Oral Condition of Adolescents who Participated in an Oral Health Program During the First Decade of Life

ABSTRACT Objective: To evaluate the oral health of adolescents who participated in an oral health preventive program during the first decade of life. Material and Methods: For the evaluation of dental caries and gingival condition, DMFT and Community Periodontal Index were used, both recommended by the World Health Organization. To verify the occurrence of dental fluorosis, the Dean index was used. Results: Data collection was obtained from 252 patients aged 12 to 16 years. The average DMFT index was 1.14; in relation to the gingival condition, the index of healthy gingival tissue prevailed and the average of this value was 84%, with code 0 being more registered in tooth 11, code 1, more frequently in teeth 16/17 and 36/37 and for last, code 2, in tooth 31 most frequently. Dean's index showed a percentage of 89% of patients without clinical signs of dental fluorosis. Conclusion: Adolescents participating in an oral health preventive program in the first decade of life exhibited very satisfactory results regarding the prevention of caries disease, healthy periodontal condition and reduced prevalence of dental fluorosis.

Saúde bucal de adolescentes que receberam assistência odontológica na primeira década de vida / Oral health of adolescents who received dental care in first decade of life

O presente estudo realizou uma avaliação clínica cujo propósito foi verificar as condições de saúde bucal de adolescentes que participaram de um programa odontológico de natureza educativa e preventiva. Este programa é dividido em duas fases: sendo que a primeira, compreende o atendimento da criança desde o primeiro ano de vida até completar 4 anos de idade e a segunda fase na Clínica de Prevenção os cuidados odontológicos são mantidos até os 9 anos de idade. Participaram da amostra 201 adolescentes, sendo 56% do gênero feminino e 44% do gênero masculino, que se submeteram a um exame odontológico para avaliar as condições de saúde bucal. O exame odontológico consistiu em uma avaliação da prevalência de cárie dentária pelo índice de CPOD e exame radiográfico interproximal, da saúde gengival pelo índice periodontal comunitário, verificação da oclusão dentária pelo índice de estética dentária e a ocorrência de fluorose dentária (índice da OMS). O índice médio de CPOD dos participantes desta pesquisa foi 1,18. Em relação a condição gengival 86% da amostra apresentou índice de tecido gengival hígido. Na avaliação ortodôntica, 198 pacientes (98,5%) apresentaram overjet maxilar, 1 paciente (0,5%) apresentou overjet mandibular e 2 pacientes (1%) apresentaram mordida aberta anterior. Observou-se também que 92% dos adolescentes não apresentaram fluorose dentária. Pode-se concluir que os pacientes participantes desta pesquisa exibiram índices que refletem, em sua maioria, ótimo estado de saúde bucal.

This study conducted a clinical evaluation whose purpose was to investigate the oral health status of adolescents who participated in an educational and preventive dental program. This program is divided into two phases, the first of which comprises the child’s care from the first year of life until they are 4 years old and in the second phase, dental care are kept in the Preventive Clinic up to 9 years old. The sample included 201 teenagers, 56% female and 44% male, who underwent a dental exam to assess oral health status. The dental exam consisted of an assessment of dental caries prevalence and radiographic bitewing examination interproximal, gingival health by community periodontal index; dental occlusion by dental aesthetics index and dental fluorosis occurrence (WHO index). The participants DMFT index was 1.18. Regarding gingival condition, 86% of the sample presented healthy gum tissue. In orthodontic evaluation, 198 patients (98,50%) presented maxillary overjet, one patient (0.5%) had mandibular overjet and 2 patients (1.0%) had anterior open bite. It was also observed that 92% of adolescents did not have dental fluorosis. It can be concluded that patients participating in this study exhibited indexes that reflect, a great state of oral health.