou-se desafiador para o desenvolvimentode competências atitudinais e habilidades sedimentadas com paciência, empatia e construção de uma relação de confiança (AU).

Autism Spectrum Disorder encompasses a set of biological changes that impact child development. Since attention to the oral health of these children plays an essential role in improving their quality of life, academic training gains importance. This article aimed to report the experience and development of skills of dental students from a private university during college activities molded in a non-governmental institution that works with autistic patients in Ceará. The interns from the last semester of the Dentistry course developed activities during the second semester of 2020 with a group of 22 participants. The experience expanded in the following phases: space recognition, conditioning for bonding, identification of oral needs, and interventionactivities with brushing, aromatherapy, and atraumatic restorative treatment. The internship proved the challenge for the attitudinal competencies and skills evolution, sedimented with patience, empathy, and a relationship of trust (AU).

Orthodontic Treatment Need among Nepalese High School Students

Abstract Objective: To assess the need for orthodontic treatment among Nepalese high school students. Material and Methods: This is a quantitative, cross-sectional descriptive study. The sample comprises 938 children (537 males and 401 females) with an age group above 14 years. The subjects were selected voluntarily from seven different schools of Kathmandu valley using a multistage sampling technique. The Index of Orthodontic Treatment Need comprises two components: Dental Health Component (DHC) and Aesthetic Component (AC). Two trained and calibrated examiners performed the oral examination. Results: On analysis of the DHC component, it was found that 21% had no need, 18.1% had mild/little need, 24.3% had moderate/borderline need, 35.8% had severe need, and 0.7% had extreme treatment need. Similarly on analysis of AC component, it was found that 33% were AC-1, 30.8% were AC-2, 7.2% were AC-3, 8.2% were AC-4, 2.1% were AC-5, 3.6% were AC-6, 1.8% were AC-7, 7.4% were AC-8, 1.8% were AC-9, and 3.9% were AC-10. Conclusion: The Index of Orthodontic Treatment Need can be used as a tool for planning dental health resources and prioritizing the treatment need of different populations (AU).

Factors Associated with Oral Health Literacy among Patients with Type 2 Diabetes Mellitus Attending Hospital Universiti Sains Malaysia

Abstract Objective: To determine the oral health literacy (OHL) level and its associated factors among patients with type 2 diabetes mellitus attending Hospital Universiti Sains Malaysia (USM). Material and Methods: This cross-sectional study involved 135 diabetic patients with a mean age of 62.6 years old (SD=9.05) who attended the Diabetes Outpatient Clinic at Hospital USM, a teaching hospital in the north-eastern corner of Peninsular Malaysia. The Malay version of the Oral Health Literacy Instrument (OHLI-M) was used to assess the level of OHL among respondents. An additional self-administered questionnaire was used to obtain other variables of interest. Systematic random sampling was applied in this study. The data were analyzed using an independent t-test and ANOVA to determine factors associated with oral health literacy among respondents. Results: Most respondents have at least one oral health problem (62.2%). The most common problem was cavitated tooth (42.2%). Other problems include toothache (17.8%), mobile tooth (17.8%), and swollen gums (16.3%). OHL level for most respondents (40.7%) was inadequate. The mean total OHLI-M score was 67.9 (SD=17.74). The OHL score was significantly lower in respondents with the following characteristics: female, no formal education or had primary education, unemployed, lower income group, never visited a dentist, and had swollen gums. Conclusion: The OHL of most patients with type 2 diabetes mellitus attending the Diabetes Outpatient Clinic, Hospital USM still need to be improved. Oral health problems were common in patients with type 2 diabetes mellitus in this study. This study also highlighted the link between OHL and socio-demographic factors. Improving the OHL of patients may increase their capability to obtain and understand oral health messages needed to take appropriate actions that will eventually prevent oral diseases associated with diabetes mellitus (AU).

The Clinical Pattern and Prevalence of Streptococcus mutans and Streptococcus sobrinus among Adult and Children Patients with Dental Caries

Abstract Objective: To explore the clinical pattern, host factors, and presentation of Streptococcus mutans related to caries incidence among children and adults visiting Universitas Airlangga dental clinic. Material and Methods: This was an observational study with a cross-sectional approach with 50 patients in each group of carious children (6-12 years) and adults (18-35 years). Dental decay samples were taken by sterile excavator, put in a BHI's transport medium, and directly incubated overnight at 37 ºC. The next day, they were sub-cultured microbiologically in Tryptone Yeast Cystine Sucrose Bacitracin (TYCSB) selective medium. Bacterial species and serogroups were examined by PCR. All patient's data were collected from medical records and direct observation. Results: Caries were mostly media type in both children and adults. Oral hygiene (OHIS) in children was higher than in adults but not significantly different according to their DMFT. The highest scores for decay, missed and filled teeth were 16, 8 and 7, with an average of 6.82, 1.22 and 0.63, considered quite high. Conclusion: The prevalence of S. mutans was higher in children's caries than in adults, but among the adult patients the co-incidence of S. mutans and S. sobrinus was associated with higher DMFT. The mutans serotypes e, f, and d were more prevalent among children than adults.

Pediatric Oral Health Self-reported by Caregivers of NormalHearing and Hearing-Impaired Children

Abstract Objective: To verify and compare the sociodemographic data and caregivers' self-perception of children's oral health condition, hygiene habits and seek for dental services among family units of deaf and normalhearing children. Material and Methods: A comparative cross-sectional study was conducted with 64 parents/caregivers of 16 deaf and 48 normal-hearing children of 3-14 years old, belonging to reference centers in Belo Horizonte, southeastern Brazil. Deaf and hearing children were matched according to their sex and age. Sociodemographic characteristics of the family units and self-report of oral health conditions and care were assessed using a structured questionnaire, including information regarding seeking pediatric dental services. Descriptive analysis and chi-square test were performed (p<0.05). Results: Most individuals in the sample were mothers (84.4%). Low family income (p=0.024) and higher education level of guardians (p=0.018) were associated with families of hearing children. The report of clinical treatment or toothache as the main reason for the children's last dental appointment was associated with families of deaf children (p=0.047). Conclusion: Based on caregivers' reports, hearing-impaired children demonstrated greater vulnerability to present dental pain or clinical treatment as the main reasons for their last access to dental appointments.

Daily Toothbrushing Frequency and the Association with Parental Report of Dental Pain and Discomfort in Preschool Children

Abstract Objective: To evaluate the impact of daily toothbrushing frequency on parental reports of dental pain and discomfort in preschoolers. Material and Methods: An observational cross-sectional study was conducted involving 376 children between four and five years of age at public preschools in the city of Campo Magro, Brazil. Parents/guardians answered a socioeconomic questionnaire that contained a single question on the child's daily toothbrushing frequency and the Brazilian version of the Dental Discomfort Questionnaire (DDQ-B). Statistical analysis involved bivariate and multivariate Poisson regression analyses (α=0.05). Results: After the adjustments in the multivariate analysis, the prevalence of dental pain and discomfort was lower among children whose last visit to the dentist was for prevention (PR = 4.42; 95% CI: 1.75- 11.14; p=0.002) and those with a higher daily toothbrushing frequency (PR = 2.13; 95% CI: 1.12-4.05; p=0.021). Conclusion: A lower toothbrushing frequency is associated with parental reports of dental pain and discomfort in preschoolers. Educational and preventive measures that stimulate an increase in daily toothbrushing frequency can contribute to a better oral health status in preschoolers, consequently, less prevalence of dental pain and discomfort.

Fluoride Concentration in Public Water Supply in a City in the Amazon Region

Abstract Objective: To analyze the fluoride concentration in the public water supply in Manaus, Brazil. Material and Methods: Water samples were collected in 50 mL polyethylene bottles, identified, and labeled. The collection was performed from September 2016 to August 2018. For the selection of collection points, all neighborhoods of the city of Manaus, divided into four health districts (North, South, East, and West), were mapped. From each district, 30 samples were collected, totaling 120 monthly samples. Water samples were analyzed using an ion analyzer, ORION 720-A, and a specific electrode, ORION 96-09. The ion analyzer and electrode were calibrated in standard solutions. The levels were classified in intervals based on technical consensus to guide the health surveillance agencies. Results: Of the 2,874 water samples, 50.3% were within the recommended range, and 49.7% were inadequate, with 31.6% considered above the parameters and 18.1% below. Among the districts, the North had the highest percentages of unsatisfactory samples, resulting in limited action to prevent tooth decay. During the 24 months of analysis, there were large oscillations in the values in all four districts of Manaus. Conclusion: Results reinforce the importance of heterocontrol for the city to guarantee the effectiveness of this public health measure.

Saúde bucal de crianças com paralisia cerebral: avaliação do conhecimento dos pais ou cuidadores / Oral health of children with cerebral palsy: assessment of the knowledge of their parents or caregivers / Salud bucal de niños con parálisis cerebral: valoración de los conocimientos de sus padres o cuidadores

Objetivo: identificar o conhecimento e a conduta dos pais/cuidadores referente à saúde bucal de crianças portadoras de paralisia cerebral e seu respectivo cuidado. Método: pesquisa de abordagem quantitativa, realizada com 14 pais/cuidadores de crianças portadoras de paralisia cerebral, a maioria mães de crianças do sexo feminino. Resultados: quanto à percepção dos participantes, 42,8% consideravam que a saúde bucal dos seus filhos era regular; em relação à higienização bucal, 57,1% realizavam a escovação dentária três vezes ao dia e 100% não utilizavam o fio dental; 71,4% das crianças realizaram consulta odontológica nos últimos seis meses, e apenas 50% dos participantes tinham conhecimento do que é a cárie dental. Conclusão: a condição da saúde bucal das crianças é precária, por falta de conhecimento e orientação dos cuidadores. Além disso, há carência de profissionais capacitados para atender às demandas desta população

Objective: to identify the knowledge and behavior of parents/caregivers regarding the oral health of children with cerebral palsy and their respective care. Method: research with a quantitative approach, carried out with 14 parents/caregivers of the children with cerebral palsy, most of them mothers of female children. Results: as for the participants perception, 42.8% considered that their children's oral health was regular; in relation to oral hygiene, 57.1% performed toothbrushing three times a day and 100% did not use dental floss; 71.4% of the children had a dental appointment in the last six months, and only 50% of the participants were aware of what dental caries is. Conclusion: the oral health condition of children is precarious, due to lack of knowledge and guidance from caregivers. In addition, there is a lack of trained professionals to meet the demands of this population

Objetivo: identificar los conocimientos y comportamientos de los padres/cuidadores con respecto a la salud bucal de los niños con parálisis cerebral y sus respectivos cuidados. Método: investigación con enfoque cuantitativo, realizada con 14 padres/cuidadores, de niños con parálisis cerebral, la mayoría madres de niñas. Resultados: en cuanto a la percepción de los participantes, el 42,8% consideró que la salud bucal de sus hijos era regular; en relación a la higiene bucal, el 57,1% se cepillaba los dientes tres veces al día y el 100% no usaba hilo dental; El 71,4% de los niños tuvo una cita con el dentista en los últimos seis meses, y solo el 50% de los participantes conocían lo que es la caries dental. Conclusión: el estado de salud bucal de los niños es precario, debido a la falta de conocimiento y orientación de los cuidadores. Además carece de profesionales capacitados para atender las demandas de esta población